BRAIN INJURY
Wellness for patients with brain injury is promoted through activities that:
1)Enhance self image
2)Promote autonomy
3)Promote self-responsibility
4)Allow for social interaction
5)Reflect patient choices
6)Align with communication/cognitive abilities
7)Promote community inclusion
8)Are daily structured and unstructured activities
Activities include:
-Gardening group
-Cooking group
-Games group
-Current Events group
-Music and entertainment
-Holiday events
-Leisure education about community resources
-Bedside activities
In addition to our Stroke Support group, we can offer patients support for their Diabetes.
Where and when is this support group?
The support group meets the first Monday of the month from 7:30-9:00pm at the Diabetes Center which is located at 3030 Telegraph Avenue in Berkeley.
1)Preventative limb and foot care
2)Pain management
3)Diabetes management
4)Skin Integrity
5)Infection Control
6)Cardiovascular health
7)Nutritional counseling
8)Identification of necessary equipment and technology
9)Contracture prevention
10)Weight control
11)Mobility, transfers safety
12)Smoking cessation
13)Adjustment to limb loss
14)Depression
15)Substance abuse
16)Prosthetic assessment and Tx
Beyond medical management and functional abilities , the BI program also addresses psychological and social areas surrounding:
1)Self awareness
2)Social awareness
3)Peer relationships
4)Family relationships
5)Sexuality
6)Reproductive issues
The Speech Therapist who will establish strategies and methods to assist patient.
Name some strategies!
-OT and PT rotate the responsibility for ordering DME for their patients. Therapists provide written and verbal instruction on how to safely utilize DME for a specific purpose.
-Our physiatrist is require to sign the order for DME.
1)Autonomic Dysreflexia
2)Bowel and Bladder function
3)Pain
4)Musculoskeletal changes
5)Neurological changes
6)Nutrition
7)Skin Integrity
8)Infectious Disorders
9)Respiration
10)Sexual function and fertility
1)Education/training for staff, ancillary personnel, and family using coordinated approach.
2)Environmental controls such as wanderguard, bed alarms, and video monitored rooms.
1)Onset or progression of co-morbidities
2)Substance misuse
3)Injury
4)Falls
5)Abuse
6)Complications related to aging and disability
1)Patient satisfaction with the quality of services provided by orthotist/prosthetist
2)Quality of fit and function of the device
-Smoking cessation
-Weight management
-Nutrition/hydration
-Medication management
-Exercise
-Psychological reasons
-Alcohol moderation
-Safety considerations
-Home medications
-Self advocacy
-Community resources for support and education
-Community resources for leisure based activities
1)ADLs
2)Assistive Technology
3)Behavioral Changes
4)Self Advocacy for Care giving
5)DME
6)Environmental modifications
7)Leisure and recreation
8)Mobility
9)Psychosocial Issues
10)Safety and Prevention of Secondary Complication
11)Resource Management
12)Life long follow up and Health promotion
13)Community Resources
1)Provide safety and security for patient
2)Observe, document, report behavior/events, and environmental controls that increase or diminish unwanted behaviors
3)Reinforce behavior plan across shift for consistency
-Center for Neuro skills
-Rehab without Walls
-Services for Brain Injury (San Jose)
-Other
The social worker works with the patient's family and makes information accessible to provide timely provision and exchange of information and identifies the patient's and family level of understanding for information given so that they can make informed decisions regarding care.
Our program collaborates with the Ethnic Health Institute (EHI) to provide education and outreach through:
1)Solano stroll event
2)Bart event with Alameda county Emergency Preparedness Agency
3)Raiders football, Giants and A's baseball games
4)Hypertension Sunday
AIM is Advanced Illness Management and we collaborate with the Oncology staff to provide patients with:
-Psychological counseling for patient and family
-Provisions for transitioning care from hospital to home
-Medication for pain and comfort
-Managing preferences and choices for care
1)Behavioral supports
2)Specific cognitive and communication interventions
3)Career Transitions
4)Life Transitions
5)Boundary Setting
6)Self Advocacy
7)Life long financial planning
8)Psychological Issues
Brain Injury life skills and family/caregiver support groups. The groups provide support and structure activities to assist participants with:
-Coping strategies
-Cognitive/communication strategies
-Focus on re-entry back into school, work, and volunteer
-Additional community resources including legal/funding sources
We look at medication administration and management at admit, during LOS, and at discharge for:
1)Diabetes
2)Hyperlipidemia
3)Hypertension
4)Stroke Prophylaxis
Improvements in physician documentation and nursing education and documentation.
Our ABSMC website provides information and resources to help patients with Cancer navigate access to the following:
1)Integrative Medicine
2)Nutritional Counseling
3)Spiritual Care
4)Numerous Support Groups
5)Counseling
6)Educational Resources
7)Compass Program (for newly diagnosed patients)
8)Morstein Services