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Brain injury rehabilitation in adults 46 | Scottish Head Injury forum SHIF, c/o Charles Bell Pavilion, Astley Ainslie Hospital, 133 Grange Loan, Edinburgh EH9 2HL www.shif.org.uk • Email: scottishhif@aol.co.uk A registered Scottish charity with an educational purpose that organises training events aimed at professionals with limited specialist knowledge of brain injury but who treat or work with brain injured people as part of a wider remit. Scottish National Disability Information Service UPDATE, Hays Community Business Centre, 4 Hay Avenue, Edinburgh, EH16 4Aq Tel: 0131 669 1600 www.update.org.uk • Email: info@update.org.uk Range of disability information from commonly asked questions through to equipment information, holiday information and local sources of help and advice. 11.1.2 NATIONAL ORGANISATIONS PROVIDING SUPPORT FOR CARERS AND FAMILIES Carers Scotland The Cottage, 21 Pearce Street, Glasgow, G51 3UT Tel: 0141 445 3070 www.carersuk.org/scotland Carers Scotland provides information and advice to carers on all aspects of caring. Contact a family – Scotland Craigmillar Social Enterprise and Arts Centre, 11/9 Harewood Road, Edinburgh, EH16 4NT Tel: 0131 659 2930 Helpline: 0808 808 3555 • Textphone: 0808 808 3556 • Email: helpline@cafamily.org.uk www.cafamily.org.uk • Email: scotland.office@cafamily.org.uk Contact a Family is a charity which provides support, information and advice to families of children and young people with a disability or health condition. Crossroads Caring Scotland 24 George Square, Glasgow, G2 1EG Tel: 0141 226 3793 www.crossroads-scotland.co.uk Crossroads provides practical support to carers. Princess Royal Trust for Carers in Scotland Charles Oakley House, 125 West Regent Street, Glasgow G2 2SD Tel: 0141 221 5066 • Fax: 0141 221 4623 www.carers.org • Email: info@carers.org The Princess Royal Trust for Carers in Scotland works to improve support, services and recognition for anyone living with the challenges of caring, unpaid, for a family member or friend who is ill, frail, disabled
or has mental health or addiction problems. 11.2 CHECKlIST foR PRoVISIoN of INfoRMATIoN To PATIENTS This section gives examples of the information patients/carers may find helpful at the key stages of the patient journey. The checklist was designed by members of the guideline development group based on their experience and their understanding of the evidence base. The checklist is neither exhaustive nor exclusive. At All stages Healthcare professionals should: In primary care At presentation to primary care: At referral for further assessment: At assessment appointment(s) The specialist team receiving the referral should: following assessment appointment(s) Specialist team should: At discharge from rehabilitation Specialist team should: 11 • Provision of information y ensure that advice and support from the multidisciplinary team for patients (and, where appropriate, carers) is available in a variety of formats, taking account of each patient’s communication abilities. y explain to patients the importance of accurately recording the full history including when problems were first noted, by whom and how they manifest y ascertain what information or advice the patient was given if they attended the emergency department and reiterate this information (see also SIGN 110, Annexes 8-12) 3 y if the patient is presenting following MTBI in the post-acute period, provide reassurance and information about the likelihood of good prognosis. y explain to the patient and carers why they are being referred for further assessment and where this assessment will be carried out. y ensure that the patient understands what they can do to help themself and provide written information, if available. y ensure the patient receives information about the process which will follow referral, including likely timescale and who will be involved y keep patients advised of correspondence with other members of the rehabilitation team when arranging further assessments. y ensure that the referring healthcare professional is kept informed of any outcome and interventions that they should support or be involved in y consider the inclusion of patient and family in goal setting or case planning. y provide information tailored to the patient’s individual needs and communication abilities which includes contact details for any liaison or outreach professionals who can provide ongoing contact and support following discharge. | 47
Page 1 and 2: SIGN 130 • Brain injury rehabilit
Page 3 and 4: Scottish Intercollegiate Guidelines
Page 5 and 6: Contents 1 Introduction ...........
Page 7 and 8: 1 Introduction 1.1 THE NEED foR A G
Page 9 and 10: 1.3.3 BRAIN INjURy SEVERITy Long te
Page 11 and 12: Functional therapies tend to be saf
Page 13 and 14: Prior to any prescribing, the licen
Page 15 and 16: 3 Assessment and treatment of mild
Page 17 and 18: False positives on cognitive testin
Page 19 and 20: 3 • Assessment and treatment of m
Page 21 and 22: 4.1.3 TASk-SPECIFIC AND REPETITIVE
Page 23 and 24: One further RCT (n=35) compared two
Page 25 and 26: 4.4 CoNTINENCE PRoBlEMS 4 • Physi
Page 27 and 28: It has been argued that there are v
Page 29 and 30: 6 Rehabilitation of behavioural and
Page 31 and 32: elationship between specific compon
Page 33 and 34: 7 Communication and swallowing 7.1
Page 35 and 36: 7.1.6 TRAINING COMMUNICATION PARTNE
Page 37 and 38: No evidence was identified relating
Page 39 and 40: 8 • Vocational rehabilitation The
Page 41 and 42: 9.1.2 MINIMALLy CONSCIOUS STATE A p
Page 43 and 44: A Cochrane review of evidence for m
Page 45 and 46: 10.2 CoMMuNITy REHABIlITATIoN 10.2.
Page 47 and 48: of improvement. There were no signi
Page 49 and 50: Evidence has also suggested the pot
Page 51: 11 Provision of information This se
Page 55 and 56: 12 • Implementing the guideline y
Page 57 and 58: y therapies to improve disordered s
Page 59 and 60: Guideline development and literatur
Page 61 and 62: Dr killian Welch Consultant Neurops
Page 63 and 64: NMES neuromuscular electrical stimu
Page 65 and 66: 5. What is the evidence for the eff
Page 67 and 68: 15. Is there any evidence of improv
Page 69 and 70: 31. Bryant RA, Harvey AG. Relations
Page 71 and 72: 94. Goverover Y, Johnston MV, Togli
Page 73 and 74: 157. Practice parameters: assessmen
Page 75: ISBN 978 1 905813 98 8 www.sign.ac.

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