PMID: 3767628Oct 1, 1986Paper

Rehabilitation team and family assessment of the initial home pass

Archives of Physical Medicine and Rehabilitation
N RaoR F Harvey

Abstract

Brain-injured individuals may have neurologic damage resulting in physical, cognitive and personality sequelae. Rehabilitation promotes recovery for these patients by restoring cognitive and social functions and focusing attention on medical-physical and cognitive-social intervention. A major component in rehabilitation is to teach family members to understand the process of recovery and their role in teaching and reinforcing desired behaviors at home. To investigate the utility of the family's role, we studied the effects of allowing patients to return to the home/family environment for short stays (therapeutic pass). By comparing functional ratings obtained from family and rehabilitation team members, we found families rated brain-injured patients higher in medical-physical areas and more equally in cognitive-social areas. Although we do not control for the family's frame of reference regarding the patient's premorbid status, we conclude that impaired cognitive functioning has a profound impact on family members who, like the patient, must make adjustments because of the disability. We recommend therapeutic passes as a meaningful tool in the process of educating families about the disability, its scope and impact, as well as ...Continue Reading

Citations

Jan 1, 1989·Social Science & Medicine·B Ridley
Sep 19, 2003·Archives of Physical Medicine and Rehabilitation·Stanley J SmitsDale C Strasser
Dec 1, 1991·Journal of Advanced Nursing·E J Henderson, B Pentland
Apr 1, 1990·Archives of Psychiatric Nursing·L L DonnerS K Pasch
Nov 1, 1987·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·J R Johnson, L Higgins
Oct 8, 1992·British Journal of Nursing : BJN·R Gardner
Jan 1, 1990·Occupational Therapy in Health Care·J Painter

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