Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1301
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dc.contributorCutts, Brendanen_US
dc.contributorWong Shee, Annaen_US
dc.contributorBarr, Chrisen_US
dc.date.accessioned2019-04-04T23:04:25Z-
dc.date.available2019-04-04T23:04:25Z-
dc.date.issued2019-
dc.identifier.govdoc01329en_US
dc.identifier.urihttp://hdl.handle.net/11054/1301-
dc.description.abstractAim: Delirium is a common complication post-stroke and increases risk of mortality and admission to residential aged care. This study proposed to evaluate the effect of delirium on patient participation in allied health therapy and determine whether time or length of session improved engagement. Method: Observational study conducted in a regional Victorian health service. Patients in the first four weeks post-stroke were assessed for delirium using the Confusion Assessment Method, and physiotherapists, occupational therapists and speech pathologists completed a survey after each therapy session scoring the effect of symptoms of delirium on the therapy session. Results: Patients who developed delirium were older (79.3 years, SD 9.9 vs 69.0 years, SD 13.6, p = .024) and had more severe strokes (National Institutes of Health Stroke Scale 12.2, SD 7.8 vs 6.9, SD 4.6, p = .011) compared with patients who didn’t develop delirium. Therapy sessions while a patient was in delirium were shorter and proportion of therapy during therapist contact time was lower. Therapist-rated scores of participation were lower, and both inattention and altered conscious state affected sessions more in the delirious group. Time of day did not alter any outcome. Significance: Post-stroke delirium has a significant effect on engagement in allied health therapy. Sessions less than 30 minutes in length reduce the effects of inattention for patients in delirium. There is a need to identify strategies to mitigate the impact of delirium and ensure patients are given optimal therapy. Biography: Brendan Cutts is a physiotherapist with an interest in how allied health teams manage acute stroke survivors and is currently working at Barwon Health. This research was completed as part of Brendan attaining the Master of Clinical Rehabilitation (Neurological Physiotherapy) from Flinders University.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-03-28T05:36:33Z No. of bitstreams: 1 VAHRC presentation Brendan Cutts.pdf: 662445 bytes, checksum: d59fb426c4d981a3bf5d5c2fe9e935f0 (MD5)en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-04-04T23:04:25Z (GMT) No. of bitstreams: 1 VAHRC presentation Brendan Cutts.pdf: 662445 bytes, checksum: d59fb426c4d981a3bf5d5c2fe9e935f0 (MD5)en
dc.description.provenanceMade available in DSpace on 2019-04-04T23:04:25Z (GMT). No. of bitstreams: 1 VAHRC presentation Brendan Cutts.pdf: 662445 bytes, checksum: d59fb426c4d981a3bf5d5c2fe9e935f0 (MD5) Previous issue date: 2019en
dc.relation.urihttp://www.ahresearch.com.au/3294en_US
dc.titleHow does delirium affect allied health therapy after stroke?en_US
dc.typeConferenceen_US
dc.type.specifiedPresentationen_US
dc.bibliographicCitation.conferencedateMarch 22en_US
dc.bibliographicCitation.conferencename3rd Victorian Allied Health Research Conferenceen_US
dc.bibliographicCitation.conferenceplaceMelbourne, Australiaen_US
dc.subject.healththesaurusCONFUSION ASSESSMENT METHODen_US
dc.subject.healththesaurusPATIENT PARTICIPATIONen_US
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