Книги: "Physical capacity assessment"

1

Fitness for work: The role of physical demands analysis and physical capacity assessment. London: Washington, DC, 1992.

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2

Lusa, Sirpa. Job demands and assessment of the physical work capacity of fire fighters. Jyväskylä: University ofJyväskylä, 1994.

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3

Physical Capacity Assessment and Work Hardening Therapy. Elliott & Fitzpatrick, 1988.

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4

Partners, Colin Buchanan and, and Elephant Links Partnership, eds. Elephant and Castle: Physical capacity needs assessment: : final report. London: Colin Buchanan and Partners for Elephant Links Partnership., 2000.

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5

Fraser, T. M. Fitness for Work: The Role of Physical Demands Analysis and Physical Capacity Assessment. Taylor & Francis Group, 1992.

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6

Fraser, T. M. Fitness for Work: The Role of Physical Demands Analysis and Physical Capacity Assessment. Taylor & Francis Group, 1992.

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7

Fraser, T. M. Fitness for Work: The Role of Physical Demands Analysis and Physical Capacity Assessment. Taylor & Francis Group, 1992.

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8

Fraser, T. M. Fitness for Work: The Role of Physical Demands Analysis and Physical Capacity Assessment. Taylor & Francis Group, 1992.

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9

Fraser, T. M. Fitness for Work: The Role of Physical Demands Analysis and Physical Capacity Assessment. Taylor & Francis Group, 1992.

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10

The reliability of a computerized method for assessment of anaerobic power and work capacity using maximal cycle ergometry. 1990.

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11

The reliability of a computerized method for assessment of anaerobic power and work capacity using maximal cycle ergometry. 1990.

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12

The reliability of a computerized method for assessment of anaerobic power and work capacity using maximal cycle ergometry. 1990.

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13

The reliability of a computerized method for assessment of anaerobic power and work capacity using maximal cycle ergometry. 1989.

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14

Rao, Rahul, and Ilana Crome. Assessment in the Older Patient. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199392063.003.0008.

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Increased longevity and progressive increases in substance use in older people require clinicians to be proficient in assessing substance misuse in this age group. Assessment requires age-appropriate knowledge, skills and attitudes, taking into account atypical presentations that may challenge conventional diagnostic processes. A greater focus is needed on physical and social aspects of assessment, paying special attention to the influence of comorbid psychiatric and physical disorders. Physiological and pharmacological changes in older people alter the way that substances and other drugs are processed by the body and systemic effects on end-organ function. Such effects can include intoxication, withdrawal, and dependence. Assessment should take into account capacity, elder abuse, cultural competence, and the use of age-appropriate screening instruments. Such an approach will strongly influence treatment options and outcomes. The systematic approach outlined in this chapter is fundamental to the development of a successful treatment management plan.

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15

Dallmeijer, Annet, and Jost Schnyder. Exercise capacity and training in cerebral palsy and other neuromuscular diseases. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199232482.003.0035.

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Chapter 35 gives an understanding of the role of exercise in the functional assessment and clinical management of children with neuromuscular diseases, especially for children with CP and PMD. Current knowledge about exercise capacity and training possibilities with respect to the different fitness components (aerobic power, anaerobic power, muscular strength) will be described as well as the level of physical activity and training recommendations. Practical advice and suggestions are given on how to build up and execute an adapted programme for physical activity, sports, and exercise. Data will be summarized to recognize the possibilities as well as the limits of exercise, and also to permit a regular evaluation and a constant adaptation of a physical activity programme.

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16

Moving in On Occupational Injury. Butterworth-Heinemann, 2000.

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17

Gosselink, R., and J. Roeseler. Physiotherapy in critically ill patients. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0033.

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Physiotherapists are involved in the management of patients with critical illness. Physiotherapy assessment of critically ill patients is less driven by medical diagnosis; instead, there is a strong focus on deficiencies at a pathophysiological and functional level. An accurate and valid assessment of respiratory conditions (retained airway secretions, atelectasis, and respiratory muscle weakness), physical deconditioning, and related problems (muscle weakness, joint stiffness, impaired functional exercise capacity, physical inactivity, and emotional function) allows the identifying of targets for physiotherapy. Evidence-based targets for physiotherapy are deconditioning, impaired airway clearance, atelectasis, (re-)intubation avoidance, and weaning failure. Early physical activity and mobility are key in the prevention, attenuation, or reversion of physical deconditioning related to critical illness. A variety of modalities for exercise training and early mobility are evidence-based and are implemented, depending on the stage of critical illness, comorbid conditions, and cooperation of the patient. The physiotherapist should be responsible for implementing mobilization plans and exercise prescription and make recommendations for their progression, jointly with medical and nursing staff.

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18

Gosselink, R., and J. Roeseler. Physiotherapy in critically ill patients. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0033_update_001.

