Teamwork in Neurology PDF
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Teamwork in Neurology THERAPY IN PRACTICE SERIES Edited by Jo Campling This series of books is aimed at 'therapists' concerned with rehabili tation in a very broad sense. The intended audience particularly includes occupational therapists, physiotherapists and speech and lan guage therapists, but many titles will also be of interest to nurses, psychologists, medical staff, social workers, teachers or volunteer workers. Some volumes are interdisciplinary, others are aimed at one particular profession. All titles will be comprehensive but concise, and practical but with due reference to relevant theory and evidence. They are not research monographs but focus on professional practice, and will be of value to both students and qualified personnel. 1. Occupational Therapy for Children with Disabilities Dorothy E. Penso 2. Living Skills for Mentally Handicapped People Christine Peck and Chia Swee Hong 3. Rehabilitation of the Older Patient Edited by Amanda J. Squires 4. Physiotherapy and the Elderly Patient Paul Wagstaff and Davis Coakley 5. Rehabilitation of the Severely Brain-Injured Adult Edited by Ian Fussey and Gordon Muir Giles 6. Communication Problems in Elderly People Rosemary Gravell 7. Occupational Therapy Practice in Psychiatry Linda Finlay 8. Working with Bilingual Language Disability Edited by Deirdre M. Duncan 9. Counselling Skills for Health Professionals Philip Burnard 10. Teaching Interpersonal Skills A handbook of experiential learning for health professionals Philip Burnard 11. Occupational Therapy for Stroke Rehabilitation Simon B. N. Thompson and Maryanne Morgan 12. Assessing Physically Disabled People at Home Kathy Maczka 13. Acute Head Injury Practical management in rehabilitation Ruth Garner 14. Practical Physiotherapy with Older People Lucinda Smyth et al. 15. Keyboard, Graphic and Handwriting Skills Helping people with motor disabilities Dorothy E. Penso 16. Community Occupational Therapy with Mentally Handicapped Adults Debbie Isaac 17. Autism Professional perspectives and practice Edited by Kathryn Ellis 18. Multiple Sclerosis Approaches to management Edited by Lorraine De Souza 19. Occupational Therapy in Rheumatology An holistic approach Lynne Sandles 20. Breakdown of Speech Causes and remediation Nancy R. Milloy 21. Coping with Stress in the Health Professions A practical guide Philip Burnard 22. Speech and Communication Problems in Psychiatry Rosemary Gravell and Jenny France 23. Limb Amputation From aetiology to rehabilitation Rosalind Ham and Leonard Cotton 24. Management in Occupational Therapy Zielfa B. Maslin 25. Rehabilitation in Parkinson's Disease Edited by Francis I. Caird 26. Exercise Physiology for Health Professionals Stephen R. Bird 27. Therapy for the Burn Patient Annette Leveridge 28. Effective Communication Skills for Health Professionals Philip Burnard 29. Ageing, Healthy and in Control An alternative approach to maintaining the health of older people Steve Scrutton 30. The Early Identification of Language Impairment in Children Edited by James Law 31. An Introduction to Communication Disorders Diana Syder 32. Writing for Health Professionals A manual for writers Philip Burnard 33. Brain Injury Rehabilitation A neuro-functional approach Gordon Muir Giles and Jo Clark-Wilson 34. Living with Continuing Percepto-motor Difficulties Theory and strategies to help children, adolescents and adults Dorothy E. Penso 35. Psychology and Counselling for Health Professionals Edited by Rowan Bayne and Paula Nicholson 36. Occupational Therapy for Orthopaedic Conditions Dina Penrose 37. Teaching Students in Clinical Settings Jackie Stengelhofen 38. Group work in Occupational Therapy Linda Finlay 39. Elder Abuse Concepts, theories and interventions Gerald Bennett and Paul Kingston 40. Teamwork in Neurology Ruth Nieuwenhuis 41. Eating Disorders A guide for professionals Simon Thompson 42. Community Mental Health Practical approaches to the long-term problems Steve Morgan FORTHCOMING TITLES Research Methods for Therapists Avril Drummond Stroke: Recovery and Rehabilitation Polly Laidler HlV and Aids Care S. Singh and L. Cusack Speech and Language Disorders in Children