Liaison psychiatry in a spinal injuries unit

Judd, Fiona; Burrows, Graham D.

doi:10.1038/sc.1986.3

Cited by 18 publications

(8 citation statements)

References 27 publications

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“…The vital role of a psychiatric team in the multidisciplinary care of spinal cord injured patients is being increasingly recognised. 1 In the Madras Paraplegia Project a quali tative improvement was observed in the assessment and care of patients requiring psychiatric and/or psychological assistance after the advent of a psychiatric team. The results of the psychological study of 328 patients admitted into the unit are de scribed.…”

Section: Introductionmentioning

confidence: 99%

A psychological study of spinal cord injured patients involved in the Madras Paraplegia Project

et al. 1992

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The psychological features of spinal cord injured (SCI) patients involved in the Madras Paraplegia Project are described. Three hundred and twenty-eight patients were studied. Based on personality tests, 11% were extroverts, 14% were introverts and 76% were neither extroverts nor introverts. Twenty-four percent of the subjects were neurotic, 11% had a depressive illness, and 26% had pathological anxiety. The study has highlighted the psychological status of SCI patients, and the usefulness of a psychiatric team in the multidisciplinary care of such patients. This is probably the first large psychological study of SCI patients from a developing country.

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Section: Introductionmentioning

confidence: 99%

A psychological study of spinal cord injured patients involved in the Madras Paraplegia Project

et al. 1992

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“…Inattention to pressure and bladder care are common manifestations of this. 4 The inadequate behaviour often changes into a more positive attitude spontaneously thanks to rehabilitation. Patients with 'the ectodermic syndrome' mainly and often exclusively suffer from pressure sores.…”

Section: Discussionmentioning

confidence: 99%

Psychological factors in the causation of pressure sores: case report

Heilporn

1991

Spinal Cord

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SummaryA high incidence of re-admissions to a spinal injuries unit by a small number of patients suffering from multiple pressure sores is described. The study shows an increased association of skin fragility and poor healing with an altered psychological behaviour.This combination of vulnerability to recurrent pressure sores in association with the pathological intellectual debility is described as 'ectodermic syndrome'. This restricts the eventual rehabilitative outcome.

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“…The basic question: “What next?” can rarely be answered [6,7], and this prompts the patient to conclude that all those routine words of comfort are ungrounded, while the future looks bleak [8,9]. …”

Section: Introductionmentioning

confidence: 99%

“…measure of negative impact on the mental health of a patient of some chronic and/or secondary symptoms of illness or injury not constituting a direct threat to their life [8,9,17–20]. …”

Section: Introductionmentioning

confidence: 99%

The quality of life of persons with TBI in the process of a Comprehensive Rehabilitation Program

et al. 2012

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SummaryBackgroundThe aim of the research was to evaluate the effectiveness of the phased rehabilitation program in patients after traumatic brain injury, one developed by the authors and controlled by the strategic plan, pertaining to their quality of life compared to patients treated according to a standard, phased rehabilitation program.Material/MethodsThe study included 40 patients of post traumatic brain injury treated at the Rehabilitation Clinic of the L. Rydygier Academy of Medical Sciences in Bydgoszcz and the Department of Medical Rehabilitation of the Cracow Rehabilitation Centre. An experimental group included 20 patients rehabilitated by a strategic approach and a control group consisted of 20 patients treated before the introduction of this approach. In assessing the effectiveness of rehabilitation, a structured interview was used with clinical observation and the Battery of Quality of Life Assessment. The study was conducted twice: before and after eight weeks of rehabilitation.ResultsThe quality of life of people after brain injury is affected by self-service difficulties, difficulties in meeting the physiological needs and loss of psychophysical comfort, decreased mobility, impaired cognitive functions and executive and social functions. There is no consistency between the stated (subjective) level of quality of life of the patient, and the depth of objectively measured disability resulting from the injury sustained.ConclusionsA rehabilitation program controlled by a strategic plan, in collaboration with the patient treated subjectively is more effective in improving the quality of life, since the cooperating patient is more motivated to carry out individually designed goals. A rehabilitation program based on a strategic plan is worthy of recommendation for the treatment and improvement of patients after cranio-cerebral trauma.

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Liaison psychiatry in a spinal injuries unit

Cited by 18 publications

References 27 publications

A psychological study of spinal cord injured patients involved in the Madras Paraplegia Project

A psychological study of spinal cord injured patients involved in the Madras Paraplegia Project

Psychological factors in the causation of pressure sores: case report

The quality of life of persons with TBI in the process of a Comprehensive Rehabilitation Program

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