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Physiotherapists are involved in the management of patients with critical illness. Physiotherapy assessment of critically ill patients is less driven by medical diagnosis; instead, there is a strong focus on deficiencies at a pathophysiological and functional level. An accurate and valid assessment of respiratory conditions (retained airway secretions, atelectasis, and respiratory muscle weakness), physical deconditioning, and related problems (muscle weakness, joint stiffness, impaired functional exercise capacity, physical inactivity, and emotional function) allows the identifying of targets for physiotherapy. Evidence-based targets for physiotherapy are deconditioning, impaired airway clearance, atelectasis, (re-)intubation avoidance, and weaning failure. Early physical activity and mobility are key in the prevention, attenuation, or reversion of physical deconditioning related to critical illness. A variety of modalities for exercise training and early mobility are evidence-based and are implemented, depending on the stage of critical illness, comorbid conditions, and cooperation of the patient. The physiotherapist should be responsible for implementing mobilization plans and exercise prescription and make recommendations for their progression, jointly with medical and nursing staff.

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19

Price, Marilyn, and Donald J. Meyer. The Aging Physician and Other Professionals. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0037.

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Capacity to practice ones’ profession safely and effectively may become an issue as physicians or other professionals age. While this chapter will focus primarily on the psychiatric assessment of the aging physician, impairment due to illness in persons employed in other healthcare positions, the military, aviation, the judicial system, and law enforcement present similar public safety concerns. The assessment of a physician is used as a model for the evaluation of these other professionals. The role of the state physician’s health committees and physician competency committees in arranging for assessment, support, and monitoring of the impaired aging physician is discussed. Also discussed are mandatory screening and reporting regarding fitness for duty.

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20

Gosselink, Rik. Exercise and Early Rehabilitation in the Intensive Care Unit. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199653461.003.0045.

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Exercise and early rehabilitation have an important role in the management of patients with critical illness. The assessment and treatment of critically ill patients focuses on deconditioning (limb and respiratory muscle weakness, joint stiffness, impaired functional exercise capacity, physical inactivity) and weaning failure as targets for rehabilitation. A variety of modalities for exercise training and early mobility have been tested in clinical studies and can be implemented, depending on the stage of critical illness, comorbid conditions, and alertness and cooperation of the patient. Successful mobilization plans and exercise prescription for the patient is a team endeavour, involving physiotherapist, occupational therapist, intensivist, and nursing staff.

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21

Wilkins, James M., Maureen A. Malin, and Robert Kohn. The Evolving Role of Psychiatry in Physician-Assisted Dying and Euthanasia. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0034.

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Physician-assisted dying and euthanasia are last-resort options for patients with unbearable suffering. In the United States, physician-assisted dying is legal in a few states and reserved for individuals with terminal medical illness. Elderly patients are disproportionately represented among those who seek physician-assisted dying and euthanasia. Psychiatric referrals are rarely made and are not mandatory in the evaluation for physician-assisted dying or euthanasia. These practices raise issues regarding capacity and mental illness, such as depression and major neurocognitive disorders, as psychiatric evaluations appear to be underutilized. A crucial issue in the mental health assessment is whether decision-making capacity can be reliably assessed in the presence of mental illness, as up to 25% of individuals seeking physician-assisted dying may have depression. Psychiatrists are uniquely equipped to participate in the palliation of suffering, particularly emotional suffering, which is often present in those seeking physician-assisted dying and euthanasia. This chapter discusses the psychiatrist’s role in the evolving issue of assisted dying and euthanasia.

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22

Stolker, Robert Jan, and Felix van Lier. Choice and interpretation of preoperative investigations. Edited by Jonathan G. Hardman. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0041.

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Preoperative risk assessment is one of the most important steps in perioperative management. In the last decades, considerable progress has been achieved. However, as more high-risk procedures are performed in more aged patients, suffering more morbidity, this may lead to an increased risk of adverse outcomes. The goal of preoperative assessment is to identify patients at extreme risk and discuss whether they should be operated on, or undergo an alternative procedure with a lower risk profile, or if conservative treatment should be continued. Furthermore, it gives the opportunity to optimize patients prior to surgery, adapt intraoperative anaesthetic management and monitoring, and select patients for postoperative treatment at an intensive care unit or post-anaesthesia care unit. The cornerstone of preoperative assessment is the estimation of functional capacity. Accurate anamnesis and physical examination are crucial. Several procedures have been used to optimize the preoperative risk stratification. In this chapter, the value of these additional preoperative investigations is reviewed. These investigations are to be performed only in patients with considerable co-morbidity undergoing high-risk surgery. As cardiovascular adverse events are a major determinant of postoperative outcome, the chapter focuses on the management of the two most important cardiac risk factors, that is, myocardial ischaemia and impaired left ventricular function.

