scholarly journals Berufliche Teilhabe nach erworbener Hirnschädigung

2021 ◽  
Vol 27 (03) ◽  
pp. 192-196
Author(s):  
T. Brehm
Keyword(s):  
Brain Injury ◽  
Empirical Study ◽  
Social Insurance ◽  
Brain Injuries ◽  
Clinical Social Work ◽  
Acquired Brain Injury ◽  
Injury Rehabilitation ◽  
Work Related ◽  
Invisible Disabilities ◽  
Continuous Support

Vocational participation after acquired brain injury – an empirical study of opportunities and barriers from the perspective of affected patients and vocational expertsT. BrehmAbstractThe following article summarizes the results and scientific findings of an empirical study on vocational participation after acquired brain injury. It describes opportunities and barriers from the perspective of affected patients and vocational experts. The empirical study was conducted in the context of a degree course on clinical social work. Essential results related to acquired brain injuries are that invisible disabilities and neu-ropsychological deficits complicate opportunities so that continuous support is needed. At the same time, the acceptance of deficits and changing work related opportunities seem to be resources. Seniority, colleagues, and the relationships between them, seem to play ano-ther important role. Risk factors are a change of leadership, change of work content and problematic relationships between colleagues. A big problem seems to be the cooperation with responsible payers (social insurance). In conclusion, the possibility of rehabilitation depends on the willingness of responsible payers. Keywords: acquired brain injury, rehabilitation phase E, return-to-work, profes-sional reintegration, integration assistance, case management

scholarly journals Social Support, Identity, and Meaning: A Phenomenological Analysis of Post-Concussion Syndrome

2021 ◽  
Author(s):  
Gary Senecal ◽  
Patrick Whitehead
Keyword(s):  
Social Support ◽  
Brain Injury ◽  
Brain Injuries ◽  
Acute Stress ◽  
Acquired Brain Injury ◽  
Phenomenological Analysis ◽  
Clinical Psychologist ◽  
Injury Rehabilitation ◽  
Post Concussion Syndrome ◽  
Psychological Sense

After a traumatic blow to the head, it is common to experience difficulty focusing, disorientation, dizziness, nausea, sensitivity to light and sound, and often loss of consciousness. These symptoms often persist for several weeks following the concussion before diminishing completely. Post-concussion syndrome (PCS) refers to the persistence of concussion symptoms beyond the normal two-week window. For some, symptoms can continue for several months to several years, even further manifesting into depression, anxiety, and substance abuse in time. Though the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) has continued to grow with each new version, PCS has not been included in its most recent iteration. An acquired brain injury rehabilitation specialist can be recommended for TBI, and a clinical psychologist or psychiatrist can be recommended for Acute Stress Disorder. The authors commend this reclassification because it recognizes that brain injuries are to be studied by neurologists and other medical specialists while transformations to one’s existence are to be studied by psychologists. Nevertheless, while the present analysis aims at PCS in the latter (psychological) sense, it is worth mentioning that acquired brain injury (ABI) specialists have found it appropriate and even necessary to adopt an existential-phenomenological perspectives to more fully conceptualize this phenomenon. This study utilized the Interpretive Phenomenological Analysis (IPA) and arranged case studies with three athletes who had been forced to retire from sport due to major TBI’s and prolonged PCS. Authors identified common themes across each interview and used free imaginative variation to describe the dimensions of the PCS experience. Specifically, the way participants were able to cope with the loss of identity and meaning after sport, as well as their perceived level of social support in the aftermath of TBI and PCS, played major roles in ameliorating and/or exacerbating both somatic and psychological difficulties associated with TBI and PCS.

The Use of Virtual Cues in Acquired Brain Injury Rehabilitation. Meaningful Evidence

2019 ◽  
pp. 785-794
Author(s):  
Sergio Albiol-Pérez ◽  
Alvaro-Felipe Bacca-Maya ◽  
Erika-Jissel Gutierrez-Beltran ◽  
Sonsoles Valdivia-Salas ◽  
Ricardo Jariod-Gaudes ◽  
...  
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Injury Rehabilitation

scholarly journals Sharing stories of lived experience: A qualitative analysis of the intersection of experiences between storytellers with acquired brain injury and storytelling facilitators

2020 ◽  
Vol 83 (9) ◽  
pp. 576-584 ◽  
Author(s):  
Kate D’Cruz ◽  
Jacinta Douglas ◽  
Tanya Serry
Keyword(s):  
Brain Injury ◽  
Lived Experience ◽  
Interpersonal Relationships ◽  
Social Connectedness ◽  
Acquired Brain Injury ◽  
Theory Approach ◽  
Injury Rehabilitation ◽  
Building Relationships ◽  
Severe Acquired Brain Injury ◽  
Story Sharing

Introduction Narrative storytelling is a relational process. While interest in storytelling in brain injury rehabilitation is increasing, little attention has been directed to the interpersonal relationships experienced through storytelling. As part of a larger study exploring narrative storytelling, this paper reports on the intersection of experiences between those sharing their story and those listening to the story. Method A qualitative grounded theory approach informed all stages of the study. In-depth interviews were conducted with adult storytellers with severe acquired brain injury and facilitators of a storytelling advocacy programme. Findings Analysis of the intersection of data from 28 transcripts of interviews with eight storytellers and six facilitators was conducted. Two key relationships emerged to be central to the storytelling experience: (1) a collaborative partnership between the storytellers and the advocacy organisation, and (2) an intentional story-sharing relationship between the storytellers and facilitators. The advocacy context of helping others through story-sharing was central to the meaningfulness of the experience. Conclusion Narrative storytelling is a social relationship experience with much potential for building relationships in rehabilitation. Sharing stories of lived experience of disability presents an opportunity for meaningful occupational engagement, enabling social connectedness and contribution to society.

