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

By Ruth Garner

ISBN-10: 0412324202

ISBN-13: 9780412324208

ISBN-10: 1489934561

ISBN-13: 9781489934567

It is either a excitement and a privilege to be invited to give a contribution a foreword to this publication, which merits - and desires - to be learn by means of almost every person who's keen on the remedy and subse­ quent welfare of the sufferers of serious accidents of the mind. a few acquaintances, relations and workmates could be helped through studying a few components of it, yet, if the ebook has the impact it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the group, those laymen could be certainly knowledgeable and assisted through a number of individuals of the inevitably huge healing staff. The advancements in tools of resuscitation that experience taken position over the last forty years or so have abolished the formerly fatalistic readiness to just 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 save lots of lives it progressively turned transparent that survival of the sufferer was once no longer unavoidably through restoration of the mind and that the cost of luck, in saving lives, was once a popula­ tion of cerebral cripples that used to be expanding on the cost of one thousand or extra a yr through the nation. even though this determine has remained concerning the comparable for greater than two decades, there was a good development within the quantity 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

Example text

The patient should be given ample time to respond, be encouraged to localize the stimuli, to move away from painful and otherwise unpleasant sensations and to react appropriately to pleasant ones. As far as possible, avoid causing abnormal patterns of movement and increase in tone. Temperature receptors are found all over the body but it would seem that there are more 'cold' areas than 'warm'. 'Warm' receptors discharge at a steady rate when the skin temperature is between 35°C and 45°C. Sudden heating of the skin will produce a rapid surge of impulses, but this tends to be short-lived.

If the patient is unable to swallow either liquids or solids, she/he will require tube feeding, but this is unpleasant and may cause local irritation; it also prevents the normal sensations experienced during eating and drinking. It is important, therefore, to retrain swallowing as early as possible in order to effect the removal of the nasogastric tube. If any reflexes are found to be abnormal, or there is any doubt as to the ability of the patient to cope with consuming liquids or solids, a speech therapist should be consulted.

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. Although collecting one's own odours for stimulation is preferable, it does require considerable imagination on the part of the therapist. Taste Do not begin stimulating taste buds until you have tested the swallowing and gag reflexes to see if the glossopharyngeal and vagus nerves are intact.

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