A Practical Approach to Interdisciplinary Complex Rehabilitation

A Practical Approach to Interdisciplinary Complex Rehabilitation

1st Edition - February 1, 2022

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  • Editors: Cara Pelser, Helen Banks, Ganesh Bavikatte
  • eBook ISBN: 9780702082771
  • Paperback ISBN: 9780702082764

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Description

An interdisciplinary team (IDT) approach is most effective in complex physical rehabilitation, but implementing a successful IDT can be challenging. This new book will help readers to understand more about the variety of professions that contribute to successful IDT working and how team members collaborate for the benefit of the rehabilitation patient and their personalised goals. This is a comprehensive, practical, evidence-based guide to complex rehabilitation from an IDT perspective, exploring the dynamic and diverse roles and challenges of the team. The fifteen chapters are written by clinicians who are highly experienced across a range of disciplines and settings, from early acute rehabilitation to community rehabilitation. A Practical Approach to Interdisciplinary Complex Rehabilitation will be an invaluable resource for all members of the team, including medical, nursing, dietetics, neuropsychiatry, occupational therapy, physiotherapy, psychology, rehabilitation coordination, speech and language therapy, and vocational rehabilitation therapy.

Key Features

  • Covers a wide range of different complex rehabilitation settings and clinical conditions
  • Reflective questions in each chapter to inform practice within an IDT
  • User-friendly and easy to read
  • Case studies explore how a successful IDT works in practice

