wk 6- qualitative research, falls prevention, derm Flashcards
what is the benefit of qualitative research
understand human experiences, behaviours and perspectives
the why and how
subjective
inductive reasoning
ethnography
Understanding cultures and social systems
phenomenology
explores lived experiences
grounded theory
develop a theory of human behaviour
narrative inquiry
experience of a life experience like breast cancer
action research
implementing an intervention and tweaking with feedback throughout
sampling participants in qualitative studies
want to be as diverse as possible
assessing qualitative researh through
credibilty- truthful and accurate
transferability- apply to different contexts
dependability- research reliable (redoable)
confirmability- removing bias, reflect on bias
what appraisal tool is appropriate for guidelines?
AGREE
What guidelines can you use for a falls risk
world falls guidelines
questions to ask in general consults
- have you had any falls, trips or slips in the last year?
-if so what was the context and outcomes - do you feel unsteady when standing or walking?
3.do you have any concerns about falling?
what tool can you use to ask patients about their balance/gait?
steadi form
quickscreen tool
assessing fall severity- what is considered high risk?
-injury from fall
-fragility
-more than 2 falls in last year
-unable to get up
-loss of consciousness
assessing fall severity- what is considered intermediate risk
a fall in last year, with no severe outcomes AND
-gait speed 0.8m/s or less
-timed up and go greater than 15 seconds
how can you assess frailty?
clinical fraility scale
a score 4 or more is considered frail
what can cause balance/gait issues
-reduced mobility
-reduced muscle strength
-in appropriate or no footwear
-visual issues
-neuropathy
-medications
-deformity
how can you calculate someones speed
distance (m)/ time (s)
ideally 8-10m
2 tests, record fastest
whats an additional test to assess for balance
functional reach test
treatment for a low falls risk
-education on falls prevention
-physical activity recommendations- 150-300mins /wk of intermediate intensity or 75-150 of high intensity,
resistance training 2/wk
treatment for intermediate falls risk
-tailored exercise on balance, gait and strength (refer to ex physiology)
-education on falls prevention
treatment for high falls risk
-multifactoral falls risk assessment
(mobility, sensory, cognititive function, autonomic function, disease history, mediation history, nutriiton, environment and activities)
-individualised tailored interventions
-follow up in 30-90 days
what medications increase risk of falls
antipsychotics
opiods
antidepressants
antieplileptics
loop duretics
antihistamines
sulfonyureas
how does fungus infect
through direct contact and then through trauma and moist environments it develops
tinea pedis types
- interdigital - Trichtophyton rubrum
- moccasin - “
- vesicular- T. interdigitale
- ulcerative- “
