A-137 Role of Neuropsychology in Framing and Assisting the Development of Recovery Efforts: Education for Providers across Disciplines

2021 ◽  
Vol 36 (6) ◽  
pp. 1189-1190
Author(s):  
Timea Tozser ◽  
Gokce Ergun

Abstract Objective Information regarding differences in concussion and mild TBI recovery management protocols and recovery expectations vary across disciplines. This often leads to imprecise expectations for prognosis and adverse impacts on effective treatment and recovery. National groups and institutions provide training regarding concussion by neuropsychologists and rehabilitation psychologists to psychologists; however, broadband cross-discipline training is limited. Clinically, psychoeducation and clarification fall on Neuropsychologists and Rehabilitation psychologists. The purpose of this poster is to highlight the importance of the role of neuropsychologists in the education of concussion versus TBI recovery to support medical providers, teachers, and educators to facilitate appropriate care. Data Selection The current literature was review and obtained through the search within various databases such as PsycInfo, Google Scholar, and OhioLink. Keywords such as concussion, mild traumatic brain injury, psychoeducation, and neuropsychology were utilized to provide an inclusive review of the current research (2016–2021). Data Synthesis The focus of existing literature supports the education of concussions for patients and their families. Much of the literature supports the role of many disciplines to aid in recovery. There is limited research to support neuropsychology/Rehabilitation psychology’s efficacy to provide didactic training for providers of different fields supporting this population. Conclusion Through research, advocacy, and program development, the field of Neuropsychology and Rehabilitation psychology can utilize the holistic framework of the brain–body relationship to further facilitate the discussion of concussion and TBI recovery for providers of other disciplines serving these populations. Since treatment is multi-disciplinary for this clinical population, further programmatic evaluation provides interdisciplinary didactics to improve patient care.

Author(s):  
Rosa Delgado Jiménez ◽  
Corinne Benakis

AbstractThe intestinal microbiome is emerging as a critical factor in health and disease. The microbes, although spatially restricted to the gut, are communicating and modulating the function of distant organs such as the brain. Stroke and other neurological disorders are associated with a disrupted microbiota. In turn, stroke-induced dysbiosis has a major impact on the disease outcome by modulating the immune response. In this review, we present current knowledge on the role of the gut microbiome in stroke, one of the most devastating brain disorders worldwide with very limited therapeutic options, and we discuss novel insights into the gut-immune-brain axis after an ischemic insult. Understanding the nature of the gut bacteria-brain crosstalk may lead to microbiome-based therapeutic approaches that can improve patient recovery.


2009 ◽  
Vol 27 (29) ◽  
pp. 4895-4901 ◽  
Author(s):  
Agnes Y.Y. Lee

Cancer-associated thrombosis is a frequent and costly complication in patients with cancer. Significant morbidity and mortality not only result from thrombotic events, but may also occur as a result of the therapeutic interventions. The established treatment for cancer-associated thrombosis is anticoagulant therapy. Of the few options available, low molecular weight heparin (LMWH) is the preferred agent because of its efficacy, safety, and convenience. Alternatives to LMWH have undesirable limitations and have demonstrated poorer efficacy and safety in the oncology population. Treatment of recurrent thrombosis, patients with concurrent bleeding issues, role of vena cava filter insertion, and duration of therapy are all areas in need of urgent research. Treatment of cancer-associated thrombosis remains a challenging task and is limited by the paucity of evidence-based data. Research is urgently needed to advance current practice and improve patient care.


2018 ◽  
Author(s):  
Nathan A. Vaughan ◽  
Faisal G. Qureshi

Acute kidney injury (AKI) is common in the critically ill patient, including the traumatically injured and postsurgical setting. Renal replacement therapy (RRT) provides an efficacious therapy in the management of AKI. The expanding knowledge of the technique and its challenges have propagated its application to the treatment of critically ill children. RRT utilizes diffusion and convection to manage electrolytes and toxic metabolites to maintain homeostasis. The various components of the dialysis circuit can be arranged to best address the patient’s physiologic derangements during continuous RRT. A knowledge of the anticoagulation management, circuit priming, and dosing in children is required by the intensivist to provide efficacious care. Understanding the technique for venous and peritoneal access facilitates the surgeon to safely provide a means of therapy. Peritoneal dialysis provides a means of therapy when continuous RRT is not available. As with any therapy, the complication profile determines the role of therapy. Comprehension of the associated outcomes with different pediatric pathologies will allow the surgical team to improve patient care. This review contains 5 figures, 7 tables, and 66 references. Key Words: acute renal failure, critical care, hemodialysis, pediatric, renal replacement therapy


2015 ◽  
Vol 2015 ◽  
pp. 1-17 ◽  
Author(s):  
Carlo Dal Lin ◽  
Francesco Tona ◽  
Elena Osto

Beyond its hemodynamic function, the heart also acts as a neuroendocrine and immunoregulatory organ. A dynamic communication between the heart and other organs takes place constantly to maintain cardiovascular homeostasis. The current understanding highlights the importance of the endocrine, immune, and nervous factors to fine-tune the crosstalk of the cardiovascular system with the entire body. Once disrupted, this complex interorgan communication may promote the onset and the progression of cardiovascular diseases. Thus, expanding our knowledge on how these factors influence the cardiovascular system can lead to novel therapeutic strategies to improve patient care. In the present paper, we review novel concepts on the role of endocrine, immune, and nervous factors in the modulation of microvascular coronary function.


Dental Update ◽  
2020 ◽  
Vol 47 (4) ◽  
pp. 314-325 ◽  
Author(s):  
Garmon W Bell ◽  
Iain MacLeod ◽  
James C Darcey ◽  
Collin Campbell

This first paper of a four-part series guides the dental team through paranasal sinus physiology and how muco-ciliary clearance is interrupted in disease, particularly infection. The role of acute rhinosinal infection is discussed in relation to orofacial pain and headache. The broad differential diagnosis of what many patients regard as sinus-related pain is discussed, emphasizing the importance of the patient history and clinical examination to reach a correct diagnosis and to avoid inappropriate antibiotic prescription or unnecessary surgery. CPD/Clinical Relevance: Many patients relate their chronic facial pain and headaches to disorders of their sinuses simply because the pain overlies the location of the paranasal sinuses. Following diagnostic criteria, and application of such to reach an accurate diagnosis, will improve patient care. Inter-specialty co-operation is essential in the management of chronic orofacial pain and headaches.


2021 ◽  
pp. 125-139

Chapter 9 explores the role of health care institutions in three distinct collaborations designed to reshape the health landscape. Presenting a private-sector perspective, Andrew Renda describes Humana’s commitment to its Bold Goal population health initiative, which draws on community input to craft interventions that help combat food insecurity, loneliness, and more. Nivedita Mohanty explains how a network of federally qualified health centers is developing tools to help practitioners improve patient care. And in a melding of health and economic interests, Catherine M. Baase details a partnership between a health collaborative and an alliance of business and economic development leaders in central Michigan.


Trauma ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 6-13
Author(s):  
Sarah Fadden ◽  
Simon J Mercer

Recent conflicts in Iraq and Afghanistan have highlighted the importance of human factors in complex trauma management. A reorganisation of trauma services in England has led to the creation of Major Trauma Centres and Major Trauma Collaboratives, with dedicated Trauma Teams. Much attention has been devoted to the role of team leader and leadership skills, with the human factor concept of followership largely overlooked. This article examines the importance of followership in the trauma team, scrutinising several different followership styles. Followership should be highlighted during trauma team training, promoting the practice of good followership to support the team leader and improve patient care.


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