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Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? / Anne W. Hunt in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)
[article]
Titre : Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? Type de document : texte imprimé Auteurs : Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur Année de publication : 2015 Article en page(s) : p.488-498 Langues : Anglais (eng) Mots-clés : Brain injury goal-setting communication Résumé : Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process.
Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished.
Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said.
Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting.Permalink : ./index.php?lvl=notice_display&id=40388
in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498[article] Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? [texte imprimé] / Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur . - 2015 . - p.488-498.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498
Mots-clés : Brain injury goal-setting communication Résumé : Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process.
Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished.
Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said.
Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting.Permalink : ./index.php?lvl=notice_display&id=40388 Exemplaires (1)
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Exclu du prêtLived experiences of return to paid work following a brain injury / Karen Beaulieu in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)
[article]
Titre : Lived experiences of return to paid work following a brain injury Type de document : texte imprimé Auteurs : Karen Beaulieu Année de publication : 2019 Article en page(s) : p. 658-665 Note générale : doi.org/10.1177/0308022619860980 Langues : Anglais (eng) Mots-clés : Brain injury return to work occupational therapy Résumé : Introduction
Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return.
Method
A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury.
Findings
Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success.
Conclusion
Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties.Permalink : ./index.php?lvl=notice_display&id=85652
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665[article] Lived experiences of return to paid work following a brain injury [texte imprimé] / Karen Beaulieu . - 2019 . - p. 658-665.
doi.org/10.1177/0308022619860980
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665
Mots-clés : Brain injury return to work occupational therapy Résumé : Introduction
Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return.
Method
A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury.
Findings
Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success.
Conclusion
Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties.Permalink : ./index.php?lvl=notice_display&id=85652 Exemplaires (1)
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Exclu du prêtWhich behaviours are first to emerge during recovery of consciousness after severe brain injury? / Géraldine Martens in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Which behaviours are first to emerge during recovery of consciousness after severe brain injury? Type de document : texte imprimé Auteurs : Géraldine Martens ; Yelena Bodien ; Kristen Sheau ; Andrea Christoforou ; Joseph T. Giacino Année de publication : 2020 Article en page(s) : p. 263-269 Note générale : doi.org/10.1016/j.rehab.2019.10.004 Langues : Anglais (eng) Mots-clés : Brain injury Vegetative state Minimally conscious state Outcome Résumé : Background
Early detection of consciousness after severe brain injury is critical for establishing an accurate prognosis and planning appropriate treatment.
Objectives
To determine which behavioural signs of consciousness emerge first and to estimate the time course to recovery of consciousness in patients with severe acquired brain injury.
Methods
Retrospective observational study using the Coma Recovery Scale-Revised and days to recovery of consciousness in 79 patients (51 males; 34 with traumatic brain injury; median [IQR] age 48 [26–61] years; median time since injury 26 [20–36] days) who transitioned from coma or unresponsive wakefulness syndrome (UWS)/vegetative state (VS) to the minimally conscious state (MCS) or emerged from MCS during inpatient rehabilitation.
Results
Visual pursuit was the most common initial sign of MCS (41% of patients; 95% CI [30–52]), followed by reproducible command-following (25% [16–35]) and automatic movements (24% [15–33]). Ten other behaviours emerged first in less than 16% of cases. Median [IQR] time to recovery of consciousness was 44 [33–59] days. Etiology did not significantly affect time to recovered consciousness.
Conclusion
Recovery of consciousness after severe brain injury is most often signalled by reemergence of visual pursuit, reproducible command-following and automatic movements. Clinicians should use assessment measures that are sensitive to these behaviours because early detection of consciousness is critical for accurate prognostication and treatment planning.Permalink : ./index.php?lvl=notice_display&id=90822
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 263-269[article] Which behaviours are first to emerge during recovery of consciousness after severe brain injury? [texte imprimé] / Géraldine Martens ; Yelena Bodien ; Kristen Sheau ; Andrea Christoforou ; Joseph T. Giacino . - 2020 . - p. 263-269.
doi.org/10.1016/j.rehab.2019.10.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 263-269
Mots-clés : Brain injury Vegetative state Minimally conscious state Outcome Résumé : Background
Early detection of consciousness after severe brain injury is critical for establishing an accurate prognosis and planning appropriate treatment.
Objectives
To determine which behavioural signs of consciousness emerge first and to estimate the time course to recovery of consciousness in patients with severe acquired brain injury.
Methods
Retrospective observational study using the Coma Recovery Scale-Revised and days to recovery of consciousness in 79 patients (51 males; 34 with traumatic brain injury; median [IQR] age 48 [26–61] years; median time since injury 26 [20–36] days) who transitioned from coma or unresponsive wakefulness syndrome (UWS)/vegetative state (VS) to the minimally conscious state (MCS) or emerged from MCS during inpatient rehabilitation.
Results
Visual pursuit was the most common initial sign of MCS (41% of patients; 95% CI [30–52]), followed by reproducible command-following (25% [16–35]) and automatic movements (24% [15–33]). Ten other behaviours emerged first in less than 16% of cases. Median [IQR] time to recovery of consciousness was 44 [33–59] days. Etiology did not significantly affect time to recovered consciousness.
Conclusion
Recovery of consciousness after severe brain injury is most often signalled by reemergence of visual pursuit, reproducible command-following and automatic movements. Clinicians should use assessment measures that are sensitive to these behaviours because early detection of consciousness is critical for accurate prognostication and treatment planning.Permalink : ./index.php?lvl=notice_display&id=90822 Exemplaires (1)
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Exclu du prêtFemoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients / Elena Rossato in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Femoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients Type de document : texte imprimé Auteurs : Elena Rossato ; Renato Avesani ; Francesca Dambruoso ; Federico Ferrari ; Elisabetta Verzini ; Antonio Campacci Année de publication : 2020 Article en page(s) : p. 362-364 Note générale : doi.org/10.1016/j.rehab.2019.09.001 Langues : Anglais (eng) Mots-clés : Brain injury Peri-articular ossification Orthopaedic Rehabilitation Surgery X-ray Permalink : ./index.php?lvl=notice_display&id=90883
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 362-364[article] Femoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients [texte imprimé] / Elena Rossato ; Renato Avesani ; Francesca Dambruoso ; Federico Ferrari ; Elisabetta Verzini ; Antonio Campacci . - 2020 . - p. 362-364.
doi.org/10.1016/j.rehab.2019.09.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 362-364
Mots-clés : Brain injury Peri-articular ossification Orthopaedic Rehabilitation Surgery X-ray Permalink : ./index.php?lvl=notice_display&id=90883 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt