A brain injury can turn life upside down for the individual and their families. It can be caused by many different things including medical conditions or trauma (accidents). For some people their lives may be changed forever.
The human brain is very complicated, so people who have experienced a brain injury can have a wide range of cognitive, psychological, social and physical needs. No two brain injuries are ever exactly the same; there are various severities of injury, and they all have different recovery pathways and different outcomes.
Some people completely recover and go on to lead normal lives. Others may continue to need some form of support with daily activities. 1.4- 1.7% of all brain injuries are severe in nature, resulting in the person having complex needs. All of this means that anyone who has experienced a brain injury needs their own personal health care and support plan as well as support for their family & carers. As people’s needs often change over time, their care plans need to be specific and flexible – specific enough to meet their exact needs, and flexible enough to change with their recovery pathway.
- A comprehensive clinical and support needs assessment which looks at all aspects of a person’s life including physical health , cognition behaviour, communication, emotion and social function, and their impact on a person’s ability to reintegrate into the community
- Individualised goal setting as part of the care planning process
- A care pathway which may include
- ongoing rehabilitation to maximise skills in daily living activities, use of leisure time and community access
- a maintenance pathway to maintain a client’s skill level, with a support plan to minimise any deterioration
- long term support for clients who need a high level of care.
- Support for clients to obtain meaningful occupation which may include leisure activities, and voluntary or paid employment
- A team of healthcare support workers with specific and specialist knowledge and experience, supported by a qualified nurse and other members of a multidisciplinary team
- A multi-disciplinary team which includes a Physiotherapist and Occupational Therapist
- Psychological support for the client & their family
- Interventions which may include:
- helping the client (and their family) to discover their individual coping skills and strategies
- support in identifying early warning signs
- conflict management and training
- de-escalation training
- breakaway training