Sentinel Events During the Transition From Hospital to Home: A Longitudinal Study of Women With Traumatic Brain Injury

Nalder, Emily; Fleming, Jennifer; Cornwell, Petrea; Foster, Michele; Skidmore, Elizabeth R.; Bottari, Carolina; Dawson, Deirdre R.

doi:10.1016/j.apmr.2014.07.428

Cited by 11 publications

(11 citation statements)

References 38 publications

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“…It is essential to understand the experiences and perceptions of patients and carers during the transitional phase to inform improvements to service delivery to meet their needs [10]. Although there is some relevant literature [9,10,[32][33][34][35] studies often conflate mild, moderate and severe TBI [6,17,[35][36][37], use a sample with mixed brain injury diagnoses [11,17], adhere to quantitative measures [16,36,37] or do 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 not focus solely on the transition period [6,15,16,36]. Thus there appears to be a gap in understanding what is important and beneficial to patients with severe TBI, and their and carers, in the context of UK healthcare in this transitional phase, and how best to meet these needs.…”

Section: Current Practicementioning

confidence: 99%

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Abrahamson

Jensen

Springett

et al. 2016

Disability and Rehabilitation

124

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Most patients and carers struggled to identify a cohesive plan that supported their transition to living in the community. Access to services required much persistence on the part of carers and tended to be short-term, and therefore did not meet their long-term needs. We propose the need for a case manager to be involved at an early stage of their rehabilitation and act as a key point for information and access to on-going rehabilitation and other support services. Implications for Rehabilitation Traumatic Brain Injury (TBI) is a major cause of long-term disability. It can affect all areas of daily life and significantly reduce quality of life for both patient and carer. Professionals appear to underestimate the change in abilities and impact on daily life once patients return home. Community services maintain a short-term focus, whereas patients and carers want to look further ahead - this dissonance adds to anxiety. The study's findings on service fragmentation indicate an urgent need for better integration within health services and across health, social care and voluntary sectors. A link person/case manager who oversees the patient journey from admission onwards would help improve integrated care and ensure the patient, and carer, are at the center of service provision.

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Section: Current Practicementioning

confidence: 99%

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Abrahamson

Jensen

Springett

et al. 2016

Disability and Rehabilitation

124

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“…ABI acquired brain injury ACRM American Congress of Rehabilitation Medicine NIH National Institutes of Health TBI traumatic brain injury highly vulnerable time points. Nalder et al 28 examine sentinel events, such as lack of therapy and return to occupation, that affect community integration during the transition from hospital to home for women. A long-term outcome study of service utilization in women by Toor et al 29 indicates the need for continuing support to address, or even prevent, long-term mental health conditions and the need for ongoing access to relevant services many years postinjury.…”

Section: List Of Abbreviationsmentioning

confidence: 99%

Sex, Gender, and Traumatic Brain Injury: A Commentary

Colantonio

2016

Archives of Physical Medicine and Rehabilitation

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The goal of this supplemental issue is to address major knowledge, research, and clinical practice gaps regarding the limited focus on brain injury in girls and women as well as limited analysis of the effect of sex and gender in research on acquired brain injury. Integrating sex and gender in research is recognized as leading to better science and, ultimately, to better clinical practice. A sex and gender analytical approach to rehabilitation research is crucial to understanding traumatic brain injury and improving quality of life outcomes for survivors. Put another way, the lack of focus on sex and gender reduces the rigor of research design, the generalizability of study findings, and the effectiveness of clinical implementation and knowledge dissemination practices. The articles in this supplement examine sex and gender using a variety of methodological approaches and research contexts. Recommendations for future research on acquired brain injury that consciously incorporates sex and gender are made throughout this issue. This supplement is a product of the Girls and Women with ABI Task Force of the American Congress of Rehabilitation Medicine.

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“…This is likely because incidence rates of TBI are at least twice as high for men (Colantonio et al, 2010; Faul, Xu, & Wald, 2010). However, women still comprise one-third of people with TBI (Colantonio et al, 2010; Faul et al, 2010; Nalder et al, 2016); so, it is necessary to determine if sex-based differences exist.…”

Section: Introductionmentioning

confidence: 99%

Sex Differences in Emotion Recognition and Emotional Inferencing Following Severe Traumatic Brain Injury

Zupan¹,

Babbage

Neumann

et al. 2016

Brain Impairment

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The primary objective of the current study was to determine if men and women with traumatic brain injury (TBI) differ in their emotion recognition and emotional inferencing abilities. In addition to overall accuracy, we explored whether differences were contingent upon the target emotion for each task, or upon high and low intensity facial and vocal emotion expressions. 160 participants (116 men) with severe TBI completed three tasks -a task measuring facial emotion recognition (DANVA-Faces), vocal emotion recognition (DANVA-Voices) and one measuring emotional inferencing (EIST). Results showed that women with TBI were significantly more accurate in their recognition of vocal emotion expressions, and also for emotional inferencing. Further analyses of task performance showed women were significantly better than men at recognizing fearful facial expressions, and also facial emotion expressions high in intensity. Women also displayed increased response accuracy for sad vocal expressions, and low intensity vocal emotion expressions. Analysis of the EIST task showed that women were more accurate than men at emotional inferencing in sad and fearful stories.

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Sentinel Events During the Transition From Hospital to Home: A Longitudinal Study of Women With Traumatic Brain Injury

Cited by 11 publications

References 38 publications

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Experiences of patients with traumatic brain injury and their carers during transition from in-patient rehabilitation to the community: a qualitative study

Sex, Gender, and Traumatic Brain Injury: A Commentary

Sex Differences in Emotion Recognition and Emotional Inferencing Following Severe Traumatic Brain Injury

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