Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword by Keith Cicerone
- Preface
- Section 1 Background and theory
- Section 2 Group interventions
- Section 3 Case illustrations
- 13 Peter: successful rehabilitation following a severe head injury with cerebrovascular complications
- 14 Lorna: applying models of language, calculation and learning within holistic rehabilitation: from dysphasia and dyscalculia to independent cooking and travel
- 15 Caroline: treating post-traumatic stress disorder after traumatic brain injury
- 16 Interdisciplinary vocational rehabilitation addressing pain, fatigue, anxiety and impulsivity: Yusuf and his ‘new rules for business and life’
- 17 Judith: learning to do things ‘at the drop of a hat’: behavioural experiments to explore and change the ‘meaning’ in meaningful functional activity
- 18 Simon: brain injury and the family – the inclusion of children, family members and wider systems in the rehabilitation process
- 19 Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia
- 20 Malcolm: coping with the effects of Balint's syndrome and topographical disorientation
- 21 Kate: cognitive recovery and emotional adjustment in a young woman who was unresponsive for several months
- Section 4 Outcomes
- Index
- Plate section
19 - Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia
from Section 3 - Case illustrations
Published online by Cambridge University Press: 03 March 2010
- Frontmatter
- Contents
- List of contributors
- Foreword by Keith Cicerone
- Preface
- Section 1 Background and theory
- Section 2 Group interventions
- Section 3 Case illustrations
- 13 Peter: successful rehabilitation following a severe head injury with cerebrovascular complications
- 14 Lorna: applying models of language, calculation and learning within holistic rehabilitation: from dysphasia and dyscalculia to independent cooking and travel
- 15 Caroline: treating post-traumatic stress disorder after traumatic brain injury
- 16 Interdisciplinary vocational rehabilitation addressing pain, fatigue, anxiety and impulsivity: Yusuf and his ‘new rules for business and life’
- 17 Judith: learning to do things ‘at the drop of a hat’: behavioural experiments to explore and change the ‘meaning’ in meaningful functional activity
- 18 Simon: brain injury and the family – the inclusion of children, family members and wider systems in the rehabilitation process
- 19 Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia
- 20 Malcolm: coping with the effects of Balint's syndrome and topographical disorientation
- 21 Kate: cognitive recovery and emotional adjustment in a young woman who was unresponsive for several months
- Section 4 Outcomes
- Index
- Plate section
Summary
Introduction
This chapter describes the significant gains that can still be made by clients in rehabilitation several years post-injury through thorough assessment and tailored intervention. An in-depth interdisciplinary assessment and formulation of the client's difficulties was carried out at the Oliver Zangwill Centre (OZC) for Neuropsychological Rehabilitation prior to intervention that, as with Malcolm (Chapter 20) and Kate (Chapter 21), did not entail attending the OZC intensive programme. Instead, once Adam had completed the assessments in Ely, including a two-week period of work testing out specific rehabilitation approaches, two team members, an occupational therapist and clinical psychologist, provided appointments in Adam's home. The therapists provided eight individual day sessions targeting specific daily living goals through the use of errorless learning methods. We have included a description of this case to also emphasize our view that the core components of rehabilitation described in Chapter 4 can be recreated, in a less intensive way, through active involvement of family and carers in the community.
History of injury
Adam was involved in a road traffic accident in 1999. He was the driver of a car that was struck on the driver's side by another vehicle and subsequently admitted to Intensive Care. On admission, his Glasgow Coma Scale was measured at 3/15, indicating severe brain injury. A CT scan showed a left frontal haemorrhage and right-sided contusion. He had also suffered additional multiple orthopaedic injuries. He was transferred to a Neurosurgical Unit where he underwent a craniotomy and evacuation of a left frontal haematoma.
- Type
- Chapter
- Information
- Neuropsychological RehabilitationTheory, Models, Therapy and Outcome, pp. 292 - 303Publisher: Cambridge University PressPrint publication year: 2009