Rehabilitation in the Real World: An Exploration of Meaningful Community Interventions for Young People With Acquired Brain Injury

2020 ◽  
Vol 101 (11) ◽  
pp. e80-e81
Author(s):  
Penny Trayner
Author(s):  
Roy C. Davies ◽  
Gerd Johansson ◽  
Anita Linden ◽  
Kersin Boschian ◽  
Berigt Sonesson ◽  
...  

2015 ◽  
Vol 11 (2) ◽  
Author(s):  
SHEILA KATIANE STAUDT

Resumo: O primeiro romance de Moacyr Scliar, A guerra no Bom Fim, publicado em 1972, é tecido pela rememoração de um menino judeu que narra preciosos momentos de sua in-fância no bairro Bom Fim, na mesma época em que eclode a Segunda Guerra Mundial na Europa. O imaginário do protagonista Joel está repleto de acontecimentos relacionados à guerra que permeiam suas lembranças e fazem parte de sua narração, mesclando realidade e fantasia em seu texto. Esse universo bélico mágico criado pelo garoto tem origem, princi-palmente, nas notícias que escutava sobre o que se passava em solo europeu a partir das conversas entre os adultos, dos meios de comunicação do período, bem como das idas ao cinema Baltimore, onde os cartazes dos filmes atraiam os jovens nas matinês de domingo. Fredric Jameson, em seu texto War and Representation, percebe oito variantes nos textos que tematizam a guerra, são elas: a) experiência existencial da guerra; b) experiência coletiva da guerra; c) líderes, oficiais e o exército; d) tecnologia; e) paisagem inimiga; f) atrocidades; g) ataque à pátria e h) ocupação estrangeira. Com isso em mente, tentaremos desvelar as va-riantes bélicas propostas por Jameson no texto de Scliar, a fim de compreender a experiência existencial pela qual passou a personagem que, para se defender das brutalidades do mundo real, passa a criar um cenário fantástico-maravilhoso em que a história e as lendas judaicas ganham vida, enfatizando a via crucis de toda uma geração de imigrantes que chega ao Bra-sil e sofre com o desenraizamento, preconceito e condições precárias de vida. Palavras-chave: Variantes bélicas. Guerra. Representação. Literatura. Abstract: Moacyr Scliar's first novel, A guerra no Bom Fim, published in 1972, is woven by the reminiscence of a Jewish boy who recounts precious moments of his childhood in the Bom Fim neighborhood at the time of II World War in Europe. The imaginary of the pro-tagonist Joel is full of events related to the war itself that permeate his memories and are part of his narration, mixing reality and fantasy in his text. This magical warlike universe created by him has its origins mainly in the news he heard about what was happening on European soil from the conversations between the adults, the media of the period, and the trips to the Baltimore cinema, where the posters of the films attract young people on Sun-day matinees. Fredric Jameson, in his text War and Representation, remarks eight variants or categories in the narratives that have the war as the main theme, they are: a) the existen-tial experience of war; b) the collective experience of war; c) leaders, officers, and the insti-tution of the army; d) technology; e) the enemy landscape; f) atrocities; g) attack on the homeland, and h) foreign occupation. With this in mind, we will try to unveil the warlike variants proposed by Jameson in the text of Scliar, in order to understand the existential ex-perience through which the character passed, whose defense against the brutalities of the real world was to create a fantastic-wonderful scenario in that Jewish history and legends come to life, emphasizing the via crucis of a whole generation of immigrants that arrives in Brazil and suffers from rootlessness, prejudice and precarious conditions of life. Keywords: Warfare variants. War. Representation. Literature.