Goal statements in brain injury rehabilitation: A cohort study of client-centredness and relationship with goal outcome

2019 ◽  
Vol 20 (3) ◽  
pp. 226-239
Author(s):  
Sarah Prescott ◽  
Emmah Doig ◽  
Jennifer Fleming ◽  
Nicole Weir
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Acquired Brain Injury ◽  
Community Dwelling ◽  
Outpatient Rehabilitation ◽  
Injury Rehabilitation ◽  
Rehabilitation Outcomes ◽  
Cohort Design ◽  
Specific Goal ◽  
Goal Specificity

AbstractBackground:Currently, there is increasing recognition of the need to use a client-centred approach to goal setting in rehabilitation. However, there is limited research to guide practice with community-dwelling clients with acquired brain injury. An understanding of the characteristics of client-centred goals and the extent to which client-centeredness influences goal outcomes is required.Objective:To examine the relationships between the client-centredness of goals and their characteristics, content, recall and outcomes of client-centred goals in brain injury rehabilitation.Methods:A prospective cohort design study was employed. Participants were 45 clients with brain injury receiving outpatient rehabilitation, who completed measures of client-centredness after goal setting. Each goal was classified according to whether it was specific, measurable, non-jargonistic, and participation-focussed, included a timeframe and was recalled by participants.Results:Participants set 223 goals with 20 clinicians from multiple disciplines. Levels of client-centredness did not differ according to the characteristics, content and recall of goals, with the exception of goal specificity (p< 0.01). Client-centredness was significantly and positively correlated with goal outcomes (p< 0.05).Conclusions:The use of client-centred goals is recommended for improved rehabilitation outcomes. Applying goal documentation criteria does not necessarily mean that goals will be client-centred, and highly specific goal statements may not reflect what is important and meaningful to clients.

The reproducibility and responsiveness of subjective assessment of upper limb associated reactions in people with acquired brain injury during walking

2019 ◽  
Vol 34 (2) ◽  
pp. 252-262 ◽  
Author(s):  
Michelle B Kahn ◽  
Ross A Clark ◽  
Kelly J Bower ◽  
Benjamin F Mentiplay ◽  
Pua Yong Hao ◽  
...  
Keyword(s):  
Brain Injury ◽  
Upper Limb ◽  
Acquired Brain Injury ◽  
Elbow Flexion ◽  
Subjective Assessment ◽  
Flexion Angle ◽  
International Classification Of Functioning ◽  
Post Injury ◽  
Rehabilitation Centre ◽  
Injury Rehabilitation

Objective: The aim of this study is to determine inter-rater, test–retest and intra-rater reproducibility and responsiveness of subjective assessment of upper limb associated reactions in people with acquired brain injury using (1) the ‘Qualifiers Scale’ of the International Classification of Functioning, Disability and Health Framework, and (2) visually estimated elbow flexion angle during walking. Design: Observational study. Setting: A brain injury rehabilitation centre, Melbourne, Australia. Subjects: People with acquired brain injury and upper limb associated reactions and experienced neurological physiotherapists. Main measures: The Qualifiers Scale applied to individual upper limb joints and global associated reaction on a 5-point scale (0–4), a summed upper limb severity score and visually estimated elbow flexion angle. Results: A total of 42 people with acquired brain injury (mean age: 48.4 ± 16.5 years) were videoed walking at self-selected and fast speeds. A subset of 30 chronic brain injury participants (mean time post injury: 8.2 ± 9.3 years) were reassessed one week later for retest reproducibility. Three experienced neurological physiotherapists (mean experience: 22.7 ± 9.1 years) viewed these videos and subjectively rated the upper limb associated reactions. Strong-to-very strong test–retest, intra- and inter-rater reproducibility was found for elbow flexion angle (ICC > 0.86) and the Qualifiers Scale applied to global and individual upper limb joints (ICC > 0.60). Responsiveness of change from self-selected to fast walking speed (mean increase 0.46 m/s) was highest for elbow flexion angle (effect size = 0.83) and low-to-moderate for the Qualifiers Scale. Conclusion: Subjectively rated associated reactions during walking demonstrated strong reproducibility and moderate responsiveness to speed change. The Qualifiers Scale and elbow flexion angle can both subjectively quantify associated reactions during walking in a clinical setting.

scholarly journals Interventions for Depression: Combining the Stroke and Acquired Brain Injury Rehabilitation Literature

2014 ◽  
Vol 95 (10) ◽  
pp. e17-e18
Author(s):  
Danielle Brittany Rice ◽  
Mona Madady ◽  
Marina Richardson ◽  
Swati Mehta ◽  
Robert William Teasell
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Injury Rehabilitation
Sign in / Sign up

Export Citation Format

Share Document