Rehabilitation after head injury: 2--behaviour and emotional problems, long term needs, and the requirements for services.

Psychological stress, work satisfaction, and brain injury nursing

“…Traditional treatment of these head injured patients followed the medical model, so that while physical injuries were dealt with, little was done in the form of psychological, cognitive, or behavioral rehabilitation, with the consequence that many of the more severely impaired victims spent the rest of their lives in nursing homes. Recognition that behavior disorders following brain injury are quite common, and may inhibit rehabilitation (e.g., Eames & Wood, 1985), has led to the successful use of behavioral training to improve the quality of life of people with brain injuries, as measured by increased competence in activities of daily living and return to the community (Gloag, 1985).…”

An introduction to the concept of head injury case management with respect to the need for service provision

“…13 Perhaps it is a condemnation of services currently available in the UK that the majority of specialist units can be easily summarized in brief paragraphs and listed in short articles. 6,14 It is possible that with relatively little additional expenditure, existing resources could be more coherently managed for individual cases. Although little has been published, examples of case management or coordination of resources for brain-damaged patients are prevalent in the USA.…”

Prospects in rehabilitation.

“…She notes that there are some 250 per 100 000 population with head injuries a year, of all grades of severity, perhaps yielding some 1000 "lame brains" a year." 12 Many of these patients are inappropriately placed or place enormous stresses on their families and have few opportunities of capitalising on any useful recovery that may occur in the ensuing years.…”