Applicability of traumatic brain injury rehabilitation interventions in natural disaster settings.

Abstract:

:Objective: To evaluate published traumatic brain injury (TBI) clinical practice guidelines (CPGs) and assess rehabilitation intervention recommendations for applicability in disaster settings. Methods: Recommendations for rehabilitation interventions were synthesized from currently published TBI CPGs, developed by the Department of Labor and Employment (DLE); Scottish Intercollegiate Guidelines Network (SIGN); Department of Veterans Affairs/Department of Defence (DVA/DOD); and American Occupational Therapy Association (AOTA). Three authors independently extracted, compared, and categorized evidence-based rehabilitation intervention recommendations from these CPGs for applicability in disaster settings. Results: The key recommendations from a rehabilitation perspective for TBI survivors in disaster settings included patient/carer education, general physical therapy, practice in daily living activities and safe equipment use, direct cognitive/behavioral feedback, basic compensatory memory/visual strategies, basic swallowing/communication, and psychological input. More advanced interventions are generally not applicable following disasters due to limited access to services, trained staff/resources, equipment, funding, and operational issues. Conclusions: Many recommendations for TBI care are challenging to implement in disaster settings due to complexities related to the environment, resources, service provision, workforce, and other reasons. Further research is needed to identify and address barriers for implementation.

journal_name

Brain Inj

journal_title

Brain injury

authors

Lee SY,Amatya B,Judson R,Truesdale M,Reinhardt JD,Uddin T,Xiong XH,Khan F

doi

10.1080/02699052.2019.1641748

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1293-1298

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

33

pub_type

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