Professional Documents
Culture Documents
Introduction
Severe ABI affects only a small
number of people, however, it
has a significant impact on the
person and their family and the
lifetime care costs are
considerable
Transition from hospital to
home is a critical time
Person
with
ABI
Family
Goals
Rehab
Team
Independence
Fewer NH
placements
Evidence Based
Rehabilitation
Lower levels of
attendant care
Higher levels of
community
integration
Choices
Changes
Rehabilitation Length of stay- 1980s
Time from ABI onset to admission to rehabilitation was 22.0 days (SD 17.2)
Time from ABI onset to admission to rehabilitation was 17.6.0 days (SD 22.0)
Time from ABI onset to admission to rehabilitation was 14.2 days (SD 17.6)
Rehabilitation Audit, Mount Royal Hospital (1989), Rehabilitation Audit, North West Hospital (1995)
6
Rehabilitation Setting
Acute rehabilitation
Private practitioners
Telehealth / Telerehab
Timing of Rehabilitation
Early rehabilitation is well tolerated in medically stable patients
outstanding questions over timing and efficacy
Rehabilitation intervention research is traditionally undertaken
with people who had their brain injury > 2 years prior
Priority areas for further research
Person
with
ABI
Family
Goals
Rehab
Team
Independence
Fewer NH
placements
Evidence Based
Rehabilitation
Lower levels of
attendant care
Higher levels of
community
integration
10
Caregiver Support
What caregiving tasks are
most usually completed by
paid versus family carers?
How can hospitals best
support informal caregivers?
11
12
Caregiver Support
What caregiving tasks are
most usually completed by
paid versus family carers?
How can hospitals best
support informal caregivers?
13
14
http://www.abiebr.com/
15
Tips
Tell healthcare workers what your goals are (if you know
them), but also tell them about what things in your life are
your priorities, what things concern you (worry you)
17
Thank you