ABSTRACT
Pressure ulcers have been associated with an extended length of hospitalization, sepsis and mortality. Over the last few decades, little has been written about the impact of pressure ulcers on therapeutic outcomes in inpatient physiotherapy services. It is obvious that critically ill patients, who are sedated, ventilated, patients with chronic neurological, musculoskeletal and cardio-respiratory disorders who are bed ridden for prolonged period of time are particularly at risk of developing skin breakdown. This will help in identifying barriers to patient participation and develop strategies to pressure ulcer prevention. We wanted to determine the impact of pressure ulcers on therapeutic outcomes in inpatient physiotherapy services. MethodsThe study was conducted from June 2015 to January 2016. The impact of pressure ulcer on inpatient physiotherapy services was determined by detailed physical assessment, evaluation with Functional Independence Measure score (FIM) and Braden Q Scale. A total 96 subjects were assessed during this time. ResultsThere was statistically significant impact of pressure ulcers on therapeutic outcomes in inpatient physiotherapy services. The FIM takes into consideration self-care, sphincter control, transfers, locomotion, communication social cognition. A poor score denotes poor outcome at discharge. Tissue level assessment was carried out by using Braden Q Scale, a poor score of which again denotes very poor outcome in mobility, activity, sensory perception, moisture, friction – shear, nutrition, tissue perfusion and oxygenation. ConclusionsPressure ulcer is one of the preventable problems; but in majority of cases it becomes the main reason for poor therapeutic outcome.
ABSTRACT
Current professional and higher educational curriculum reforms demand the implementation of Choice-Based Credit System (CBCS). In India, the University Grants Commission (UGC) has notified about use CBCS. Some health sciences universities have started its implementation but not much attempts were made in designing a BPTh syllabus as per CBCS framework. We wanted to propose a model BPTh syllabus to fit into choice-based credit system.METHODSA desk review of all information related curriculum was conducted by using a data abstraction sheet. A model BPTh syllabus prototype for CBCS was designed based on the national and international guidelines, recommendations of statutory and governing national and international organisations.RESULTSSemester based BPTh syllabus was designed without changing the norms of four- and half-year degree course. All the must-to-know areas of the theory, practical, tutorial, project/dissertation, were considered as “core” areas and the desirable and nice to know areas are left for “electives” by the students. Physiotherapy specific teaching, learning, and evaluative methods are included in the curriculum.CONCLUSIONSThe existing BPTh syllabus can be effectively modified based on the national and international guidelines, recommendations of statutory and governing national and international organisations, for choice-based credit system. The proposed model focuses required changes that are needed for adoption of CBCS without neglecting or reducing the weightage of any core subject.