The Role of the Neurologist in Assessment and Management of Individuals with Acquired Brain Injury

Duarte, Robert A.; Fishman, Olga

doi:10.1007/978-0-387-37575-5_4

Cited by 2 publications

(4 citation statements)

References 45 publications

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“…Typical conditions that are evaluated and treated by a neurologist include traumatic brain injury, cerebrovascular accident, seizures, headaches, pain and sleep disorders. 3 Though the educational focus in Physiatry, Anesthesiology and Neurology seem quite disparate, practicing physicians in all three fields are equipped to manage pain. Accordingly, physicians from all three specialties may require further training in order to provide optimal care for patients with pain.…”

Section: Commentarymentioning

confidence: 99%

Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration

Nasir

2021

Anaesth. pain intensive care

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Introduction: New digital health technologies provide accessible adjuncts to alleviating pain in the general population. The advent novel digital pain interventions have resulted in a rapidly evolving learning environment. Improving knowledge and understanding of these digital patient-centric approaches to treating pain is vital for our current practitioners and new cadre of trainees. The objective of this manuscript is to initiate a discussion about digital pain intervention educational needs of residents as well as attendings in PM&R, anesthesia and neurology. Methodology: After reviewing Accreditation Council Graduate Medical Education (ACGME) and relevant American Board of Medical Specialties policies and best available evidence, including grey literature, we interviewed a group of practicing physicians in physiatry, anesthesiology and neurology, including program directors, to provide expert opinion, guidance and formulate recommendations on educational requirements, research endeavors, and learning techniques and opportunities in utilizing digital health interventions for management of pain. IRB approval was not required. Conclusions: We hope that this manuscript will serve as the basis of designing a comprehensive educational program and outlining opportunities for research that prioritizes optimal care for pain patients and leverages the unique and complementary knowledge base within our fields. Key words: Digital pain; Physiatry; anesthesiology; Neurology; Competency; Accreditation Council Graduate Medical education Citation: Nasir A, Mahmood SH. Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration. Anaesth. pain intensive care 2021;25(1): 76–80. D0I: 10.35975/apic.v25i1.1444 Received: 24 October 2020; Reviewed: 22 November 2020; Accepted: 5 December 2020

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Section: Commentarymentioning

confidence: 99%

Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration

Nasir

2021

Anaesth. pain intensive care

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“…Individuals with ABI are also susceptible to major depression, generalised anxiety disorder and post-traumatic stress disorder (Rogers & Read, 2007). Common neurological complications of ABI are seizures and epilepsy (Duarte & Fishman, 2007). A seizure is defined as a disturbance in the brain's electrical activity, while an epilepsy refers to two or more seizures that are unprovoked (Duarte & Fishman, 2007).…”

Section: Overview Of Abimentioning

confidence: 99%

“…Common neurological complications of ABI are seizures and epilepsy (Duarte & Fishman, 2007). A seizure is defined as a disturbance in the brain's electrical activity, while an epilepsy refers to two or more seizures that are unprovoked (Duarte & Fishman, 2007). Seizures and epilepsy can lead to changes in consciousness, motor functions, sensation and behaviours (Duarte & Fishman, 2007).…”

Section: Overview Of Abimentioning

confidence: 99%

“…A seizure is defined as a disturbance in the brain's electrical activity, while an epilepsy refers to two or more seizures that are unprovoked (Duarte & Fishman, 2007). Seizures and epilepsy can lead to changes in consciousness, motor functions, sensation and behaviours (Duarte & Fishman, 2007). All these changes and complications may compromise an individual's safety and ability to drive after ABI; hence, it is mandatory that an individual does not drive until medical clearance is obtained (Austroads, 2012).…”

Section: Overview Of Abimentioning

confidence: 99%

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Family members’ needs and experiences related to driving disruption following acquired brain injury

Liang¹

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Family members often assume the caregiving role after an individual sustains an acquired brain injury (ABI). A mandated period of driving disruption following an ABI means that individuals will often rely heavily on family members for transport and emotional support.However, research on driving disruption has largely focused on the impact, assessment and rehabilitation of the individual with ABI, with little attention given to family members. In order to develop an understanding for approaches to support family members better, this thesis aimed to explore the needs and experiences of family members during driving disruption following an ABI.The first aim of the thesis was to gain a broader understanding of the issue by conducting a scoping review of the literature on family members' needs and experiences during driving disruption across all health conditions. The scoping review found that driving disruption is a stressful and complex issue with communication and emotional implications for family members. The review highlighted differences in experiences according to health condition, permanence of driving disruption and nature of the caregiver occupation, and identified the need for further research on the issue of driving disruption for family members of individuals with ABI.A prospective, mixed methods, longitudinal study, with a phenomenological approach was conducted with family members of individuals with ABI who were experiencing driving disruption. Recruitment was stratified according to time post-ABI to gain a range of perspectives. Data were collected from 15 family members at three time-points: recruitment to study, 3 and 6 months later. Self-report questionnaires measuring family members' quality of life and well-being were administered at the first time-point, and semistructured interviews were conducted at each time-point. All interviews incorporated the use of a map to elicit qualitative and quantitative data about family members' current travel patterns as a result of driving disruption. The data were analysed using different approaches in a series of four studies.The first two studies aimed to gain an in-depth understanding about the experiences of family members of individuals experiencing driving disruption due to ABI across the recovery continuum. Both studies examined the mixed methods cross-sectional data from the first time-point. The first study explored the differences in family members' experiences iii at the early (<1 year post-ABI) and later stages (>1 year post-ABI) using a mixed methods, phenomenological approach. Family members in the later group reported more challenges with greater intensity. These challenges included changes in everyday activities, the impact on their emotions, consequences for the whole family, and effects on physical health. The later group had lower ratings of health and well-being, and higher caregiver strain.The second study investigated the specific changes family members experienced in everyday activities with a focus on the impact of driving disru...

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The Role of the Neurologist in Assessment and Management of Individuals with Acquired Brain Injury

Cited by 2 publications

References 45 publications

Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration

Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration

Family members’ needs and experiences related to driving disruption following acquired brain injury

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