scholarly journals Role of physical and rehabilitation medicine physician regarding of children and adolescents with acquired brain injury

2014 ◽  
Vol 57 ◽  
pp. e340
Author(s):  
E. Varela Donoso ◽  
H. Damjan ◽  
S. Muñoz-Lasa ◽  
R. Valero ◽  
V. Neumann ◽  
...  
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M d’Angelo ◽  
A Michelutti ◽  
E Biasutti ◽  
R Quattrin ◽  
S Brusaferro

Abstract Background One of the first goals for the rehabilitation of patients with Acquired Brain Injury (ABI) is the removal of the tracheocannula: the aim is not only to allow respiration by airways and reduce respiratory complications but also to obtain rehabilitation of dysphagia and verbal communication: for this purpose from July 2017 the ABI unit of the Institute of Physical and Rehabilitation Medicine ’Gervasutta” adopted a new decannulation protocol, recommended by the Italian Society of Physical Medicine and Rehabilitation (SIMFER). Methods Clinical data of ABI patients with tracheal cannula from May 2014 were collected as both process and outcome indicators associated with the adoption of the new protocol were defined. ABI patients were therefore divided into two groups depending on whether they were treated with or without the new procedure. Data have been processed with “Simple Interactive Statistical Analysis” (SISA) software. Results A sample of 141 patients with tracheocannula was analyzed; among these 57 (40.4%) were treated with the new decannulation protocol. No statistical significant differences were found between the two groups in terms of systemic or respiratory complications, Functional Independence Measure (FIM) or Level of Cognitive Functioning (LCF) at the entrance as well as for both the time (days) between entry or tracheotomy and decannulation. However decannulation rate is significantly higher when the new protocol is applied (OR = 1.8; 95% CI = 1.2- 9.8; p = 0.01) as the time (days) between entry and oral feeding resumption (p < 0.001; 95% CI = -10 - -34 days). Conclusions The introduction of the new protocol has allowed the achievement of both nutritional and rehabilitation goals with a significantly faster oral feeding resumption and an increase of decannulation rate and. Further efforts are needed to support its use in the future, with the aim of further improving of either process or outcome performances. Key messages Promising prospects for the decannulation of patients with acquired brain injury. Achievement of nutritional and rehabilitation goals.


2018 ◽  
Vol 19 (3) ◽  
pp. 258-269 ◽  
Author(s):  
Jacinta M. Douglas

Working in neurological rehabilitation brings with it numerous opportunities to gain an understanding of the factors that contribute to shaping meaningful living and wellbeing for those tackling the major life changes encountered following acquired brain injury (ABI). These opportunities come in many forms: challenging and brave clients, wise and worrying families, questioning and inspiring colleagues, empowering and limiting work environments and rigid and advancing policy and legislative contexts.Our personal and collective understanding ofthe things that helpandthe things that get in the wayof effective rehabilitation continuously emerges from the convergence of the experience and knowledge afforded by these opportunities. The aim of this paper is to considerthe things that helpandthe things that get in the wayas they have been identified by people with ABI, their families and those who work with them and have been further evidenced through research targeted towards improving short, medium and long-term outcomes for those living with the consequences of ABI. Thesethingsas discussed in this paper capture the essential role of the self, the importance of rights and access to rehabilitation, the impact of the family and the contribution of social connection.


Brain Injury ◽  
2017 ◽  
Vol 31 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Jean Neils-Strunjas ◽  
Diane Paul ◽  
Allison N. Clark ◽  
Raksha Mudar ◽  
Melissa C. Duff ◽  
...  

2013 ◽  
Vol 56 (5) ◽  
pp. 396-410 ◽  
Author(s):  
V. Fialka-Moser ◽  
M. Korpan ◽  
E. Varela ◽  
A. Ward ◽  
C. Gutenbrunner ◽  
...  

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