Acquired Brain Injury: An Integrative Neuro-Rehabilitation by Jean Elbaum, Deborah Benson

By Jean Elbaum, Deborah Benson

Regardless of etiology, comparable to coincidence, tumor, stroke or attack, obtained mind harm offers various demanding situations for survivors, caregivers and treating execs. Interdisciplinary and built-in reviews, therapy, and administration can suggest the adaptation among winning restoration and unlucky outcomes.

The first e-book to provide a accomplished workforce method of rehabilitation of ABI survivors, Acquired mind Injury offers clinical and medical experts a deeper knowing of not just each one others' roles, but in addition their complementary functions.

-The clinical 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

-Behavioral and emotional demanding situations universal to people with ABI

-The value of addressing kinfolk needs

-Long-term challenges

-Case examples all through illustrating quite a lot 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 techniques for the general practitioner, rehab expert, the complicated scholar, and sufferers’ advocates. With ABI so prevalent—roughly 1.5 million new instances in step with year—this e-book couldn’t be extra timely.

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Extra info for Acquired Brain Injury: An Integrative Neuro-Rehabilitation Approach

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HO may not be evident on plain X-rays for 3 weeks to 2 months. Serum alkaline phosphatase levels are increased but this finding is nonspecific. Prophylaxis for HO includes ROM exercises, control of muscle tone, nonsteroidal anti-inflammatory drugs (NSAIDS) such as indomethacin, and radiation, although use of radiation in younger patients is controversial. The treatment for HO is diphosphonates (etidronate) and NSAIDS (indomethacin). Salicylates may also be used. Etidronate will decrease the ongoing formation of HO.

Phenytoin, which may cause confusion and drowsiness, may be substituted with carbamazepine (Tegretol), valproic acid (Depakote), gabapentin (Neurontin), or lamotrigine (Lamictal). In contrast, other medications can help to enhance recovery by augmenting certain neurotransmitter systems which are known to be damaged in brain injury. For example, it has been demonstrated by Meythaler et al. , 1986). , 1989). Clinically this has had application for those with acquired brain injuries through the use of psychostimulants which cause the release of catecholamines such as dopamine and norepinephrine from presynaptic neurons.

010). 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.

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