By Ruth Garner
It is either a excitement and a privilege to be invited to give a contribution a foreword to this e-book, which merits - and desires - to be learn by means of almost all people who's eager about the therapy and subse quent welfare of the sufferers of serious accidents of the mind. a few neighbors, kinfolk and workmates may be helped by way of interpreting a few elements of it, yet, if the publication has the impact it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the neighborhood, those laymen might be certainly proficient and assisted through a number of individuals of the inevitably huge healing group. The advancements in tools of resuscitation that experience taken position over the past forty years or so have abolished the formerly fatalistic readiness to just accept week or in coma after a head harm was once nearly a sentence to loss of life from pneumonia. After it had turn into attainable to save lots of lives it progressively grew to become transparent that survival of the sufferer used to be now not unavoidably by means of restoration of the mind and that the cost of good fortune, in saving lives, used to be a popula tion of cerebral cripples that was once expanding on the cost of one thousand or extra a yr through the nation. even though this determine has remained concerning the similar for greater than two decades, there was a very good development within the volume of curiosity, the traditional of care and the standard of effects which are being achieved.
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Additional info for Acute Head Injury: Practical management in rehabilitation
This is commonly known as the 'functional approach', which allows for compensation for a 34 DRESSING disability and treats the symptom instead of the cause. Although the patient may learn to wash him/herself through practice aided by verbal and physical prompting, the perceptual disorders she/he may experience will still be apparent in other activities, unless they are also practised in order to compensate (Sieve and Freistat, 1976). There are many other aspects of perception to be taken into account, too many to be covered in this chapter, and it is recommended that you refer to Chapter 4 for further information.
Dieticians should also be involved, whether the patient is independent in feeding and/or drinking or not, in order to ensure she/he receives an adequate diet. Even with patients who do not have difficulties in eating and drinking, caution must initially be practised and the following points taken into consideration. 42 FEEDING Positioning As far as possible, the patient should be upright with the head in the mid line. Initially, the feeding programme should be conducted in a quiet environment where the patient is able to attend to the therapist without distraction.
Making up or shaving. Eating. Undressing. Indoor mobility. Moving from bed to chair. Going to the lavatory. Outdoor mobility. Dressing. Washing in the bath. Getting in and out of the bath. Overall washing. Moving from floor to chair. Although return is expected to be in the above order, it does not mean that the patient's personal priorities should match. Order of activities should be determined by the current aims of treatment, reality orientation programme and daily routine adopted. It is up to the members of the treatment team to decide, according to the experience and judgement of the individual therapists and the needs of the patient, what the plan of treatment is to be.
Acute Head Injury: Practical management in rehabilitation by Ruth Garner