[Team work as the way to back up consciousness].
Conception of unconsciousness after brain injury had changed considerably due to high technologies. Nowadays some patients considered by clinicians as unconscious are admitted to awareness with neurovisual techniques. Physiologic and neurophysiologic signals' combining brings forward robust quantification of patients' clinical state too. These "Third Person View" approaches leave the question of patient's experience content open because of determined stimuli paradigms. Yet patient's response pattern becomes formed not only with brain deficits but by questions-stimuli, context, and inquiring person. Rehabilitation team work is sourcing of phenomenology knowledge of patient's processes due to "First-Second Person View" approach and chance to real-time change. Restoration of consciousness comes of building-up patients' contacts with their own bodies, other persons and outward things. The basic principle of this approach is feedback assignement to any minimal movement or vegetative signal of the patient. The net of feedbacks with the patient and inter-professional ones builds up the team as Non-linear Complex System. Characteristics of "Team-Patient" system status are energy, entropy, and complexity. Impairment of consciousness as the absence of linear contact with a patient may appear together with a loss of essential functions (low energy), vegetative-visceral fits (excessive energy and low order), motor agitation (excessive energy and order), and etc. Techniques of team work are different in these cases for resulting optimization of the system condition. System complexity rise is a powerful tool to arouse apatient with impairment of consciousness. System self-organization is a key process for awareness formation. Analysis of complex communication process in patient--team system may be useful for creation of the general theory of consciousness.
O A
OA
Maksakova
D001930:Brain Injuries / Q000523:psychology / Q000534:rehabilitation*; D003243:Consciousness; D006801:Humans; D010348:Patient Care Team; D011613:Psychotherapy / Q000379:methods / Q000458:organization & administration