期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 94, 期 10, 页码 1851-1854出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2013.07.003
关键词
Brain injuries; Consciousness disorders; Healthcare delivery; Minimally conscious state; Prognosis; Rehabilitation; Systems of care; Vegetative state
资金
- National Institute on Disability and Rehabilitation Research (NIDRR), US Department of Education [H133A070040, H133A120037]
Over the last decade, research on patients with disorders of consciousness (DOC) has suggested that their prognosis for functional recovery early after injury is surprisingly positive, particularly for those with traumatic etiologies; that meaningful recovery proceeds for longer intervals than previously appreciated; and that such individuals are often medically complex and challenging to manage However, access to intensive specialty rehabilitation is limited for most individuals with DOC in the United States. The evolving understanding of DOC calls for a reconsideration of appropriate models of care. This collection of articles provides insight into the functional recovery of individuals with DOC, new tools for assessing prognosis, and the patterns of comorbidity that complicate the recovery process. In addition, models of care from the United States and Europe that attempt to address the needs of patients as well as their caregivers are presented. (c) 2013 by the American Congress of Rehabilitation Medicine
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