Article

Who's who in brain injury

Members of the public are often bewildered by the vast array of experts involved in the rehabilitation process of those suffering from an acquired brain injury. It is hoped therefore that this summary will assist in the understanding of those experts roles.

Case Managers - These are experienced professionals often Occupational Therapists or Social Workers that work with individuals and their families to locate, source and manage packages of care, treatment and rehabilitation normally in collaboration with Solicitors.

Neuro Physiotherapist - Neuro Physiotherapists specialise in assessing and treating disorders of movement and loss of physical skills. They will often help with problems of balance, standing and walking. They also assist with maintaining general fitness. Often they are involved in teaching specialist exercises such as hydrotherapy, the use of specialist equipment, standing frames or exercise machines or with the provision of splints or limb supports. The use of activities and exercises which target general fitness are a very important part of rehabilitation as often those with brain injuries suffer from fatigue (tiredness) and lack of stamina.

Neuro Psychology - Often a Neuro Psychologist carries out tests to measure the impact of the brain injury upon concentration, memory, reasoning and other mental abilities. The results of these test can then be used to monitor recovery and to help with planning strategies specifically designed for the individual needs. Psychologists will help with problem solving techniques, memory aids and can contribute significantly to a patient’s feeling of well being. Individuals with brain injuries often have behavioural and emotional changes, such as aggression, disinhibited behaviour and low mood. Many of the psychologist’s techniques include behaviour modification and cognitive behavioural therapy. They not only work with those who are brain injured but also with their families and those that provide care, keeping everyone supported. They play a very crucial role in understanding the problems faced by all those involved with a brain injured client.

Speech and Language Therapists - Commonly known as SALTS. There are many who specialise in Acquired Neurological Disorders providing assessment and treatment for those who have difficulties with communicating or eating, drinking and swallowing following a brain injury. They will assess the patient and advise on the best way to communicate effectively and to provide nutrition safely. There are lots of exercises that can improve speech or swallowing and many things that can be done to support effective language skills. Alternative means of communication can include talking machines, picture based systems and electronic devices that can prompt and teach language.

Neuro Psychiatry - There is often confusion between the Psychologist and the Psychiatrist and who is who. A Neuro Psychiatrist is a Medical Doctor; someone who specialises in the assessment, management and prevention of mental behaviour and mental disorders. Those who suffer from brain injuries are at increased risk of developing these disorders. Many have problems with such things as aggression, depression and anxiety and sometimes epilepsy or tremors can occur. Those with brain injury can be limited in their understanding of others and expressing themselves. There is often sensory deficit or partial loss of vision or motor problems such as poor mobility. The combination of mental, behavioural and emotional disorders along with health problems can make rehabilitation and every day life very challenging. A Neuro Psychiatrist would usually work with colleagues from a multi disciplinary background to help coordinate and ensure the best possible approach. Psychiatrists often help by assessing relatives, partners or friends and identifying sources of distress and supporting those individuals who may themselves have associated mental health problems such as depression or anxiety. As a medical expert, Psychiatrists have an ability to prescribe medication where appropriate.

Neuro-Occupational Therapists - Neuro-occupational therapists enable people to achieve where possible, health and well being and life satisfaction. Many daily activities can be affected. With acquired brain injury these therapists often focus on helping with personal hygiene (washing and dressing), managing wheelchairs, seating, eating, drinking, home management, community, living and work skills. They will consider the impact that the injury has had on lifestyle and look at how the injured person used to participate in society and aim to return the person as far as possible to that pre-event position. Programmes of treatment are based on each individual’s unique life style and preferences. They will often have to modify the environment surrounding the person suffering the brain injury by, for example, adapting bathrooms, organising steps and ramps for easy access. By enhancing the patient’s ability to participate in every day activities the neuro-occupational therapist maximises independence.

Solicitors - Although there are thousands of Solicitors in the UK, only a handful specialise in brain injury work. It is often possible to take legal action to secure a financial award when somebody is injured as a result of an accident or an assault. That may help the injured person and their relatives now and in the future with the cost of care and support. Headway - the brain injury association has a Solicitor’s list of Accredited Specialist Solicitors who understand the complex nature of brain injuries (Frances Pierce at TS&P is on the Solicitor’s list). It is vitally important that the Solicitor used has experience in brain injury cases because of the complexity of the work involved.

Receivers - When someone sufferers a brain injury, they may be incapable of managing and administrating their property and affairs. If they are, then under the Mental Health Act the Court of Protection can appoint a Receiver to help with and oversee the management of their property and affairs.

For further enquiries please contact Jonathan Clement (view full profile) on 01892 701264 or email jclement@ts-p.co.uk.

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