Rehabilitation of the Severely Brain-Injured Adult

by Giles, Gordon Muir; Clark-Watson, Jo

• ISBN13: 9780748733521
• ISBN10: 0748733523
• Edition: 2nd
• Format: Paperback
• Copyright: 1999-10-01
• Publisher: Nelson Thornes
• More Book Details

Summary

This edition discusses the many recent advances in the treatment of the brain-injured adult. Focuses on practical treatment approaches which recognize that many brain-injured adults remain seriously disabled for life. Gives full consideration to pharmacological approaches, in their own right and as part of an integrated behavioural approach to rehabilitation. Suggests new models of care for the brain-injured adult living in the community.

Author Biography

Gordon Muir Giles is Director of Neurobehavioral Programs with the Guardian Health Group, and Assistant Professor of Occupational Therapy at Samuel Merritt College, Oakland, California, USA Jo Clark-Wilson is Director of Head First Assessment and Case Management Services, Cranbrook, UK.

Table of Contents

Contributors	xi
Preface	xiii
Gordon Muir Giles
Jo Clark-Wilson
Acknowledgements	xvii
Brain-Injury rehabilitation: from theory to practice	1	(26)
Gordon Muir Giles
Severity of brain injury	2	(5)
Family and social consequences of brain injury	7	(1)
Theories of recovery after brain injury	8	(1)
Restitution	9	(1)
Substitution	10	(2)
Is rehabilitation effective?	12	(4)
Cognitive rehabilitation models	16	(2)
Models of therapy	18	(3)
A functional behavioural-learning approach to brain-injury rehabilitation	21	(4)
Conclusion	25	(1)
Summary	26	(1)
Medical considerations in brain-injury rehabilitation	27	(12)
Martyn J. Rose
Introduction	27	(2)
Mechanisms of injury	29	(1)
What goes wrong?	30	(1)
Natural history of recovery	31	(2)
Mechanisms of recovery	33	(1)
Organization of services	33	(1)
General Principles of management	34	(1)
Medical assessment	35	(3)
Conclusion	38	(1)
The pharmacotherapeutic management of behavioral and emotional disturbances following brain injury	39	(15)
Tom W. Freeman
Behavioural syndromes	41	(5)
Strategies for intervention	46	(8)
The practice of behavioural treatment in the acute rehabilitation setting	54	(27)
James C. Wilson
William Dailey
Acute rehabilitation	55	(1)
Initial rehabilitation	55	(2)
Specialized management of behaviours related to medical complications	57	(2)
Cognitive impairments	59	(2)
Types of problem	61	(6)
Behaviour-management approaches	67	(2)
Interventions	69	(10)
Conclusion	79	(2)
Management of behavioural disregulation and non-compliance in the post-acute severely brain-injured adult	81	(16)
Gordon Muir Giles
Types of behaviour disorder	81	(3)
Basic principles of learning theory	84	(1)
Behavioural interventions	85	(3)
Applications of learning principles to behavioural change	88	(8)
Summary	96	(1)
Functional skills training following severe brain injury	97	(38)
Gordon Muir Giles
Jo Clark-Wilson
Assessment	99	(1)
Retraining methods	100	(1)
Antecedent control	101	(1)
Engaging the patient in therapeutic activities	102	(2)
Elimination of unwanted behaviours	104	(2)
Skill building	106	(4)
Assessment and training in specific areas	110	(24)
Outcome studies	134	(1)
Motor learning following brain injury	135	(18)
Mary Beth Badke
Gordon Muir Giles
Jill Kerry
Motor control	135	(1)
Components of a motor control model and related dysfunction	136	(5)
Assessment	141	(4)
Motor learning principles	145	(1)
Factors affecting performance and learning	146	(7)
Rehabilitation of physical deficits in the post-acute brain-injured adult: four case studies	153	(11)
Jennifer Hooper-Roe
Introduction	153	(2)
Case studies	155	(8)
Conclusion	163	(1)
Treating cognitive/language and oral motor dysfunction in the brain-injured adult	164	(20)
Ann L. Dill
Gordon Muir Giles
Evaluation of the minimally responsive patient	165	(1)
Coma	166	(1)
Formal rating and assessment systems	167	(3)
Acute evaluation and treatment	170	(8)
Treatment principles and methods	178	(5)
Conclusion	183	(1)
Lack of insight following severe brain injury	184	(27)
Gordon Muir Giles
Definition of terms	186	(2)
The nature of self-awareness	188	(2)
Dynamic theories of denial	190	(1)
Metacognition	191	(1)
Cognitive behavioural models of self-awareness	191	(1)
Stress and coping	192	(1)
Denial in neurological illness	193	(5)
The neuropsychological account of lack of insight	198	(4)
The psychological account of lack of insight	202	(4)
Assessment	206	(1)
Treatment	207	(2)
Summary and conclusions	209	(2)
Vocation and occupation	211	(18)
Jo Clark-Wilson
Factors influencing work entry or re-entry after brain injury	211	(5)
Approaches to facilitate work entry	216	(11)
Occupational activities and leisure time	227	(1)
Conclusion	228	(1)
Problems in implementing an integrated programme for brain-injury rehabilitation	229	(12)
Gordon Muir Giles
Ian Fussey
The rehabilitation team	229	(1)
The problem of role definition	230	(2)
Functional behaviour management: a user's guide	232	(1)
Functional assessment	233	(1)
Specific techniques in functional behaviour management	234	(4)
Why behavioural management may fail	238	(1)
A note on working with the families of brain-injured people	239	(1)
Conclusion	240	(1)
The social and emotional consequences of severe brain injury: a social work perspective	241	(22)
Mary Roberts Less
Introduction	241	(1)
Family needs in the acute stage of recovery	241	(5)
The social work role	246	(2)
Counselling	248	(3)
The experience of readjustment - some family profiles	251	(6)
The family and the rehabilitation team	257	(1)
The social worker and the rehabilitation team	258	(1)
Planning for future needs	259	(2)
Conclusion	261	(2)
Community reintegration after brain injury	263	(9)
Catherine Johnson
Background	263	(1)
What is community reintegration?	264	(1)
Community reintegration - how to do it?	265	(6)
Conclusions	271	(1)
Future directions in brain-injury rehabilitation	272	(8)
Gordon Muir Giles
Introduction	272	(2)
Developments in rehabilitation	274	(3)
The structure of service provision	277	(3)
References	280	(30)
Index	310