rehabilitation for a patient with a tbi

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for a Patient with a Traumatic Brain Injury (TBI) in the US and Japan A. Synnestvedt and S. Resseguie Thomas Jefferson University, Philadelphia, PA School of Health Professions Department of Occupational Therapy

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Presentation regarding OT students experience in a web conference with students from Japan about the rehabilitation process for TBIs

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Page 1: Rehabilitation for a patient with a TBI

Rehabilitation for a Patient with a

Traumatic Brain Injury (TBI)

in the US and Japan

A. Synnestvedt and S. ResseguieThomas Jefferson University, Philadelphia, PA

School of Health ProfessionsDepartment of Occupational Therapy

Page 2: Rehabilitation for a patient with a TBI

Introduction to the Web Conference

From: Web conference powerpoint, “East Japan Great Earthquake”Departments of Occupational Therapy and Physical Therapy, Kitasato University, Sagamihara, Japan, March 15, 2012

Page 3: Rehabilitation for a patient with a TBI

Objectives

• Conference experience• Interdisciplinary care for an

individual with TBI• OT care for an individual with TBI• Similarities• Differences• Impressions

Page 4: Rehabilitation for a patient with a TBI

United States• Intensive Care Unit• In-Patient Rehabilitation• Community Re-entry

Japan• Acute Phase• Recovery• Maintenance Phase

Phases of Rehabilitation

Page 5: Rehabilitation for a patient with a TBI

Occupational Therapy for a patient with TBI in the U.S. and Japan

• ICU/Acute:– prevent impairments

• In-Patient Rehab/Recovery– restore daily functioning

• Community Re-entry/Maintenance– create supportive home set-up

Page 6: Rehabilitation for a patient with a TBI

Adaptation Home

Page 7: Rehabilitation for a patient with a TBI

Japan: OT for a Patient with a TBI

Home Adaptations Self Care Adaptations

From: Web conference 3/12 – 3/15/12, Department of Occupational Therapy, Kitasato University, Sagamihara, Japan

Page 8: Rehabilitation for a patient with a TBI

Similarities

• 3 Stages of care• Healthcare teams work together• International Model of Care

Page 9: Rehabilitation for a patient with a TBI

United States’ Discussion of ICF

(from TJU-OT presentation at web conference)

Japan’s Discussion of ICF

From: Web conference,Department of Occupational Therapy, Kitasato University,Sagamihara, Japan

Page 10: Rehabilitation for a patient with a TBI

Differences

“You talk to the whole healthcare team more.”

“You talk with the family more.”

“We’ve never heard of medical family therapists.”

U.S. was surprised….

“You have a longer length of stay.”

“You focus more on patient self-care needs.”

“You are prepared to deal with natural disasters.”

Japan was surprised…

Page 11: Rehabilitation for a patient with a TBI

Impressions

Page 12: Rehabilitation for a patient with a TBI

ReferencesAmerican Occupational Therapy Association. (2002). Traumatic brain injury

(TBI), effects and intervention. Retrieved from http://www.aota.org/Consumers/consumers/Health-and-Wellness/TBI/35199.aspx

Golisz, K. (2009). Occupational therapy practice guidelines for adults with traumatic brain injury. Bethesda (MD): American Occupational Therapy Association. Retrieved from http://www.guidelines.gov/content.aspx?id=15287

World Health Organization. (2011). International Classification of Functioning, Disability and Health (ICF). Retrieved from http://www.who.int/classifications/icf/en/

To find out more about home adaptations, visit our wiki:http://otsl.pbworks.com/w/page/5916987/Home%20Adaptations