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15. Is there any evidence of improvement in the following if patients with
brain injuries follow a formally agreed discharge pathway (goal planning
meetings, pre-discharge planning) when they are discharged from rehab
to home:
y increased understanding and awareness of condition
y reduced aggressive/challenging behaviours
y more rapi return to work
y more rapid return to education
y more rapid return to carer role
y more rapid return to leisure pursuits
y reduced carer stress
y improved physical functioning
y improved functional ability (activities of daily living - ADL)?
16. What is the evidence that, in patients with brain injuries who live in remote
and rural areas or have limited access to centralised care, the following
are improved with telemedicine (remote assessment and delivery of
interventions) compared to usual care:
y mood/depression (ie HADS, BDI, etc)
y goal attainment
y increased ability to carry out personal or domestic activities of daily living
– by self report, carer/relative report/occupational therapy (OT) assessment
y return to independent living
y return to caring role
y return to education
y return to work
y return to leisure pursuits
y carer burden
y Extended Glasgow Outcome Scale (GOS-E)?
17. In patients with brain injuries who are minimally conscious or in a
persistent vegetative state, do sensory stimulation and/or pharmaceutical
interventions (zopiclone, zolpidem, levodopa) improve responsiveness or
awareness?
18. In patients with brain injuries is rehabilitation in the community by an MDT
better than usual care (GP etc) in terms of:
y increased understanding and awareness of condition
y reduced aggressive/challenging behaviours
y more rapid return to work
y more rapid return to education
y more rapid return to carer role
y more rapid return to leisure pursuits
y reduced carer stress
y improved physical functioning
y improved functional ability (ADL)?
10.4
10.3
9.1-9.4
10.2
Annexes
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