Brain Injury Rehabilitation

Giles, Gordon Muir; Clark-Wilson, Jo

doi:10.1007/978-1-4899-7234-7

Cited by 54 publications

(13 citation statements)

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“…intact after injury (Goldstein & Oakley, 1983;Squire, 1986) In rhe mid-1980s, the first repons of functional skills rraining ef• fons with patients with TBI emerged (Goodman-Smith & Turnball, 1983). Since then, these concepts have been applied and developed rrimarily in the United States and an increasing amount of treatment research has been devoted ro learning theory-based inrervenrions regarding aspects of functional skills (Giles & Clark-Wilson, 1988Giles & Morgan, 1989;Giles & Shore, 1989a, 1989b, behavioral control (Burke, Wesolowski, & Lane, 1988;Giles & Clark-Wilson, 1993;Zencius, Wesolowski, Burke, & McQuaid, 1989), and social skills rraining (Brorhenon, Thomas, Wjsmzek, & Milan, 1988;Gajar, Schloss, Schloss, & Thompson, 1984;Giles, Fussey, & Burgess, 1988).…”

Section: Gordon Muir Gilesmentioning

confidence: 99%

“…Although well designed studies have usually found anenrional retraining ineffective, there are suggestions that certain very structured approaches may be worthy of further study. The type of memory retraining condUCted through the 1970s and 1980s involVing direct praCtice of memory tasks has largely been shown to lack positive effeCt (Giles & Clark-Wilson. 1993).…”

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

“…Application of the type of standard model of social skills training used Widely with other populations seems to be ineffective with patients with TBI Oohnson & Newton, 1987a, 1987b. There is, however, both individual and group study evidence (using some robust designs) that behav• iorally defined and energetically pursued interventions may be effective in both reducing unwanted behaviors and increasing socially skilled interactions (Brotherton et aI., 1988;Giles & Clark• Wilson, 1993). Considerable ingenuity has been expended to try to reduce inappropriate behaViors.…”

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

“…Considerable ingenuity has been expended to try to reduce inappropriate behaViors. Many of these efforts have been shown to be effective; learning theory-based approaches are generally the most effective (Giles & Clark-Wilson, 1993).…”

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

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The Status of Brain Injury Rehabilitation

Giles¹

1994

The American Journal of Occupational Therapy

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Section: Gordon Muir Gilesmentioning

confidence: 99%

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

Section: Late Acute and Postacute Treatment Phasementioning

confidence: 99%

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The Status of Brain Injury Rehabilitation

Giles¹

1994

The American Journal of Occupational Therapy

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“…The RNA is based on learning theory and principles of social psychology and aims to limit demands and minimize the use of interventions that patients may find aversive and that may instigate aggressive responses [1,2,29,30]. A philosophy of non-confrontation, normalization, positive engagement and support, and functional and behavioral skill development are emphasized.…”

Section: Introductionmentioning

confidence: 99%

The relational neurobehavioral approach: can a non-aversive program manage adults with brain injury-related aggression without seclusion/restraint?

Kalapatapu

Giles

2016

Disability and Rehabilitation

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Purpose The Relational Neurobehavioral Approach (RNA) is a set of non-aversive intervention methods to manage individuals with brain injury-related aggression. New data on interventions used in the RNA and on how the RNA interventions can be used with patients with acquired brain injury (ABI) who have differing levels of functional impairment are provided in this paper. Method The study was conducted over a 6-week period in a secure 65-bed program for individuals with ABI that is housed in two units of a skilled nursing facility (SNF). Implementation of the RNA was compared between two units that housed patients with differing levels of functional impairment (n = 65 adults). Since this was a hierarchical clustered dataset, Generalized Estimating Equations regression was used in the analyses. Results RNA interventions used to manage the 495 aggressive incidents included: Aggression ignored, Closer observation, Talking to patient, Reassurance, Physical distraction, Isolation without seclusion, Immediate medication by mouth, Holding patient. Different interventions were implemented differentially by staff based on level of functional impairment and without use of seclusion or mechanical restraint. Conclusions The RNA can be used to non-aversively manage aggression in patients with brain injury and with differing levels of functional impairment. Programs adopting the RNA can potentially manage brain injury-related aggression without seclusion or mechanical restraint.

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Effects on the Primary Caregiver When a Family Member Experiences Acquired Brain Injury

Rees¹,

Hannaford²

1996

Aust J Social Issues

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This pilot study examines a random sample of20families with adults who have experienced acquired brain injury information aboutfamily structure pre and post accident is obtained by structured and open ended interviev.' along with identification ofthe role ofthe primary caregiver. Analysis ofthe role ofprimary caregiver demonstrates the importance ofthe role ofmothers and wives and the extent to which greatly increased responsibilities are acquired post accident. These increased responsibilities are a burden and alter the women 's lifestyle such that their quality oflife, like that afthe person with brain injUly, is severely impaired. This is a distinct but often unheralded oU/come ofacquired brain injury.

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Brain Injury Rehabilitation

Cited by 54 publications

References 0 publications

The Status of Brain Injury Rehabilitation

The Status of Brain Injury Rehabilitation

The relational neurobehavioral approach: can a non-aversive program manage adults with brain injury-related aggression without seclusion/restraint?

Effects on the Primary Caregiver When a Family Member Experiences Acquired Brain Injury

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