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Two panels of experts worked with the research team to identify key questions in the rehabilitation and survivor phases for adults with TBI. The first panel was composed of two physiatrists, a survivor of TBI, the wife of a survivor of TBI, a State vocational rehabilitation counselor, a neuropsychologist, a psychologist, a clinical coordinator of an outpatient TBI rehabilitation program, and a rehabilitation clinical nurse specialist, all from the Portland, OR, area. The second panel was composed of nationally recognized experts in rehabilitation.
The panels formulated five questions pertaining to the phases of recovery described above. These questions addressed the effectiveness of (1) early rehabilitation in the acute care setting (timing), (2) intensity of rehabilitation, (3) cognitive rehabilitation, (4) supported employment, and (5) care coordination (case management). For each of these questions, members of the research team worked with panelists to write a brief rationale for the question, define key terms, and specify the relevant patient populations, interventions, and outcome measures to be examined in the literature review. The questions were:
Should interdisciplinary rehabilitation begin during the acute hospitalization for traumatic brain injury? Does the intensity of inpatient interdisciplinary rehabilitation affect long-term outcomes? Does the application of cognitive rehabilitation enhance outcomes for people who sustain TBI? Does the application of supported employment enhance outcomes for people with TBI? Does the provision of long-term care coordination enhance the general functional status of people with TBI?
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Did You Know?
Brain damage has many causes.
Brain damage may be caused by external physical force, insufficient blood supply, toxic substances, malignancy, disease-producing organisms, congenital disorders, birth trauma or degenerative processes.
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Joint pain can be caused by injury affecting any of the ligaments, bursae, or tendons surrounding the joint. Injury can also affect the ligaments, cartilage, and bones within the joint.
Ambulatory Surgery
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Ambulatory surgery refers to previously scheduled surgical and nonsurgical procedures performed on an outpatient basis in a hospital or freestanding ambulatory surgery center's general or main operating rooms
Contributory negligence
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Broadly, carelessness on the plaintiff's part. More precisely, conduct which falls below the standard of care established by law for the protection of one's self against unreasonable risk of harm.
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