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Understanding and Caring for People with Brain Disorders: A handbook for frontline staff, carers and students PDF

411 Pages·2011·3.577 MB·English
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Understanding and Caring for People with Neurological Disorders A practical handbook for frontline staff, carers and students Declan Mc Nicholl and Robert Poppleton Understanding and Caring for People with Brain Disorders A handbook for frontline staff, carers and students © Declan Mc Nicholl and Robert Poppleton 2011 The authors have asserted their rights in accordance with the Copyright, Designs and Patents Act 1988 to be identified as the authors of this work. Published by: Pavilion Publishing (Brighton) Ltd Richmond House Richmond Road Brighton BN2 3RL UK Part of OLM Group Tel: 01273 623222 Fax: 01273 625526 Email: [email protected] Web: www.pavpub.com First published 2011 All rights reserved. No part of this publication may be copied without fee or prior permission by the purchaser subject to both of the following conditions: that the item is reproduced in its entirety, including the copyright acknowledgement; that the copies are used solely by the person or organisation purchasing the original publication. A catalogue reference for this book is available from the British Library. ISBN: 978-1-84196-279-5 Pavilion is the leading training and development provider and publisher in the health, social care and allied fields, providing a range of innovative training solutions underpinned by sound research and professional values. We aim to put our customers first, through excellent customer service and good value. Editor: Sanaz Nazemi Cover design: Emma Garbutt Page layout and typesetting: Emma Garbutt Printed on paper from a sustainable resource by: Charlesworth Press Print ISBN: 978-1-84196-279-5 Ebook ISBN: 978-1-908066-81-7 Contents Acknowledgements .......................................................................................vii Contributors .................................................................................................viii Introduction ......................................................................................................1 Part 1: Covering the basics Chapter 1: A way of understanding human functioning: the biopsychosocial-functioning model ..................................................7 Declan Mc Nicholl Chapter 2: Understanding the brain ......................................................33 Declan Mc Nicholl Chapter 3: Cognitive functions ...............................................................53 Robert Poppleton and Liam Gilligan Chapter 4: Emotions: a brain-based perspective ................................91 Gerald Burgess Chapter 5: Common neurological conditions ....................................115 Robert Poppleton Part 2: Getting into more detail Chapter 6: Problems with fatigue and sleep ......................................169 Nigel Schofield Chapter 7: How psychologists assess cognitive functions ..............199 Karen Treece Chapter 8: Formulation – putting all the information together ...221 Patrick Vesey Understanding and Caring for People with Brain Disorders: A handbook © Pavilion Publishing (Brighton) Ltd 2011 v Contents Chapter 9: What can be done I: restitution or compensation?......................................................................................241 Melanie Stevens Chapter 10: What can be done II: approaches to rehabilitation .......................................................................................261 Roshan das Nair and Shirley Thomas Chapter 11: Treatment, the recovery process and wider considerations following brain injury .....................................289 Claire Pavlou and Robert Poppleton Part 3: Two further applications Chapter 12: Applying neuropsychological ideas to mental health problems: schizophrenia and disorders of anxiety .............315 Louise Braham Chapter 13: Assessment of cognitive functioning for people who have learning disabilities ..........................................357 Suzie Beart and Rachel Mills vi Understanding and Caring for People with Brain Disorders: A handbook © Pavilion Publishing (Brighton) Ltd 2011 Acknowledgements This book, like all my individual endeavours, is the culmination of a collective process with the people who have encouraged and supported me. Some of those people have been part of my life since an early age, my parents Patricia and John, and my teachers. Others are more recent in my personal and professional life. In particular I would like to thank the authors of each of the chapters; my colleagues at Leicestershire Partnership NHS Trust and Leicester General Hospital and Joanne Applewhite for her perseverance and administrative skills. I would also like to thank Sanaz Nazemi at Pavilion Publishing for her support, guidance and editorial skills. Finally, my thanks and gratitude to my wife, Catherine, and children Liam, Connor and Owen. Declan Mc Nicholl I am fortunate to be have been brought up, taught and worked with many people who provided me with great inspiration and encouragement in my life. From early on in life, my parents John and Margaret and my brothers and sisters have given me love and support. I would also like to thank the authors of the chapters for their hard work and my colleagues at Royal Leamington Spa Rehabilitation Hospital for their advice and support in particular Aimee Green, Vicki, Edward Gulliver, Gagan Chohan, Richard Lawson and Karen Melrose. I would also like to thank Sanaz Nazemi for all her support, advice and editorial skills in the development of this book. Lastly I would like to express my greatest gratitude and my love to my wife, Gill, and our wonderful children Aaron, Beth and Alice for their valuable help and support. Robert Poppleton Understanding and Caring for People with Brain Disorders: A handbook © Pavilion Publishing (Brighton) Ltd 2011 vii Contributors Claire Pavlou is a clinical psychologist at the Royal Leamington Spa Rehabilitation Hospital in Warwickshire and has worked in the field of clinical psychology and neuropsychology for 11 years. She obtained an MA in health psychology at Coventry University followed by a clinical doctorate at Coventry University and Warwick University. Claire’s interest in working with people with multiple sclerosis (MS) began 15 years ago when volunteering and working at a specialist care centre for people with MS. She now delivers clinical neuropsychology interventions as part of a specialist community neurorehabilitation team for people with MS. Claire also works for younger adult inpatient and outpatient services providing neurorehabilitation for people with a range of brain injuries and neurological conditions, including people in minimally conscious states. She also lectures on the clinical psychology doctorate course at Coventry University and the University of Warwick, Warwickshire. Between 2002 and 2006, Claire was a trustee for Headway Coventry where she was involved at every level with the organisation and taking a lead role in raising awareness of the needs of people with ‘hidden disabilities’ caused by brain injuries. Declan Mc Nicholl studied Psychology at Queen’s University, Belfast and obtained an MSc in clinical psychology at Leicester University. Initially he worked in adult mental health and then specialised in clinical neuropsychology. He later completed his doctorate of clinical psychology at Salomon’s, Canterbury Christ Church University. He is also a trained psychotherapist in the Personal Construct Psychology approach. He currently works as a consultant clinical neuropsychologist and is the Head of Department of Clinical Neuropsychology at Leicestershire Partnership NHS Trust. He is an honorary lecturer in the Department of Clinical Psychology, University of Leicester. He works with people who have a wide range of neurological disorders and neuropsychological challenges. Declan has many links with voluntary sector organisations and is a trustee of his local Headway House. Gerald Burgess is a clinical psychologist at the Department of Clinical Neuropsychology within the Leicestershire Partnership Trust. He works predominantly with adult acquired brain injury patients in both acute inpatient and outpatient clinic settings. As a part of this work, Gerald has conducted trainings for frontline staff in health and social services and for family and carers of brain-injured patients on issues of personality, behaviour, viii Understanding and Caring for People with Brain Disorders: A handbook © Pavilion Publishing (Brighton) Ltd 2011

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