Download - Advances in Clinical Neuroscience and Rehabilitation

More documents

Recommendations

Info

R E H A B I L I TAT I O N A RT I C L Epsychological support that was previouslyunavailable. This service developmentproject and evaluation wascompleted in one day per week for ayear including travel and administration.If services such as this arecontinued, further people havingstrokes could benefit. This will havebenefits for the health and well-beingof those experiencing strokes andtheir families, and positive benefits torehabilitation outcomes.ConclusionThis service development project andevaluation has identified and filled anunmet need for psychological provisionafter stroke in this locality. All theparticipants were appreciative of theservice and felt that they benefited. Theresults show that participants’ overallmood improved after receiving thisservice. The DASS was an appropriatemeasure to assess mood and enabledchanges in stress, anxiety and depressionto be assessed and evaluated.Psychodynamic counselling wasshown to be a potentially effectivepsychotherapeutic approach and avaluable extension to the communitymultidisciplinary rehabilitationapproach. This evaluation addsfurther to the literature and evidencebase of the effectiveness ofpsychotherapeutic approaches withstroke. It has also been identified thatthe commissioning of a well-structuredpsychological support serviceis needed. Anticipated benefits arelikely to include: reduced demand onGPs due to reduced risk, supportingGPs to meet higher ratings on theirquality and outcomes framework andtherefore making cost savings, andthe provision of a high quality servicethat meets the quality markers of TheNational Stroke Strategy (Departmentof Health, 2007).Helping to support a person to feelbetter about life can only be valuable,and therefore this has been a veryworthwhile project. One participant’spositive feedback through a changequestionnaire made the followingcomments about the counsellingsessions.“A relief through a difficult time”“I couldn’t have stayed in hospital if Ididn’t have you.”“Not worried if sitting alone. Not terrifiedanymore.”REFERENCES1. Lovibond SH, Lovibond PF. (2004) DASS: The Depression, Anxiety, StressScales. 2nd ed. School of Psychology, University of New South Wales,Sydney, Australia.2. National Audit Office (2005) NHS: Department of Health: ReducingBrain Damage: Faster access to better stroke care.3. Kvigne K, Kirkevold M, Gjengedal E. ‘Fighting back – Struggling tocontinue life and preserve the self following a stroke.’ In: Health Care forWomen International, 2004;25:370-87.4. Royal College of Physicians (2008) National Clinical Guidelines forStroke. Prepared by the Royal College of Physicians intercollegiatestroke working party. 3rd ed.5. Banks P. Pearson C. ‘Parallel lives: younger stroke survivors and theirpartners coping with crisis.’ In: Sexual and Relationship Therapy2004;19(4):413-29.6. Cunningham R. ‘Counselling someone with severe aphasia: an explorativecase study’ In: Disability and Rehabilitation 1998;20(9):346-54.7. Oliveira RA, Milliner EK, Page R. ‘Psychotherapy with PhysicallyDisabled Patients.’ In: American Journal of Psychotherapy.2004;58(4):430-41.8. Hsu MC, Schubiner H. ‘Recovery from Chronic Musculoskeletal Painwith Psychodynamic Consultation and Brief Intervention: A Report ofThree Illustrative Cases.’ In: Pain Medicine. 2010;11:977-80.9. Wilson BA, Gracey F, Evans JJ, Bateman A. (2009) NeuropsychologicalRehabilitation: Theory, Models, Therapy and Outcome. CambridgeUniversity Press, UK.10. Leader, D. (2009) The New Black: Mourning, Melancholia andDepression. London, England, Penguin Books.11. Blando, John (2011) Counseling Older Adults, East Sussex, Routledge,Taylor & Francis Group.12. Stern, R. (1997) Visual Analog Mood Scale –VAMS. PsychologicalAssessment Resources, Inc. USA.13. National Stroke Strategy for England (2007) NHS: Department ofHealth14. Parr, S. (2004) The Stroke and Aphasia Handbook. London. Connect.Monday 26th November 2012University of Warwick Conference Centre, Coventry, CV4 7ALRAatE 2012 is the only UK conference focused on the latest innovations anddevelopments in assistive technology. This conference will be of interest to everyonewho uses, works with, develops or conducts research on assistive technologies (AT).The Conference is run in association with the Health Design & Technology Institute atCoventry University. The HDTI seeks to develop new products and new systems ofcare provision for the assisted living sector.The conference program has, over the past years, regularly included newtechnological developments, service innovations, results of formal research projects,service based research and development and a wide range of other stimulating topics.Known as a friendly and productive conference, RAatE 2012 offers you a chance tomeet and share knowledge and experience with other people working in AT.RAatE 2012 is delighted to announce this years keynote speaker as Mark Hawley,Professor of Health Services Research at the University of Sheffield, UK, where heleads the Rehabilitation and Assistive Technology Research Group. Over the last 20years, he has worked as a clinician and researcher - providing, researching,developing and evaluating assistive technology, telehealth and telecare products andservices for disabled people, older people and people with long-term conditions.Paper presentations and workshops at RAatE 2012 will includeTo book your place at RAatE 2012 register online at www.raate.org.ukCost is £150 inclusive of VAT.For more information on sponsorship opportunities or to book an exhibition standplease contact hdti.info@coventry.ac.uk 20 > ACNR > VOLUME 12 NUMBER 4 > SEPTEMBER/OCTOBER 2012
