By Ruth Garner
It is either a excitement and a privilege to be invited to give a contribution a foreword to this ebook, which merits - and wishes - to be learn by way of nearly every person who's desirous about the therapy and subse quent welfare of the sufferers of serious accidents of the mind. a few buddies, family and workmates should be helped by way of studying a few components of it, yet, if the booklet has the impression it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the neighborhood, those laymen may be certainly educated and assisted via a number of contributors of the inevitably huge healing crew. 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 harm was once nearly a sentence to demise from pneumonia. After it had develop into attainable to save lots of lives it steadily grew to become transparent that survival of the sufferer used to be now not inevitably via restoration of the mind and that the cost of luck, in saving lives, was once a popula tion of cerebral cripples that was once expanding on the cost of a thousand or extra a yr during the nation. even supposing this determine has remained in regards to the related for greater than two decades, there was a superb development within the quantity 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
The patient must learn to use his/her initiative and reasoning ability in picking up clues to orientation. THERAPEUTIC APPLICATION OF EVERYDAY ACTIVITIES The head-injured patient's dependence on others for personal care is not related only to the level of consciousness, but also to the limitations in physical and cognitive abilities. Because patients have such diverse needs, the combinations of which are often unique, it is impossible to give other than general guidance in this section. Factors which determine how activities are to be carried out include age, sex and culture, as well as previous personal 30 THERAPEUTIC APPLICATION OF EVERYDAY ACTNITIES preferences.
As well as avoiding incorrect patterns of movement, the emphasis should be on avoiding associated reactions, maintaining muscle length, maintaining symmetry of the body and improving the function of the affected side (Eggars, 1983). All treatments should be planned to bring the affected side into action, whether for holding or supporting or for more complicated functions. 38 CONTINENCE Perceptual considerations Independence in dressing is dependent on such perceptual abilities as intact form constancy, figure/ground, spatial awareness, as well as absence of apraxias or agnosias.
The therapeutic use of the natural environment should be encouraged as soon as possible. The programme of stimulation should not be regarded as treatment that is separate from the daily routine, but an integral part of it. All activities should be accompanied by clear, concise words of orientation, explanation and encouragement. One should assume that the patient can hear until proven otherwise. A given stimulus can be used for different effects, depending on how, when and where it is applied. However it is used, the patient's response must be carefully noted.