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
13 - Peter: successful rehabilitation following a severe head injury with cerebrovascular complications
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
Peter was one of the early clients at the Oliver Zangwill Centre for Neuropsychological Rehabilitation and this chapter gives a typical picture of the process of assessment and rehabilitation for our clients. We begin with a summary of the report from his preliminary (one-day) assessment as this details his major problems, his own and his wife's perceptions of his difficulties together with the staff's assessment of these.
Preliminary assessment report
History of injury
Peter was involved in a road traffic accident in July 1997 in which he sustained a severe traumatic head injury. At the time he was 33 years old. He was taken to the nearest hospital and then transferred to the Regional Neurointensive Critical Care Unit where he remained for one week, before being referred back to his local hospital. He stayed there for seven weeks. It is not clear how long he remained unconscious, but the notes from the Critical Care Unit say he had a head-on collision in a built-up area. His Glasgow Coma Score at the scene was 15 but by the following day had deteriorated to 11 and then to 7. It would appear that he had a post-traumatic amnesia of around 5–6 weeks. His retrograde amnesia, however, lasted only a few seconds. A CT scan of Peter's brain showed bilateral areas of attenuation in the temporo-parietal regions consistent with a cerebrovascular accident. This was subsequently found to be due to bilateral carotid artery dissection.
- Type
- Chapter
- Information
- Neuropsychological RehabilitationTheory, Models, Therapy and Outcome, pp. 182 - 202Publisher: Cambridge University PressPrint publication year: 2009