A5018010869- Stroke Rehabilitation and Recovery
- Dementia and Cognitive Impairment Research
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Geriatric Care and Nursing Homes
- Acute Ischemic Stroke Management
- Family Support in Illness
- Intergenerational Family Dynamics and Caregiving
- Family Caregiving in Mental Illness
- Family and Disability Support Research
- Cerebral Palsy and Movement Disorders
- Respiratory Support and Mechanisms
- Palliative Care and End-of-Life Issues
- Health Policy Implementation Science
- Spinal Cord Injury Research
- Cardiac Arrest and Resuscitation
- Cardiac Health and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Technology Use by Older Adults
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Cervical Cancer and HPV Research
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Transplantation: Methods and Outcomes
Toronto Rehabilitation Institute
2015-2025
University of Toronto
2016-2025
University Health Network
2005-2024
Health Net
2005-2023
Toronto General Hospital
2000-2017
Texas A&M University
2015
McMaster University
2010-2014
Toronto Metropolitan University
2010
McGill University
2009
Mount Sinai Hospital
2008
Few resources are available to support caregivers of patients who have survived critical illness; consequently, the caregivers' own health may suffer. We studied caregiver and patient characteristics determine which were associated with outcomes during first year after discharge from an intensive care unit (ICU).We prospectively enrolled 280 had received 7 or more days mechanical ventilation in ICU. Using hospital data self-administered questionnaires, we collected information on...
Disability risk groups and 1-year outcome after greater than or equal to 7 days of mechanical ventilation (MV) in medical/surgical intensive care unit (ICU) patients are unknown may inform education, prognostication, rehabilitation, study design.To stratify for post-ICU disability recovery 1 year critical illness.We evaluated a multicenter cohort 391 ICU who received week MV at 3, 6, 12 months discharge. were identified using recursive partitioning modeling.The 7-day Functional Independence...
The sixth update of the Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Reintegration following Stroke. Part one: Rehabilitation Recovery Following is a comprehensive set evidence-based guidelines addressing issues surrounding impairments, activity limitations, participation restrictions stroke. critical component recovery, essential for helping patients to regain lost skills, relearn tasks, independence. stroke, many people typically require rehabilitation...
Critical illness survivors often experience permanent functional disability due to intensive care unit (ICU)-acquired weakness. The mechanisms responsible for long-term weakness persistence versus resolution are unknown.To delineate cellular underlying in ICU survivors.We conducted a nested, prospective study of critically ill patients mechanically ventilated 7 days or longer. were recruited from the RECOVER program and serially assessed over 6 months after discharge. Twenty-seven 82...
Abstract BACKGROUND Providing end‐of‐life care at home to a family member with advanced cancer can have negative impact on the emotional well‐being of caregiver. The current study examined providing lifestyle and in sample caregivers patients cancer. mediation interference between amount provided distress was specifically examined. METHODS Forty‐four participated structured quantitative interview. Lifestyle assessed by Caregiving Impact Scale, Caregiver Assistance Profile Mood States—Short...
Background and Purpose— Stroke survivors are often described as apathetic. Because apathy may be a barrier to participation in promising therapies, more needs learned about symptoms after stroke. The specific objective was estimate the extent which changes with time over first year stroke impact of on recovery. Methods— Apathy Assessed cohort formed from participating longitudinal study health-related quality life A family caregiver completed an questionnaire by telephone at 1, 3, 6, 12...
Purpose: Family caregivers provide essential support as stroke survivors' return to community living, but it is not standard clinical practice prepare or ongoing for their care-giving role. In addition, health care professionals (HCPs) experiences with providing have been explored previously. The objectives of this qualitative study were to: (1) explore the needs over time from perspective caregivers, (2) HCPs, and (3) compare contrast caregivers' HCPs' perspectives. Methods: A family (n =...
The sixth update of the Canadian Stroke Best Practice Recommendations for Transitions and Community Participation following is a comprehensive set evidence-based guidelines addressing issues faced by people an acute stroke event. Establishing coordinated seamless system care that supports progress achieved during initial recovery stages throughout transition to community more essential than ever as medical complexity with also on rise. All members health-care team engaged stroke, their...
Objectives: To evaluate functional outcomes and predictors of an unfavorable outcome in children following a critical illness. Design: Prospective observational longitudinal cohort study. Setting: Two tertiary care, Canadian PICUs: McMaster Children’s Hospital London Health Sciences. Patients: Children 12 months to 17 years old, admitted PICU for at least 48 hours with one or more organ dysfunction, were eligible. Patients not expected survive, direct transfers from neonatal ICU patients...
Every year, approximately 62,000 people with stroke and transient ischemic attack are treated in Canadian hospitals. For patients, families caregivers, this can be a difficult time of adjustment. The 2016 update the Managing Transitions Care following Stroke guideline is comprehensive summary current evidence-based consensus-based recommendations appropriate for use by clinicians who provide care to patients across broad range settings. focus these on support, education skills training...
Research on family caregivers of mentally ill relatives has historically focused negative aspects caregiving, often described as caregiver burden. The authors document caregivers' perspectives both the and positive caregiving. A qualitative approach was used. Data collection involved 20 in-depth, audiotaped, semistructured interviews focusing personal experiences with caregiving to a relative mental illness. Caregivers reported common impacts but also beneficial effects, such feelings...
Background and Purpose— Behavioral psychological symptoms associated with stroke are gaining increasing attention in a field which recovery of physical function has dominated. A small body research begun to suggest that survivors' (SSs') behavioral contribute family caregivers' experiences emotional distress. The objective this was determine the unique contribution SS on caregiver distress during first 2 years poststroke. Method— longitudinal cohort study conducted individuals who have...
To enhance participation post stroke through a structured, community-based program. A controlled trial with random allocation to immediate or four-month delayed entry. Eleven community sites in seven Canadian cities. Community dwelling persons within five years of onset, cognitively intact, able toilet independently. Evidence-based program delivered three 12-week sessions including exercise and project-based activities, done as individuals groups. Hours spent per week meaningful activities...