Measuring Self-Awareness After Traumatic Brain Injury

2003 ◽  
Author(s):  
M. Sherer ◽  
T. Hart ◽  
T. G. Nick
2018 ◽  
Vol 42 (5) ◽  
pp. 651-659 ◽  
Author(s):  
Felicity G. Hurst ◽  
Tamara Ownsworth ◽  
Elizabeth Beadle ◽  
David H. K. Shum ◽  
Jennifer Fleming

Author(s):  
Lianne D. Peppel ◽  
Majanka H. Heijenbrok-Kal ◽  
Thomas A. Van Essen ◽  
Godard C. W. De Ruiter ◽  
Wilco C. Peul ◽  
...  

Objective: To select a set of rehabilitation outcome instruments for a national Neurotrauma Quality Registry (Net-QuRe) among professionals involved in the care of patients with traumatic brain injury. Design: A 3-round online Delphi procedure. Subjects: Eighty professionals from multiple disciplines working in 1 of the 8 participating rehabilitation centres were invited to participate. The response rate varied from 70% to 76% per round. Methods: For the Delphi procedure, multiple outcome categories were defined based on the International Classification of Functioning, Disability and Health (ICF) with concomitant measurement instruments. For each category we strived for consensus on one instrument of at least 75%. Results: After the first round, consensus was reached for the category subjective cognitive functioning. After the second round for quality of life, pain, general functioning, anxiety and depression, general psychological functioning, communication (impairment), and personal factors. Finally, after the third round, consensus was reached for activities of daily living, participation, self-awareness, and aphasia. No consensus was reached for the categories motor function, cognitive function, comorbidity, fatigue, and employment status. Conclusion: Consensus was reached in 12 out of 17 outcome categories. A Delphi procedure seems to be a feasible method to collectively select measurement instruments for a multicentre study.


Brain Injury ◽  
2010 ◽  
Vol 24 (4) ◽  
pp. 598-608 ◽  
Author(s):  
Michelle Livengood ◽  
Jonathan W. Anderson ◽  
Maureen Schmitter-Edgecombe

Author(s):  
Jessica Brown ◽  
Kristen Ackley ◽  
Kelly Knollman-Porter

Purpose Speech-language pathologists (SLPs) have many available procedural options when setting treatment goals. Extant literature supports goal setting protocols that include and value the perspectives of the client; however, in practice, rehabilitation professionals may lean toward expert models of care when planning treatment. Our purpose is to describe a newly developed approach for SLPs and individuals with mild traumatic brain injury (mTBI) to work together to build meaningful, relevant goals. Method We utilized a multiple case study format to exemplify goal setting procedures. Specifically, we describe procedures and outcomes for a 29-year-old female 28 days postinjury and a 70-year-old male 9 months postinjury. Results Clients who engaged in this protocol worked collaboratively with a clinician to identify strengths and challenges postinjury, select and prioritize goal areas, and discuss and develop meaningful, personalized treatment activities. For both participants, use of the proposed protocol resulted in meaningful goals that addressed their self-reported deficits as well as their respective cognitive–linguistic deficits noted on objective, standardized measures. Conclusions Clinician and client collaboration during treatment goal development can facilitate increased client motivation and functional outcomes. The described approach is feasible from a clinical resource standpoint and promotes a systematic approach to placing the client at the forefront of clinical decision making to enhance therapeutic gains. Such client-centered approaches may be particularly valuable for individuals with mTBI who experience substantial cognitive and communicative challenges but may maintain high levels of self-awareness postinjury.


Brain Injury ◽  
2019 ◽  
Vol 33 (9) ◽  
pp. 1245-1256 ◽  
Author(s):  
U. Bivona ◽  
A. Costa ◽  
M. Contrada ◽  
D. Silvestro ◽  
E. Azicnuda ◽  
...  

2021 ◽  
Author(s):  
Owen Lloyd ◽  
Tamara Ownsworth ◽  
Jennifer Fleming ◽  
Megan Jackson ◽  
Melanie Zimmer-Gembeck

2017 ◽  
Vol 24 (1) ◽  
pp. 56-69 ◽  
Author(s):  
Sneha Shankar

This autoethnography confronts the assumptions and treatment of patients who have had a traumatic brain injury (TBI). TBI may be followed by deficits that can impact a person’s self-awareness, and I describe my experience with this symptom. In this personal poetic narrative, I provide a glimpse into how I experienced typical symptoms of brain injury and illustrate the complexity of recovery. I suggest patient voices are too often discredited, which goes against the medical framework of patient-centeredness. I provide a voice to the lived experience of brain injury and illuminate the dehumanizing nature of being a patient of this injury.


2019 ◽  
Vol 50 (4) ◽  
pp. 252-267 ◽  
Author(s):  
Charles Edmund Degeneffe

This article proposes ways in which the theories, philosophies, and techniques of Gestalt therapy can assist rehabilitation counselors to better understand traumatic brain injury (TBI). The article describes the central tenets of Gestalt therapy and its unique fit to TBI. Discussion focuses on how an appreciation of Gestalt therapy can assist rehabilitation counselors to understand and address the psychological, familial, and service system implications of TBI. A conceptual framework is presented on the pathways of maladjustment and adjustment to living with TBI from a Gestalt perspective. A central assumption of this model is that without intervention, the onset of TBI activates a process of maladjustment for many persons with TBI and their family caregivers expressed by fragmentation, unfinished business, and lack of self-awareness. The model underscores the importance of rehabilitation counselor attention on both individual and contextual levels.


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