By Ruth Garner
It is either a excitement and a privilege to be invited to give a contribution a foreword to this ebook, which merits - and desires - to be learn via nearly everybody who's considering the remedy and subse quent welfare of the sufferers of critical accidents of the mind. a few acquaintances, family and workmates may be helped via examining a few elements of it, yet, if the booklet has the impact it merits to have on therapists, nurses, medical professionals, and others operating in either hospitals and the neighborhood, those laymen should be definitely educated and assisted by way of a number of individuals of the unavoidably huge healing staff. The advancements in equipment of resuscitation that experience taken position over the last forty years or so have abolished the formerly fatalistic readiness to just accept week or in coma after a head harm was once nearly a sentence to dying from pneumonia. After it had turn into attainable to save lots of lives it progressively grew to become transparent that survival of the sufferer used to be now not inevitably through restoration of the mind and that the cost of luck, in saving lives, was once a popula tion of cerebral cripples that used to be expanding on the cost of one thousand or extra a 12 months during the state. even though this determine has remained in regards to the similar for greater than two decades, there was an outstanding development within the quantity of curiosity, the normal of care and the standard of effects which are being achieved.
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Extra resources for Acute Head Injury: Practical management in rehabilitation
Taking the patient through the movements of being dressed, fed and washed is part of the programme of stimulation, as well as having a valuable influence on physical and cognitive abilities, and on orientation to reality. If these activities are to be incorporated in a programme of treatment, they must be carried out at the most appropriate time in the day, every day, and they should be carried out by the same person - consistency is very important. As the patient improves, more should be expected from him/her - a passive role should be gradually replaced by an active one in pursuit of independence.
Any fastenings should be large and accessible to the patient, at the front instead of at the back. Females should be advised to wear trousers rather than skirts or dresses, in the interest of modesty during the demanding daily programme. The most suitable garments are easy to clean, hard-wearing, and crease- and stain-resistant. Relatives should be encouraged to accept responsibility for regular cleaning of garments. Alternatively, a member of staff may do this. The hospital laundry can be used if personal clothes are not likely to get lost and if the patient has the 37 ACTIVITIES OF DAILY LIVING necessary reserves of clothing.
Home-cooked food that has been pureed is preferable to most hospital soft diets, and will cater for the individual preferences. Facilitate swallowing and chewing Gentle rotary movements, by finger(s) under the chin, with firm pressure upwards will elicit tongue movements and thereby encourage swallowing. Follow this by gentle stroking along the chin and down the throat. Avoid the Adam's apple, as this may cause choking. To encourage chewing try circular motions, using the fingers and thumb, around the cheeks.
Acute Head Injury: Practical management in rehabilitation by Ruth Garner