By Jean Elbaum, Deborah Benson
Regardless of etiology, comparable to twist of fate, tumor, stroke or attack, received mind damage offers a variety of demanding situations for survivors, caregivers and treating pros. Interdisciplinary and built-in reviews, therapy, and administration can suggest the variation among profitable restoration and unlucky outcomes.
The first e-book to provide a complete crew method of rehabilitation of ABI survivors, Acquired mind Injury supplies scientific and scientific experts a deeper realizing of not just each one others' roles, but additionally their complementary functions.
-The scientific administration of ABI—neurosurgery, neurology, physiatry—and the clinical specialties involved—neuropsychiatry, neurourology, and neuro-optometry
-In-depth dialogue of the jobs of occupational, speech-language, and stability therapies
-Separate chapters on nursing, neuropsychology, and case management
-The significance of addressing kin needs
-Case examples all through illustrating a variety of accidents, signs, and phases of restoration
Based at the editors’ mixed adventure of greater than forty years within the neuro-rehabilitation box, this accomplished quantity clarifies rehabilitation targets and methods for the doctor, rehab professional, the complex pupil, and sufferers’ advocates. With ABI so prevalent—roughly 1.5 million new circumstances in keeping with year—this e-book couldn’t be extra timely.
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Additional resources for Acquired Brain Injury: An Integrative Neuro-Rehabilitation Approach
In essence, this produces a weakening of the muscle. The effects of the botulinum toxin injections typically last up to 3 months. The intrathecal baclofen pump allows baclofen to be administered directly into the intrathecal space. It has been shown to be more efficacious for lower extremity spasticity. A patient who is considering the baclofen pump can undergo a trial in which the baclofen is injected intrathecally and the patient’s response is monitored. Surgical procedures for spasticity are less frequently used.
The current emphasis will be on particular examples of pharmacology as related to patient care from the physiatrist’s perspective. Physicians must be aware of potential negative effects of several commonly prescribed medications and substitute agents that may be more appropriate for patients with acquired brain injury. One example of this is metoclopramide, which is a commonly prescribed antiemetic, which pharmacologically is a neuroleptic. There is some evidence that neuroleptic medications may impact negatively on cognition, and thus replacing metoclopramide with erythromycin, an antimicrobial that increases gastrointestinal motility without the sedating and negative effects of the neuroleptics, may be an option.
The decrease in intravascular volume can lead to hypotension and decreased cerebral perfusion pressure. Treatment for DI is hormone replacement with desmopressin acetate, an analog of antidiuretic hormone. The medication chlorpropamide potentiates the effects of ADH on the renal tubules and is used in patients with partial ADH deficiency. If the patient is experiencing significant mental status changes, intravenous hypotonic fluid replacement must be administered. Other endocrine problems may occur as well.
Acquired Brain Injury: An Integrative Neuro-Rehabilitation Approach by Jean Elbaum, Deborah Benson