[Follow-up of 64 patients with traumatic and atraumatic craniocerebral lesions--a needs analysis of up-to-date rehabilitation possibilities].
A critical examination was carried out on 64 selected case histories of craniocerebral trauma patients, with extraction of as exact data as possible concerning each patient's disease course a difficulty. The majority of the patients severely injured, the study elicited problems during early rehabilitation and discusses the patients' outcomes in view of their vocational and social reintegration. Also dealt with are the problems met with relative to course observation and documentation. Later phases of rehabilitation frequently are complicated by functional loss and deficits, and long waiting lists run counter to the basic idea of early rehabilitation. Treatment shortcomings during the early phase of the acute neurological condition are indicative of the patients' future fate. Discussed is the relevance of rating scales for assessing the course of severe conditions. In view of an ongoing state-of-the-art discussion concerning the concept of neurological early rehabilitation in the narrower sense, a clearly structured treatment approach specifying minimum requirements in terms of staffing, contents, and methods, as well as systematic internal quality control efforts are demanded.
Welter
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Hardtwaldklinik I, Bad Zwesten.
Förster
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D002648:Child; D004185:Disability Evaluation; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational; D012917:Social Adjustment; D013997:Time Factors; D014850:Waiting Lists; D000078329:Workforce
Verlaufsbeobachtung von 64 Patienten mit traumatischen und atraumatischen Schädel-Hirn-Schädigungen--Eine Bedarfsanalyse zeitgemässer Rehabilitations-möglichkeiten.