2019 ◽  
Vol 26 (6) ◽  
pp. 12-12
Author(s):  
Gemma Kelly ◽  
Jonathan Pool

Background/Aims Relearning to walk is an important goal for many children and young people after acquired brain injury. Rhythmic auditory stimulation uses rhythm to support gait retraining. Its efficacy has been shown for adults with acquired brain injury and children and young people with cerebral palsy. No studies exist for children and young people with acquired brain injury. The aim of this pilot study was to investigate whether the addition of rhythmic auditory stimulation to standard physiotherapy improves children and young people's gait speed and quality after severe acquired brain injury. Methods Four children and young people (aged 10–13 years) with severe acquired brain injury accessing residential rehabilitation were recruited to a multiple baseline single case experimental design study, AB design. During baseline (A) phase children and young people accessed standard rehabilitation (10 physiotherapy sessions per week). In the intervention (B) phase, 2 out of the 10 standard physiotherapy sessions were replaced with rhythmic auditory stimulation. Length of baseline was randomised and intervention phases were 4 weeks. The 10 m walk test and Edinburgh Visual Gait Scale were completed pre and post sessions biweekly. Data analysis including visual analysis of level, slope and trend of the data will be presented with the results of a test of statistical significance. Results Data collection will finish in December 2018. Early results indicate that the quality of walking improved more during the intervention phase than the baseline phase for at least one of the participants, and rhythmic auditory stimulation was equal to normal physiotherapy in the other participants. Statistical testing is required. Conclusions Early results indicate that rhythmic auditory stimulation is at least as effective as normal physio in improving the walking quality of children and young people with acquired brain injury, but this needs to be confirmed. Recommendations for clinical practice and future studies can be made based on the findings and experience of this study.


2015 ◽  
Vol 16 (3) ◽  
pp. 221-235 ◽  
Author(s):  
Dianne Winkler ◽  
Libby Callaway ◽  
Sue Sloan ◽  
Nadine Holgate

Objectives: (1) Examine the opportunities young people with acquired brain injury (ABI) have to make everyday choices after moving out of residential aged care (RAC) into community-based shared supported accommodation (SSA); (2) Compare everyday choice making of this group with a group of people with ABI living in RAC.Research design: Mixed methods comparing two independent groups.Method and procedures: Responses on eleven relevant items of the Resident Choice Scale (RCS) were compared between two groups; 45 people with ABI living in RAC and 20 people with ABI who had moved from RAC to live in SSA. In addition, the choice making experiences of the SSA group were investigated through semi-structured interviews with the individual and/or their family member. Interviews were recorded, transcribed and thematically analysed.Results: Greater opportunities for everyday choice making were demonstrated on 10 out of the 11 RCS items for people living in SSA, compared to RAC. These included improved choice regarding meals, bedtime and leisure activities. Qualitative data also illustrated new choice opportunities afforded to the SSA group. Five key themes relating to choice were identified: rules and routines, communication, things to do, food and home-like environment.Conclusions: Community-based, age-appropriate and small-scale supported accommodation provides people with ABI more opportunities for everyday choice making than RAC.


2007 ◽  
Vol 8 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Michele Foster ◽  
Jennifer Fleming ◽  
Cheryl Tilse

AbstractPeople surviving severe acquired brain injury (ABI) may potentially benefit from the Council of Australian Governments' (COAG) 5-year initiative for young people with disability in residential aged-care facilities. Yet critical examination of this policy initiative for ABI population is warranted for 2 reasons. First, reliance on the disability sector to resolve the complexities of long-term care for people with ABI detracts attention from systemic failures at the health/disability sector interface, and notably, debate concerning the role of, and right to rehabilitation. Second, the COAG initiative is being pursued within an extraordinarily complex and variable contemporary care environment, involving multiple services and sectors, and historically, high unmet need. This raises questions as to the adequacy and sustainability of care provided under the responsibility of state-based disability services. In this article, it is argued that long-term care for young people with severe ABI is better served by incorporating a health and rehabilitation perspective alongside a disability support approach. Although the effectiveness of rehabilitation may be contested in some instances of very severe ABI, nevertheless the role of rehabilitation in seeking to reduce the number of young people at risk of entering residential aged care needs to be addressed in policy solutions. It is also suggested that provision of long time care in the contemporary care environment involves a number of challenges due to the complex and changing patterns of need, diverse funding arrangements and mix of government and nongovernment services, and the increasing demand for care.


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