Dilys A. Treharne Spinal Cord Rehabilitation Karen Whalley-Hammell Team.work in Neurology Ruth Nieuwenhuis MA(Hons), Dip CSLT, Reg MCSLT Sully Hospital Stroke Unit, South Glamorgan SPRINGER-SCIENCE+BUSINESS MEDIA, B.V. First edition 1993 © 1993 Ruth Nieuwenhuis Originally published by Chapman & HaU in 1993 Phototypeset in 10/12pt Palatino by Intype, London ISBN 978-0-412-39350-1 ISBN 978-1-4899-4447-4 (eBook) DOI 10.1007/978-1-4899-4447-4 Apart from any fair dealing for the purpose of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act 1988, this publication may not be reproduced, stored or transmitted, in any form or by any means, without the prior permission of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed on this page. The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made. A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication data available. I§Printed on permanent acid-free text paper, manufactured in accordance with the proposed ANSIINISO Z 39.48-199X and ANSI Z 39.48-1984 Contents Preface ix 1 Introduction 1 2 Patients' and relatives' views 22 3 The professions 39 4 Assessment 66 5 Approaches, models and techniques 85 6 Training and education for teamwork 104 7 Hospital case histories 121 8 Community case histories 136 9 Conclusion 152 Appendix A: Useful addresses 169 Appendix B: Glossary 174 Bibliography 183 Index 194 Preface The problems which hamper teamwork in health care are well documented. Foremost among these is a lack of knowledge about each others' professions linked with poor understanding and misperception of each others' roles. Limited appreciation of the vital contributions of both patient and family is another important factor. This book aims to address these and other issues, thereby encouraging improvements in the quality of health care. It developed from an interest in teamwork with adults who had suffered brain damage due to trauma, neurological illness or degenerative neurological disease. The text reflects many years of practical experience gained both in hospitals and in the com munity. It assumes that shared knowledge between the pro fessions may promote greater mutual understanding and foster positive working relations. Some stylistic features require explanation. The use of 'he' and 'she' is always problematical. Ideally, both pronouns should be used simultaneously because there are male or female individuals in all walks of life. However the repeated use of 'he/she' becomes unwieldy and I have adopted, therefore, the following convention: 'he' refers to patients and doctors and 'she' to nurses, physiotherapists, occupational therapists, speech and language therapists, dieticians, social workers and clinical psychologists. Another important point concerns different terminology in the UK and the US. A 'physiotherapist' in Britain is known as a 'physical therapist' in the States. Similarly, a 'speech and language therapist' is known as a 'speech and language pathol ogist'. Some of these different terms appear in the book, their X Preface use dictated by the context. Furthermore, all patients' names have been changed. I would like to thank my colleagues who shared their practical expertise and provided help and support. Particular thanks go to those at the James Paget HospitaC Gorleston, Great Yarmouth - namely Elizabeth Burningham, occupational therapist, and Linda Clarke, physiotherapist. Staff at the 'Stroke Unit' at the University Hospital of Wales have also been very helpfuC especially Maggie Gillingham, dietician; Jennifer Moses, clinical psychologist; Margaret Moss, social worker; Delyth Rees, occupational therapist; and Maggie Webster, physiotherapist. Barbara McCaffer and Helen Hughes, dieticians at Sully Hospi taC near Cardiff gave very useful information, whilst Andrew Butcher (formerly Unit General Manager at the James Paget Hospital) arranged financial support for the necessary library research. Christine Thompson, librarian there, carried this out along with Alan Bullimore. Both willingly shared their knowl edge and expertise. Finally, Paul and Mum and Dad sustained the project from start to finish. This book is dedicated to all three. Ruth Nieuwenhuis
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