N E U RO LO GY I N A RTAn Artist’s View of theBrainJane Southgategained her BA at Chelsea School offine art and has worked as aprofessional artist from her studioin Suffolk for the last 17 years. Sheregularly exhibits, undertakescommissions and runs workshopsfor a variety of different groups.Her work is generally threedimensionaland often contains atextile element.Correspondence to:Jane Southgate,1 Bridges Cottages,Darmsden,Ipswich,Suffolk,IP6 8RA UK.Email: janevsouthgate@yahoo.co.ukThere is always a biological element in mywork, usually human but not exclusively,however lately I have been fascinated by thebrain. This interest arose after the death of a familymember from a brain tumour. As an artist, themajority of my work involves life cycles and has attimes addressed pregnancy, the lifecycle and nestingof birds, reclamation and recycling, decay and newlife within the natural world. I wasn’t looking foranswers, reasons or even explanations linked withthis event. It merely highlighted to me what anamazing and fascinating organ the brain is. Initially Iconcentrated on the theoretical concepts, I amenthralled by how we can be ourselves, have ourown individual personality and yet everything weare, do and think has been explained by some asmerely a process in the brain, how can this be all weare? How can electro-chemical reactions within ourbrains make me an artist and you a neurologist? Andwhere does the spirit of each of us come from, andreside, within that amazing network of firingsynapses? Well, these questions I still can’t answerand they still fill me with awe. I have, however, beenlearning more about the physical construction ofthe brain and, as a sculptor who frequently workswith textiles, this grasping at an understanding of thefabrication of the brain holds another area foramazement.In order to explore my thoughts and findings Ibegan making papercuts of the outer appearance ofthe brain, that beautiful folded and pleated, almostquilted surface. I followed this with a papercut of anartistic interpretation of neurons. Neurons, it seemsto me, really are the thread of our thoughts. Theirdelicate spidery dendrites and axons have a trulytextile, woven quality to them. For this very reason Icrocheted a neuron, but this wasn’t delicate enoughand I felt it lacked the fantastically fragile appearanceof the real thing. This led me into an experimentof embroidering neurones onto dissolvablefabric so that I could make a neuron lace. I washappier with the results but currently I am trying tofind a way of making them more three-dimensionalas the flat lace doesn’t do justice to the the neuralnetworks and interconnections. I have embroidereda side view of the brain and upper brainstem, andmade a quilted version although I intend to work onthis quilting effect much more as my first attemptdoesn’t embody the sumptuous depths of thecrenellations that I want to capture. I have justfinished knitting myself a brain. I took my knitting inmy bag with me wherever I was going for the last fewweeks so I could work on it whenever I had a fewminutes. It was fantastic fun to see people’s reactionsas they often stopped me to ask what it was I wasknitting. I am trying to design a way to make a veryloose 3-D weaving based on images of thought pathwaysand digitally recoloured photographs ofneuron interconnections especially the gorgeousKnitted brain‘Brainbow Mouse’ images by Jean Livet, Joshua RSanes and Jeff Lichtman but it is proving to be ratherdemanding. Having recently visited the WellcomeTrust to see ‘Brains: The Mind as Matter’ exhibition Iwas captivated by the fantastic drawings of SantiagoRamon y Cajal. I am hoping to create a body of workthat will be exhibited together in order to inspireother peoples’ interest and exploration into thisfascinating organ. Particularly, I hope to encapsulatea sense of its visual beauty in physical construction,externally and internally, not just its vast, assortedand amazing functions. lNeuron laceACNR > VOLUME 12 NUMBER 4 > SEPTEMBER/OCTOBER 2012 > 21
Page 1: ISSN 1473-9348 VOLUME 12 ISSUE 4 SE
Page 4: F RO M T H E E D I TO R ...Martin T
Page 7 and 8: An element of changeA first-in-clas
Page 9 and 10: At the centre of managing epilepsy
Page 11 and 12: R E V I E W A RT I C L ELeft panel:
Page 13 and 14: R E V I E W A RT I C L EFigure 1: H
Page 15 and 16: S P E C I A L F E AT U R EThe EuroI
Page 17 and 18: R E H A B I L I TAT I O N A RT I C
Page 19: R E H A B I L I TAT I O N A RT I C
Page 23 and 24: NEUROSCIENCE NURSING FEATUREClinica
Page 25 and 26: N E U RO S U RG E RY A RT I C L Emu
Page 27 and 28: N E U RO S U RG E RY A RT I C L ETa
Page 29 and 30: C O N F E R E N C E R E P O RT S39.
Page 31 and 32: C O N F E R E N C E R E P O RT SABN
Page 33 and 34: C O N F E R E N C E R E P O RT SThe
Page 35 and 36: Neuroradiology and Functional Neuro
Page 37 and 38: J O U R N A L R E V I E W SEditor
Page 39 and 40: N E W S R E V I E WFujifilm support

Download - Advances in Clinical Neuroscience and Rehabilitation

Create successful ePaper yourself

Delete template?

Save as template?