悉尼护理论文代写 周围神经病变

2020-03-24 02:10

周围神经病变是糖尿病患者最常见的并发症之一。(Deshpande, Harris-Hayes， & Schootman, 2008)神经病可导致感觉和运动功能受损，从而对步态、平衡和姿势控制产生不利影响。由于这些缺陷的存在，糖尿病周围神经病变(DPN)患者跌倒的风险增加。老年人跌倒可能导致一系列并发症，包括高死亡率、受伤、生活质量下降、抑郁和久坐行为。下跌会对医疗保健产生巨大的经济影响。在美国，相关伤害的直接医疗费用每年导致60亿到80亿美元。奥塔戈运动计划(OEP)是一系列强调力量和平衡的训练，以及独立的步行计划。OEP可以以更低的成本进行管理(carind - kulis, Stevens, Florence, Beattie， & Arias, 2015)，并减少对患者每年物理治疗次数的利用。本项目以社区老年脑卒中患者为研究对象，旨在提高跌倒疗效。(Park， & Chang, 2016)本报告的目的是确定OEP对糖尿病周围神经病变平衡和功能移动性的影响。患者为65岁男性，因DPN转介门诊物理治疗。患者报告被诊断为糖尿病3年。在过去的一年里，他有3次跌倒，由于虚弱和害怕跌倒，他注意到日常活动越来越困难。病人从物理治疗的目标是能够变得更强壮和安全地行走。患者参与OEP 8周。
悉尼护理论文代写 周围神经病变
Peripheral neuropathy is one of the most common complications in patients with Diabetes. (Deshpande, Harris-Hayes, & Schootman, 2008) Neuropathy can lead to impaired sensations and motor functions which can adversely affect gait, balance and postural control. Due to the presence of these impairments, people with Diabetic peripheral neuropathy (DPN) are at increased risk for falls. Falls in elderly may lead to the cascade of complications including high mortality, injuries, reduced quality of life, depression and sedentary behaviors. Falls have a huge economic impact on health care. Direct medical costs for related injuries result in $6 to $8 billion per year in the United States. Otago exercise program (OEP) is a series of exercises emphasizing strength and balance training along with an independent walking plan. OEP can be administered at lower costs (Carande-Kulis, Stevens, Florence, Beattie, & Arias, 2015) and less utilization of the number of Physical Therapy visits available to the patient per year. This program has been studied on community-dwelling elderly patients with stroke to improve fall efficacy. (Park, & Chang, 2016) The purpose of this report is to identify the effects of OEP on balance and functional mobility in diabetic peripheral neuropathy.The patient was a 65-year-old male who was referred to outpatient physical therapy for DPN. Patient reported being diagnosed with DM for 3 years. He had 3 falls in the past year and was noticing increasing difficulties with routine activities due to weakness and fear of falls. Patient’s goals from Physical Therapy was to be able to get stronger and walk safely. Patient participated in OEP for 8 weeks.

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