Physical Medicine Rehabilitation

Behavioural Approaches to Neuropsychological Rehabilitation: by Barbara A. Wilson

By Barbara A. Wilson

The possibility of behavioural ways for making improvements to the lives of individuals with got mind harm is tremendous. right here that strength is laid out and explored with a thoroughgoing regard for medical perform and the theoretical frameworks that underpin that perform. This booklet will end up a useful source for scientific psychologists and the complete diversity of therapists operating with sufferers being affected by received mind harm.

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Extra info for Behavioural Approaches to Neuropsychological Rehabilitation: Optimising Rehabilitation Procedures (Neuropsychological Rehabilitation)

Example text

He was no longer in coma, was not obeying commands or verbalising, but his eyes were open. 1). This information facilitated setting of realistic and appropriate goals such as increasing visual tracking from 1–2 seconds to 5 seconds, tracking sounds, and maintaining eye contact for 5 seconds or more. All of these goals were addressed by the rehabilitation team and were encouraged during nursing care, physiotherapy, and occupational therapy as well as by the patient’s family. BR continued to make steady progress over the following months and as his level of function improved, assessment on functional scales and neuropsychological tests commenced and more demanding goals were set as appropriate.

Suppose, for example, that an amnesic patient has been taught to check whether he or she has left the stove on; then it would be hazardous to revert to a time when the stove was not checked! Third, it is often impracticable to revert to baseline conditions. For instance, when treatment has been successful in preventing a patient from constantly repeating a particular question, then staff and relatives will not welcome a return 20 BEHAVIOURAL APPROACHES IN REHABILITATION to the previous state of affairs.

People may use a strategy in one setting such as occupational therapy, for example, but not use it at home. They may use a coping method for one problem but not for another. It is not uncommon to find people who PLANNING A REHABILITATION PROGRAMME USING FRAMEWORK 25 will use a notebook when prompted by the psychologist, but who will not use it spontaneously. Similarly, there are people who can transfer independently in physiotherapy but let relatives help them at home; other people may allow themselves extra time when learning someone’s name but not when reading the newspaper.

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