i) Rehabilitation stages and pathways Next j)

i) Introduction

There are many rehabilitation pathways.

When a person has an ABI there are many different rehabilitation pathways depending on the cause of the ABI and point in the life span the injury occurred and the person's circumstances. For example:

  • An adult with a serious traumatic brain injury could have the following pathway: Hospital Brain Injury Rehabilitation Unit; discharge to supported accommodation; community rehabilitation services
  • An adult with a serious stroke could have the following pathway: Hospital Stroke Unit; discharge to family home; community rehabilitation services
  • An adult with ABI caused by degenerative diseases could have the pathway: GP; medical specialists; outpatient services; support services in the home; specialist supported accommodation

Rehabilitation pathways for hospital for sudden onset ABIs

The first screen (0) of the following graphic shows the many elements that can be part of rehabilitation pathways for hospital for sudden onset ABIs.

Four examples:

Screens 1 to 4 show examples for four individuals:

1. Acute hospital bed to Brain Injury Unit (less complex/severe case)
2. Acute hospital bed to Brain Injury Unit (more complex/severe case)
3. Stroke unit
4. Acute hospital bed to Brain Injury Unit (very complex/severe case)

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Click on "Person with ABI" to click through the screens.

Click on the Individual numbers 0 to 4 to jump to a particular screen.

 

 

 

ii) Gabrielle has an ABI (11 mins)

     


Gabrielle has an ABI
Watch Gabrielle's short story.
Click on the image to go to the video player.

Answer the question

What are the stages in Gabrielle's story?
  Check your answers here

What are the stages in Gabrielle's story?

Accident - trauma
2 week coma and intensive care in hospital
Prognosis: slim chance of survival
Brain Injury Rehabilitation Unit
Community rehabilitation & school teacher support
Speech pathology

iii) Three stages of rehabilitation

For all types of injuries the three stages of rehabilitation are:

Stage 1: Acute rehabilitation

This acute stage involves initial management to ensure the person is medically stable. Acute rehabilitation normally occurs within hospital with a strong focus on physical recovery and regaining independent living skills.

Stage 2: Post-acute rehabilitation/community re-settlement

This stage involves managing the transition from hospital back home, and the ongoing process of rehabilitation that occurs after discharge. The focus of rehabilitation at this stage may include return to work or study, finding alternatives where this is not possible and relearning skills for community living.

Stage 3: Social rehabilitation

This is the long-term rehabilitation aimed at maintaining and enhancing the level of participation in community life (community integration).

Within these three stages there are:

General rehabilitation processes and
Specialist rehabilitation processes.

iv) General and specialist rehabilitation

General rehabilitation

Inpatient rehabilitation services have a primary goal of restoring, improving and maintaining the functional ability of the patients, ensuring they can be safely discharged with the assistance of equipment, aids and modifications to their home.

Functional ability relates to carrying out tasks of daily living including personal hygiene, self-bathing, feeding, toileting, stair climbing, dressing, bowel and bladder control, ambulation, chair and bed transfer, and walking or wheelchair use.

General rehabilitation wards in public hospitals provide a multidisciplinary approach (involving medical nursing and allied health services) for people who have a variety of medical reasons for needing rehabilitation (e.g. orthopaedic/amputee; cardiac/heart attacks; neurological/stroke; trauma, pain, post operative etc).

The majority of clients admitted to general rehabilitation wards are elderly.

Specialist rehabilitation

Specialist rehabilitation services are required when the needs of a specific client group are better managed by providing discrete services to meet similar needs.

Specialist rehabilitation services are managed within general rehabilitation by providing staff with specialist training (e.g. cardiac rehabilitation, stroke rehabilitation) or by organising rehabilitation services into dedicated units e.g. the NSW Brain Injury Rehabilitation Program (BIRP), Stroke services or Spinal Cord services to develop expertise in providing specialist rehabilitation to meet the specific needs of the client group.

(c) Copyright - See: Toolkit B. Working Together Promoting Independence - www.TBIStaffTraining.info

v) Pathway example

Care and Support Pathways for People with an ABI

There are many service pathways. In NSW the Pathways and Protocols Working Group, a sub-group of the Steering Committee for the Interagency Agreement on the Care and Support Pathways for People with an ABI documented pathways and services available.

The following is an example of a pathway taken from "Care and Support Pathways for People with an Acquired Brain Injury. Referral and Service Options in NSW "PDF (3.1 Meg). May 2011.

Example 1: Person with a recent ABI requiring housing and support:

Pathways Example 1