Download Acute Head Injury: Practical management in rehabilitation by Ruth Garner PDF

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 wishes - to be learn via almost every body who's enthusiastic about the remedy and subse­ quent welfare of the sufferers of critical accidents of the mind. a few neighbors, relations and workmates should be helped through interpreting a few components of it, yet, if the e-book has the influence it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the neighborhood, those laymen could be definitely educated and assisted by way of a number of participants of the unavoidably huge healing staff. The advancements in equipment of resuscitation that experience taken position over the past forty years or so have abolished the formerly fatalistic readiness to simply accept week or in coma after a head damage used to be nearly a sentence to loss of life from pneumonia. After it had develop into attainable to avoid wasting lives it progressively turned transparent that survival of the sufferer was once now not inevitably by way of restoration of the mind and that the cost of luck, in saving lives, used to be a popula­ tion of cerebral cripples that was once expanding on the expense of one thousand or extra a yr in the course of the kingdom. even though this determine has remained in regards to the comparable for greater than two decades, there was an exceptional development within the volume of curiosity, the normal of care and the standard of effects which are being achieved.

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Extra resources for Acute Head Injury: Practical management in rehabilitation

Sample text

Even with a consistent approach, the patient may insist on adopting his own method according to previous habits or because of ease of results. Those methods adopted may not be the methods prescribed by the therapist but may have to be accepted if one is unable to gain the patient's co-operation in practising new techniques. Loss of use of one side of the body Techniques for retraining hemiplegic patients to dress are well documented (Eggars, 1983; Trombly and Scott, 1977; Pedretti, 1985; Turner, 1981), but procedures adopted will depend on associated disability.

It is possible to purchase odour kits and coma kits, which include natural smells of sufficient strength to be of value in a sensory stimulation programme. However, the author prefers to use fresh items with naturally strong odours that can be incorporated into the individual treatment plan according to familiarity. For example odours of onion, coffee, washing-up liquid and furniture polish can be used with a patient whose prime occupation is housewife; leather can be used with a patient who enjoys horse-riding; brush and hand cleaners can be used with the patient who is a painter and decorator.

Scoop food, lift spoon, push in mouth, take out. Disability equipment Cutlery can be adapted to meet the needs of the individual patient; handles can be enlarged and straps may be used to secure utensils. The patient should become independent with a spoon before she/he progresses to a fork and then to a knife. Non-slip mats prevent a plate from moving around the table, and plate guards prevent food from being pushed over the edge (such an obvious aid as a plate guard should, however, be dispensed with as early as possible).

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