Guidance for community-based caregivers in assisting people with moderate to severe traumatic brain injury with transfers and manual handling: evidence and key stakeholder perspectives

Health & Social Care in the Community
Loretta PiccennaRussell Gruen

Abstract

Adults with moderate to severe traumatic brain injury (TBI) rely on assistance from paid and unpaid caregivers upon return to the community. An inability to move independently makes these adults highly dependent on caregivers for transfers and manual handling tasks. Evidence-based guidelines are therefore important to ensure that caregivers and people in the community are protected and that practices are standard and consistent. This study commenced with a rapid review of evidence-based recommendations between 2000 and 2015 pertaining to transfers and manual handling in people with TBI; and ended with a structured stakeholder dialogue that reflected upon this evidence and gathered perspectives on how to address key issues in community-based manual handling following TBI. Three relevant guidelines were identified, providing nine recommendations encompassing assessment of the person's ability to assist caregivers, manual handling and appropriate equipment use. Due to the low number of recommendations and low level of supporting evidence, these recommendations alone could not provide comprehensive guidance. Three systematic reviews and two primary studies were also identified, and these suggest that comprehensive training programm...Continue Reading

References

Mar 5, 2004·Clinical Medicine : Journal of the Royal College of Physicians of London·Lynne Turner-Stokes
May 3, 2007·Nursing Management·Audrey L NelsonKevan L Whipple
May 17, 2012·Systematic Reviews·Sara KhanguraDavid Moher
Jan 7, 2014·Bulletin of the World Health Organization·Kaelan A MoatUNKNOWN Knowledge Translation Platform Evaluation study team

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Citations

Apr 8, 2020·Disability and Rehabilitation. Assistive Technology·Ronald Lee KirbySteve Paul Doucette
Jan 27, 2021·The American Journal of Nursing·Bronwyn E FieldsJanice F Bell
Nov 18, 2021·Disability and Rehabilitation. Assistive Technology·Kimberly Mathis, Rosemary Joan Gowran

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

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