Francesca Centomo, M. V. D. Linden, G. Wicky, A. Bellmann
{"title":"神经心理康复的重点是在一个极端严重的脑损伤患者的日常活动","authors":"Francesca Centomo, M. V. D. Linden, G. Wicky, A. Bellmann","doi":"10.46278/j.ncacn.201907142","DOIUrl":null,"url":null,"abstract":"Despite the disabling consequences of severe traumatic brain injury (TBI) in daily life, very few studies focused on the re-education of specific “instrumental activities” in these patients. In this qualitative study, we present an ecological rehabilitation of a patient victim of an extremely severe TBI and presenting severe and diffuse cognitive impairment. The rehabilitation program, focused on the preparation of a vegetable soup, was structured in three steps conjugating various strategies: a phase of acquisition of basic knowledge and procedures, a phase of application to the actual preparation of the soup, and an adaptation phase devoted to making the activity a purposeful part of the patient’s life. Results showed that it is possible to increase the abilities of severely impaired patients in a daily task, as well as their self-awareness, by means of an individualized, contextualized and intensive rehabilitation. However, several limitations must be considered.","PeriodicalId":244186,"journal":{"name":"Neuropsychologie clinique et appliquée","volume":"52 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Neuropsychological rehabilitation focused on a daily activity in an extremely severe brain-injured patient\",\"authors\":\"Francesca Centomo, M. V. D. Linden, G. Wicky, A. Bellmann\",\"doi\":\"10.46278/j.ncacn.201907142\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Despite the disabling consequences of severe traumatic brain injury (TBI) in daily life, very few studies focused on the re-education of specific “instrumental activities” in these patients. In this qualitative study, we present an ecological rehabilitation of a patient victim of an extremely severe TBI and presenting severe and diffuse cognitive impairment. The rehabilitation program, focused on the preparation of a vegetable soup, was structured in three steps conjugating various strategies: a phase of acquisition of basic knowledge and procedures, a phase of application to the actual preparation of the soup, and an adaptation phase devoted to making the activity a purposeful part of the patient’s life. Results showed that it is possible to increase the abilities of severely impaired patients in a daily task, as well as their self-awareness, by means of an individualized, contextualized and intensive rehabilitation. However, several limitations must be considered.\",\"PeriodicalId\":244186,\"journal\":{\"name\":\"Neuropsychologie clinique et appliquée\",\"volume\":\"52 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neuropsychologie clinique et appliquée\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.46278/j.ncacn.201907142\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neuropsychologie clinique et appliquée","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.46278/j.ncacn.201907142","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Neuropsychological rehabilitation focused on a daily activity in an extremely severe brain-injured patient
Despite the disabling consequences of severe traumatic brain injury (TBI) in daily life, very few studies focused on the re-education of specific “instrumental activities” in these patients. In this qualitative study, we present an ecological rehabilitation of a patient victim of an extremely severe TBI and presenting severe and diffuse cognitive impairment. The rehabilitation program, focused on the preparation of a vegetable soup, was structured in three steps conjugating various strategies: a phase of acquisition of basic knowledge and procedures, a phase of application to the actual preparation of the soup, and an adaptation phase devoted to making the activity a purposeful part of the patient’s life. Results showed that it is possible to increase the abilities of severely impaired patients in a daily task, as well as their self-awareness, by means of an individualized, contextualized and intensive rehabilitation. However, several limitations must be considered.