Rehabilitation of Neurological Patient (original) (raw)
Related papers
Principles of neurological rehabilitation
Journal of Neurology, Neurosurgery & Psychiatry, 2003
his article reviews the basic principles that underlie the subspeciality of neurological rehabilitation. Neurological rehabilitation is in many ways different from the other branches of neurology. Rehabilitation is a process of education of the disabled person with the ultimate aim of assisting that individual to cope with family, friends, work, and leisure as independently as possible. It is a process that centrally involves the disabled person in making plans and setting goals that are important and relevant to their own particular circumstances. In other words it is a process that is not done to the disabled person but a process that is done by the disabled person themselves, but with the guidance, support, and help of a wide range of professionals. Rehabilitation has to go beyond the rather narrow confines of physical disease and needs to deal with the psychological consequences of disability as well as the social milieu in which the disabled person has to function. Thus, a key factor that differentiates rehabilitation from much of neurology is that it is not a process that can be carried out by neurologists alone, but necessarily requires an active partnership with a whole range of health and social service professionals. The key characteristics of the rehabilitation process are summarised in box 1.
Rehabilitation for the neurologic patient
The Veterinary clinics of North America. Small animal practice, 2005
A properly designed rehabilitation program should be an important component of the treatment plan of animals with neurologic disease. Such a program should be designed in conjunction with appropriate treatment of the underlying problem and after special consideration of the origin of the neurologic problem, the severity of the signs, the cause of the signs, their anticipated progression, and the needs of the owner and the pet. This article describes the pathophysiology of injury and recovery in the central and peripheral nervous systems, assessment of the neurologic patient, data on the prognosis and expected course of recovery for a variety of different diseases, and rehabilitation exercises appropriate for neurologic patients.
Design Manager: Carolyn O'Brien Photographer: Jaime Eric Eisman, ASMP Models: Frank J. Ciuba, DPT, MS; Clifford Weller
IP Innovative Publication Pvt. Ltd., 2017
Neurological conditions are the one where Rehabilitation place a major role because of its magnitude, manifestation and long term impact on the person and his/her family as whole. Neurological conditions pose great threat to public health as it contributes to 6% of the global burden of diseases effecting individuals functioning and resulting in long term disability. Objectives: To assess the burden, coping and functionality of patients with neurological disability through standardized instruments and semi structured proforma to study socio demographic data and other illness related details. Results: There were33 patients admitted to neuro rehabilitation ward, majority of them belong to low socio economic group, males were more than females, there was no rural and urban difference, female caregivers of patient had mean score of higher burden, lesser coping, and social support compare to male caregivers.
Stroke or Brain Attack is when blood flow to the brain is cut and this causes neuronal cell death due to lack of oxygen.Any stroke that is either ischemic or haemorrhagic may cause motor, cognitive and sensory impairments that may be temporary or permanent. Even in the case of TIA or mild cerebral accidents, there was a difficulty in regaining the main sensory, cognitive or sensory abilities. The measures for the rehabilitation of patients are also the classic ones involving kinetotherapy, orthopedist, speech therapist and psychologist. However, these measures do not interfere with the cause but only with the effects of stroke, and for this reason the patient can not regain his or her abilities, he or she remains permanently disabled or dies. The technology described in the paper describes the way in which these people can be rehabilitated.
Complex Specialized Rehabilitation Following Severe Brain Injury
Journal of Head Trauma Rehabilitation, 2007
This article describes the setup of brain injury rehabilitation services in the United Kingdom within the context of the National Health Service. The rehabilitation services are broadly divided into local general rehabilitation services, specialist district rehabilitation services, and complex specialized rehabilitation services. The Department of Health published the National Service Framework for Long-Term Neurological Conditions in 2005, setting out the 11 quality requirements to ensure provision of lifelong patient-centered care. A network of rehabilitation services, cited as a model of good practice by the Department of Health, including specialist inpatient and community outreach services for patients with complex brain injury, with research embedded within the clinical program and close collaboration between the clinicians and researchers are described.
Balneo Research Journal, 2018
The multidisciplinary approach of polytrauma cases including traumatic brain and spinal cord injuries, the survival represents one of the greatest challenges, but the decrease of dysfunction and minimizing the psycho-cognitive sequels are at least as important, regarding the patient's future quality of life. Material and method Under THEBA Bioethics Commission approval (9181 / 11.04.2018), this paper presents a case of a 28-year-old patient with AIS / Frankel (A) paraplegia after a spinal cord injury SCI T3 level secondary to T4-T5 fracture surgically treated. SCI was associated with moderate traumatic brain injury TBI (subarachnoid haemorrhage), thoraco-abdominal contusion (pneumothorax stg, hepatic trauma) and multiple fractures (sternum and costal, operated), neurogenic bladder and bowel. This condition was due to a car accident, occurred on November 13, 2017. The patient was admitted with a psycho-cognitive status, complete bilateral motor deficit in the lower limbs-paraplegia, sensitivity disorders anaesthesia type and sphincter disorders. The patient was clinically, paraclinical and functionally assessed according to the standardized protocols implemented in our clinic through the assessment scales: AIS, FIM, QoL-Quality of Life, Ashworth, Penn, FAC, WISCI II. Results: The patient's evolution was slow but favourable. He benefited of neurosurgical care and had thoracic surgery to extract the osteosynthesis material at the sternum. Meanwhile he learned the technique of intermittent catheterisation. As a result of rehabilitation program the patients finally reached the level of wheelchair locomotion and have completely restored the cognitive function. Conclusion: The multidisciplinary team approach consisting of physicians, kinetotherapist, nurses and auxiliary healthcare personnel was the key of the patient's survival, eliminated the cognitive dysfunction and reduced as much as possible the locomotor one.
Perspectives of inpatient neurological rehabilitation in elderly patients
Balneo Research Journal, 2019
Demographic data record an increasing number of people aged over 65 years, with specific health conditions and a high probability to suffer from chronic diseases, cognitive impairment or loss of autonomy, and with limited functional reserve. The prevalence of disability increases with age, affecting 33% of men and 42% of women aged over 85 years. Many neurodegenerative disorders increase in prevalence with age. Thus, the need for rehabilitation treatment in this segment of population is very high, loss of functioning being the most prominent condition for admitting elderly persons in rehabilitation facilities. Rehabilitation in the elderly is an important tool in regaining autonomy, associated with substantial reduction in the burden of health and social costs. Patients aged over 80 years need a comprehensive geriatric assessment (CGA) to establish the global capabilities of the person for inclusion in a coordinated therapy plan and a long term follow-up. CGA will identify patients ...
Nursing in Rehabilitation Process
Journal of Psychology Research
The prolonged life expectancy has made rehabilitation become more of an issue in individuals with temporary or permanent disabilities occurring either congenitally or accidentally. Nurses who spend most time with the patients in rehabilitation process that requires a multidisciplinary team work play different roles, such as educators, caregivers, consultants, care coordinators, researchers, and legal consultants. This article therefore provides guidelines for rehabilitation nursing considering the following issues: definition of rehabilitation, nurses and rehabilitation, objectives of rehabilitation nursing, duties, powers, and responsibilities of rehabilitation nurses, and nursing management in the rehabilitation period.