Neurologic continuum of care: Evidence-based model of a post-hospital system of care

Abstract

The results support the effectiveness of a continuum of care for acquired brain injury individuals beyond hospitalization and acute in-hospital rehabilitation. It is particularly noteworthy that reduction in disability was achieved for all levels of programming even with participants whose onset to admission exceeded 7 years post-injury.

Anxiety following traumatic brain injury: Impact on post-hospital rehabilitation outcomes

“…Admission to these programs commonly occurs 6-12 months or greater after the injury onset [15]. Each participant was admitted to residential neurorehabilitation programs and received physical therapy, occupational therapy, speech therapy, recreation, counseling (based on need), neuropsychological consultation, case management, and medical management provided by nursing and physicians specializing in physical medicine and rehabilitation.…”

Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review

“…TBI-related disability often extends beyond obvious physical impairments to include cognitive impairments such as impaired attention, poor executive functioning, and psychosocial issues, including high rates of depression [1][2][3]. As a result of these impairments, individuals with a TBI typically transition through a continuum of care from acute admission to intensive rehabilitation and for some, supported living programmes [4]. These services are implemented by teams comprised of medical, nursing, and allied health professionals [1,2,4].…”

“…As a result of these impairments, individuals with a TBI typically transition through a continuum of care from acute admission to intensive rehabilitation and for some, supported living programmes [4]. These services are implemented by teams comprised of medical, nursing, and allied health professionals [1,2,4].…”

Rasch Analysis and Functional Measurement in Post-Hospital Brain Injury Rehabilitation

“…Treatment was provided within one of 6 programs that met the behavioral needs and included a medical director and nursing, counseling, behavior specialists, physical therapy consultation, occupational therapy, speech therapy, cognitive rehabilitation, case management, and life skills teachers. Persons in this group tended to be injured longer than the typical neurorehabilitation patients, with time between onset of injury to admission often averaging greater than five years (Lewis & Horn, 2015;Horn & Lewis, 2016).…”

“…This program type provides a safe living environment, maintenance of patient's health (e.g., glucose and blood pressure monitoring), and prevention of decline through monitoring daily health needs (e.g., cognitive and physical exercise and challenge). These participants also tend to be chronic, with an onset of injury to admission interval often exceeding 7 years (Lewis & Horn, 2015).…”