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23

Hughes, Julian C. Ethical Issues in Older Patients. Edited by John Z. Sadler, K. W. M. Fulford, and Cornelius Werendly van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732365.013.19.

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Ethical issues in older patients often arise in the context of physical and mental frailty. Professionals should be alert to the possibility that, on the grounds of frailty, the older patient’s personhood is undermined. It can often seem as if physical or mental dependence makes this inevitable and stigma results. But there are ways in which the person’s autonomy can be enhanced by those who provide care. Advance care planning is intended to preserve the person’s autonomy, but may not do so if care practices are poor. When it comes to consent, the issue of capacity is crucial. But evaluative judgements are required in assessments of capacity, as indeed they are when it comes to diagnoses of dementia or even of mild cognitive impairment. What we really need are broad judgements of best interests, which should be predicated on broad conceptions of the person as a situated embodied agent.

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24

Piepoli, Massimo F., and Pantaleo Giannuzzi. Secondary prevention and cardiac rehabilitation: principles and practice. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656653.003.0008.

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Secondary prevention through cardiac rehabilitation is the intervention that contributes most to decreasing morbidity and mortality in coronary artery disease, in particular after myocardial infarction but after incorporating cardiac interventions and in chronic stable heart disease. Cardiac patients deserve special attention to restore their quality of life and to maintain or restore their functional capacity and require counselling to avoid recurrence by adherence to a medication plan and adoption of a healthy lifestyle. These secondary prevention targets are included in the overall goal of cardiac rehabilitation (CR). Components of CR include patient assessment, physical activity counselling, exercise training, diet/nutritional counselling, weight control management, lipid management, blood pressure monitoring, smoking cessation and psychosocial management. This chapter reviews the key components of a CR programme and summarizes current evidence-based best practice for the wide range of patient presentations of interest to the general cardiology community.

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25

Metzger, Eran D., Jacob C. Holzer, and Rebecca W. Brendel. Forensic Issues in the Geriatric Psychiatry Consult Liaison Service and the Right to Accept and Refuse Treatment. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0014.

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The consultation liaison psychiatrist frequently encounters questions of decision-making capacity for hospitalized geriatric patients. This trend will only continue as the population ages and questions about the ability of aging patients to make medical decisions and broader life decisions arise more and more frequently. Consultation liaison psychiatrists tasked with determining these capacities may be faced with a duality of roles: responsibility to the patient but also protective obligations imposed by laws and regulations. Consultation liaison psychiatrists should engage these evaluations carefully and be forthright with patients. An approach focusing on the nature and cause of incapacity, the potential for reversibility of incapacity, adequately informing the patient, relying on colleagues in occupational and physical therapy as well as speech and language pathology for functional assessment, and understanding the patient’s life history and story can lead to results respectful of both the patient’s well-being and dignity. This chapter presents forensic issues relevant to the geriatric psychiatry consultation-liaison service through an illustrative clinical vignette.

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26

Fairman, Nathan, and Scott A. Irwin. Depression and the Desire to Die Near the End of Life. Edited by Stuart J. Youngner and Robert M. Arnold. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199974412.013.25.

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This chapter examines how depression may affect a patient’s ability to make life-shortening decisions within the setting of care near the end of life, as well as a clinician’s willingness to support the patient’s preferences (that is, respecting his autonomy). It considers how the suspicion of depression can make the physician pause even when the obvious choice would be to support the patient’s decision. It also describes some of the defining features of depression, including hopelessness, suicidal ideation, and desire for hastened death. The chapter first reviews depression and similar clinical conditions in the context of end-of-life care before discussing the construct of capacity and the elements of its assessment. It then considers evidence on the relationship between depression and decisional capacity before concluding with suggestions to help guide decision-making.

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27

Suls, Jerry, and Ladd Wheeler. On the Trail of Social Comparison. Edited by Stephen G. Harkins, Kipling D. Williams, and Jerry Burger. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199859870.013.13.

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Social comparison, a major source of social influence, refers to the selection and utilization of information about other people’s standings and opinions to make accurate self-assessments or to protect or enhance self-esteem. We survey the development of comparison theory over six decades, its ambiguities, and reformulations based on the psychology of attribution and social cognition. Selective comparisons allow people to gauge how well they have fulfilled their potential and capacity to accomplish important tasks, and whether their beliefs, values, and actions are appropriate and worthwhile. Exposure to superior and inferior targets shifts self-evaluations toward (assimilation) or away (contrast) from the targets, depending on the kinds of information made cognitively accessible by the situation or by individual differences. To illustrate comparison’s effects on social influence, applications, such as the effects of academic tracking on self-esteem and effects of large social networks on mental and physical health outcomes, are described.

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Книги з теми "Physical capacity assessment"

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