NeuroRehabilitation - Volume 1, issue 2

Article Type: Other

DOI: 10.3233/NRE-1991-1201

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 4-4, 1991

Authors: Kreutzer, Jeffrey S.

Article Type: Introduction

DOI: 10.3233/NRE-1991-1202

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 6-6, 1991

Authors: McNeny, Robin | Wilcox, Pat

Article Type: Research Article

Abstract: Catastrophic illness or injury frequently introduces individuals and their families to the unfamiliar domain of rehabilitation, forcing them into a relationship with a team of professionals who will lead them through a program designed to enhance ability while minimizing disability. This unique and unnatural relationship between the family, patient, and team members is at times difficult. Rehabilitation professionals must understand the sources and types of conflict that may arise between team members and patients, between family members and patients, within the team, within the family, or between the team and the family. Understanding the basis of conflict can facilitate the …team’s effort to care for families while caring for their own well-being, and thus can enhance the family-patient-team relationship. Show more

DOI: 10.3233/NRE-1991-1203

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 7-17, 1991

Authors: Waaland, Pamela | Raines, Shanan R.

Article Type: Research Article

Abstract: This article describes the assessment and intervention issues relevant to families of children with neurological disability. An adaptation of Bishop’s model of family assessment is used as a basis for evaluating families in crisis. Family burdens and problems, family functioning, and family resources and support are discussed in regard to the characteristics of the child and the family, and the quality of the treatment community and community support. Crucial and difficult issues often confronted by the family therapist in working with these families are highlighted. The authors stress the role of the therapist as one that goes beyond traditional therapeutic …boundaries. The clinician helps the family to understand the impact of the disability on all aspects of family functioning and provides support through networking and advocacy. Therapy is viewed as a means of empowerment rather than as a form of uncovering pathology. Show more

DOI: 10.3233/NRE-1991-1204

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 19-27, 1991

Authors: DePompei, Roberta | Blosser, Jean L.

Article Type: Research Article

Abstract: This article provides a framework for guiding families with a child or adolescent who has sustained a traumatic brain injury (TBI) through the transition from rehabilitation center to home and school. The process promotes the development of positive attitudes about what can be accomplished and advocates empowering the family, when feasible, to become primary decision makers. The impact of TBI on the patient’s family and peers, methods for empowering the family to aid in the school reentry process, and suggestions for establishing roles and responsibilities for professionals and families are discussed. The focus of this article is the family with …a child who has sustained a TBI; however, the procedures outlined are applicable to any family whose child was a normally achieving student before becoming injured or ill and is in need of special planning for school programming. Show more

DOI: 10.3233/NRE-1991-1205

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 29-37, 1991

Authors: Haut, Marc W. | Haut, Jennifer S. | Bloomfield, Stephen S.

Article Type: Research Article

Abstract: Patients with brain tumors have cognitive, emotional, and behavioral sequelae that impair their quality of life as well as the functioning of those around them. The focus of this article is a discussion of strategies and techniques aimed at improving the quality of life for patients with brain tumors and their families. Epidemiology of brain tumors, recent advances in treatment, and neurobehavioral impacts are discussed. Family coping issues unique to families of patients with brain tumors are emphasized. Assessment and intervention strategies are included with specific case examples. Nondirective, supportive interventions are recommended that model independent functioning through compensation.

DOI: 10.3233/NRE-1991-1206

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 39-47, 1991

Authors: Bouman, Dawn E.

Article Type: Research Article

Abstract: As the elderly population continues to increase, caring for persons with Alzheimer’s disease is a growing public health problem. Although it is obvious that caregivers of patients with Alzheimer’s disease face huge burdens, only recently have these burdens been addressed empirically. This article describes specific stressors that caregivers experience. Recommendations are made for treatment of both the patient and the caregiver and include education, environmental manipulations, behavioral management, and emotional expression. Options for care, including home care, home care with outside assistance, and institutional care, are discussed. Suggestions are made for increased participation by health professionals in the vital role …of caring for these patients and their caregivers. Treating both is essential, because their well-being is interdependent. Show more

DOI: 10.3233/NRE-1991-1207

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 49-57, 1991

Authors: Hanson, Stephanie | Frank, Robert G.

Article Type: Research Article

Abstract: Spinal cord injury (SCI) is an unanticipated traumatic event that affects the entire family. Although rehabilitation professionals can play a crucial role in facilitating successful family adjustment, there has been limited empirical and theoretical work to identify factors that should be considered in working with families coping with SCI. In this article, components of assessment and intervention believed to be fundamental in fostering family adaptation to SCI are discussed. Four broad areas of assessment, including identification of the family, family boundaries, developmental roles, and coping skills, are reviewed. The importance of creative treatment planning, with consideration of reasonable therapeutic goals …and the facilitation of appropriate team and family involvement in the rehabilitation process, is also discussed, with emphasis on effective communication between the patient, the family, and the rehabilitation team and the need for flexibility in working together to maximize patient independence and family adjustment. Show more

DOI: 10.3233/NRE-1991-1208

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 59-67, 1991

Authors: Evans, Ron L. | Bishop, Duane S. | Haselkorn, Jodie K. | Hendricks, Robert D. | Baldwin, Deborah | Connis, Richard T.

Article Type: Research Article

Abstract: Most clinical and research attention to stroke has been on managing its acute stage and on evaluating the effectiveness of relatively short-term rehabilitation programs. However, many studies suggest that stroke affects long-term quality of life and the well-being of patients’ families. This article reviews the literature as it relates to the effects of stroke on the family and discusses stroke in terms of clinical problems that make rehabilitation a family issue. Families share in treatment, especially in the long term, and they are ultimately responsible for the patient’s welfare.

DOI: 10.3233/NRE-1991-1209

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 69-77, 1991

Authors: Zasler, Nathan D.

Article Type: Book Review

DOI: 10.3233/NRE-1991-1210

Citation: NeuroRehabilitation, vol. 1, no. 2, pp. 79-80, 1991