Table of Contents

  • Cover Image
  • Title Page
  • Copyright
  • Table of Contents
  • Introduction
  • Contributors
  • Acknowledgements
  • Chapter 1 Complex rehabilitation in an interdisciplinary team context
  • Abstract
  • Chapter Outline
  • Aim
  • Objectives
  • Overview
  • What do we mean by ‘rehabilitation’?
  • A framework for defining rehabilitation
  • Models of rehabilitation
  • Team working in rehabilitation
  • The clinical rehabilitation pathway
  • Summary
  • References
  • Chapter 2 Medical management in rehabilitation
  • Abstract
  • Chapter Outline
  • Aims
  • The role of the doctor within the specialist rehabilitation team
  • Medical causes of complex disability
  • The medics role in symptom management
  • Medical urgencies encountered in specialist rehabilitation
  • Prognosis
  • Summary
  • References
  • Chapter 3 The role, impact, and reflections of the rehabilitation nurse
  • Abstract
  • Chapter Outline
  • Aims
  • Introduction
  • Definition, roles, and responsibilities of a rehabilitation nurse
  • Family and carer support
  • Formulating nursing goals and assessing outcomes
  • Caring for patients with reduced mental capacity
  • Discharge planning
  • Community rehabilitation nurse
  • Development of the rehabilitation nurse role
  • Summary
  • References
  • Chapter 4 Prolonged disorders of consciousness
  • Abstract
  • Chapter Outline
  • Aims
  • What is a prolonged disorder of consciousness?
  • Assessment approaches within a pathway model of rehabilitation
  • Challenges in providing assessment, care, and treatment for PDOC
  • Evolving and innovative practice in PDOC diagnosis
  • Developing effective and evidence-based team working for PDOC
  • Summary
  • References
  • Chapter 5 24-hour approach to physical management
  • Abstract
  • Chapter Outline
  • Aims
  • Introduction
  • Physical consequences of injury/illness
  • Muscle wasting
  • Muscle weakness
  • Altered muscle tone
  • Hypotonia
  • Spasticity
  • Rigidity
  • Clonus
  • Dystonia
  • Associated reactions
  • Spatial neglect
  • Apraxia
  • Ataxia
  • Other movement disorders
  • Contractures
  • Fractures
  • Amputation
  • Altered blood pressure
  • Vestibular dysfunction
  • Respiratory compromise
  • The role of the interdisciplinary team in 24-hour physical management
  • Physical management modalities
  • Positioning
  • Seating
  • Transfers
  • Stretching
  • Orthoses
  • Taping, strapping, and support garments
  • Electrical stimulation
  • Constraint-induced movement therapy
  • Mechanical adjuncts
  • Medical management
  • Prosthetics
  • Environmental adjustments
  • Assistive technology
  • Discharge planning
  • Summary
  • References
  • Chapter 6 Adjusting to life after illness or injury
  • Abstract
  • Chapter Outline
  • Aims and objectives
  • What do we mean by adjustment?
  • Using models of adjustment and grief to understand emotional reactions to injury
  • Factors impacting the adjustment process
  • The impact of psychological factors on interdisciplinary team rehabilitation
  • Positive adaptation and growth
  • The impact of injury or illness on the family
  • Supporting patients and families; what can we do to help?
  • Summary
  • References
  • Chapter 7 Mental health in complex rehabilitation
  • Abstract
  • Chapter Outline
  • Aims
  • Introduction
  • Psychiatry within a rehabilitation setting
  • Liaison psychiatry
  • Neuropsychiatry
  • General psychiatry
  • What is ‘mental health’ and how do we assess it?
  • Environmental influences
  • Psychotropic medications and their role in rehabilitation
  • Incidences of risk in rehabilitation
  • Risk assessment
  • Risk formulation
  • Risk of causing potential harm to others
  • Risk of causing potential harm to self
  • Risk as a result of injury/illness
  • The Mental Capacity Act and the Mental Health Act
  • Mental health illnesses in complex rehabilitation
  • Depression
  • Anxiety
  • Psychoses in rehabilitation
  • Frontal lobe injury
  • Functional neurological disorder
  • Summary
  • References
  • Chapter 8 Working with behaviour that challenges
  • Abstract
  • Chapter Outline
  • Aims and objectives
  • What do we mean by ‘behaviour that challenges’?
  • Why does it occur?
  • Assessment of behaviour from an interdisciplinary perspective
  • Methods of assessment
  • ‘There are no triggers’
  • Supporting the person with behaviour that challenges
  • Behavioural approaches
  • Antecedent approaches
  • Positive behaviour support
  • Environmental modification and managing cognitive difficulties
  • Consequential approaches; responses to behaviour
  • Therapeutic relationships and communication
  • Psychological therapy
  • Reflections on learning; working with behaviour that challenges
  • Summary
  • References
  • Chapter 9 Cognition; an assessment and rehabilitation
  • Abstract
  • Chapter Outline
  • Aims
  • Introduction
  • Attention
  • Memory
  • Rehabilitation of memory
  • Perception
  • Rehabilitation of cognitive–perceptual impairment
  • Apraxia
  • Cognitive fatigue
  • Management of fatigue
  • Executive functions
  • Executive function in daily life
  • Rehabilitation of executive dysfunction
  • Summary
  • References
  • Chapter 10 Communication disorders in rehabilitation: an interdisciplinary approach
  • Abstract
  • Chapter Outline
  • Aim
  • Overview
  • Definition of communication
  • Role of speech and language therapists
  • The communication cycle
  • The impact of communication disorders
  • Definition of a communication disorder
  • Types of communication disorders
  • Dysphasia
  • Dysarthria
  • Dyspraxia
  • Dysphonia
  • Dysfluency
  • Dyslexia
  • Dysgraphia
  • Dyscalculia
  • Cognitive communication disorders
  • The impact of communication disorders on the patient and their family
  • Case study 1: Acquired dyslexia
  • Case study 2: Dyscalculia
  • Case study 3: Cognitive communication disorder
  • Supporting families
  • IDT working
  • Supporting communication for mental capacity assessments
  • Case study 4: Supporting a mental capacity assessment
  • Assistive technology and alternative and augmentative communication
  • Case study 5: Utilising AAC with a communication disorder
  • Summary
  • References
  • Chapter 11 Dysphagia in rehabilitation: an interdisciplinary approach
  • Abstract
  • Chapter Outline
  • Aims and objectives
  • Overview
  • Definition
  • Incidence
  • Mechanism of swallowing
  • Causes of dysphagia
  • Assessment of dysphagia
  • Bedside assessment
  • Cervical auscultation
  • Videofluoroscopy
  • Fibreoptic endoscopic evaluation of swallowing
  • The effect of dysphagia on the rehabilitation journey
  • Rationale for IDT working
  • Interdisciplinary management of dysphagia
  • Environment
  • Physical and sensory impairments
  • Communication
  • Diet and fluid modifications
  • Medical management
  • Pharmacy
  • Managing risk
  • Key learning points
  • References
  • Chapter 12 Nutrition and dietetics in rehabilitation
  • Abstract
  • Chapter Outline
  • Aims
  • Objectives
  • Nutrition and dietetics in rehabilitation
  • Nutritional aims during rehabilitation
  • Nutrition support
  • Oral nutrition support
  • Enteral feeding
  • Parental nutrition support
  • Other nutritional considerations in rehabilitation
  • Hydration
  • Pressure ulcers and wound healing
  • Bowel habits
  • Medication
  • Bone health
  • Factors affecting weight gain and strategies to improve outcomes
  • Dietetics role within the IDT
  • Catering
  • Nursing and health care assistants
  • Occupational therapy
  • Physiotherapy
  • Psychology
  • Speech and language therapist
  • Therapy assistants
  • Medical team
  • Ethical/difficult decisions about nutrition
  • Example 1: Nil by mouth (NBM) and the need for artificial nutrition support
  • Example 2: Family and team disagree
  • Example 3: Excessive weight gain
  • Summary
  • References
  • Chapter 13 Early vocational rehabilitation within an interdisciplinary context
  • Abstract
  • Keywords
  • Chapter Outline
  • Aim
  • Objectives
  • Introduction
  • Models of service delivery
  • Embedding vocational rehabilitation practice into the interdisciplinary team
  • Specialist vocational rehabilitation
  • Providing patient-centred vocational rehabilitation
  • Vocational rehabilitation interventions
  • Summary
  • References
  • Chapter 14 A patient's perspective
  • Abstract
  • Chapter Outline
  • Introduction
  • Elly's story
  • Marie's story
  • Chapter 15 Supporting the socioeconomic needs of patients and their families within the context of a complex rehabilitation setting: creating opportunities through collaboration, rehabilitation, and beyond
  • Abstract
  • Chapter Outline
  • Aims
  • Introduction
  • Risk factors and prevalence
  • The socioeconomic impacts of major injury and illness
  • The wider impact on family networks
  • Multiagency working; supporting the multifaceted needs of patients and families
  • The Life-Link Clinic
  • Summary
  • References
  • Chapter 16 Conclusion
  • Index

Product details

  • No. of pages: 288
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: February 1, 2022
  • Imprint: Elsevier
  • eBook ISBN: 9780702082771
  • Paperback ISBN: 9780702082764

About the Editors

Cara Pelser

Helen Banks

Ganesh Bavikatte

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