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Rehabilitation 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
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
Objectives
• Conference experience
• Interdisciplinary care for an
  individual with TBI
• OT care for an individual with TBI
• Similarities
• Differences
• Impressions
Phases of Rehabilitation
United States                 Japan
• Intensive Care Unit         • Acute Phase
• In-Patient Rehabilitation   • Recovery
• Community Re-entry          • Maintenance Phase
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
Adaptation Home
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
Similarities
• 3 Stages of care
• Healthcare teams work together
• International Model of Care
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
Differences
Japan was surprised…        U.S. was surprised….
“You talk to the whole      “You have a longer length
  healthcare team more.”      of stay.”

“You talk with the family   “You focus more on
  more.”
                              patient self-care needs.”
“We’ve never heard of
  medical family            “You are prepared to deal
  therapists.”                with natural disasters.”
Impressions
References
American 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

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Rehabilitation for a patient with a TBI

  • 1. Rehabilitation 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
  • 2. 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
  • 3. Objectives • Conference experience • Interdisciplinary care for an individual with TBI • OT care for an individual with TBI • Similarities • Differences • Impressions
  • 4. Phases of Rehabilitation United States Japan • Intensive Care Unit • Acute Phase • In-Patient Rehabilitation • Recovery • Community Re-entry • Maintenance Phase
  • 5. 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
  • 7. 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
  • 8. Similarities • 3 Stages of care • Healthcare teams work together • International Model of Care
  • 9. 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
  • 10. Differences Japan was surprised… U.S. was surprised…. “You talk to the whole “You have a longer length healthcare team more.” of stay.” “You talk with the family “You focus more on more.” patient self-care needs.” “We’ve never heard of medical family “You are prepared to deal therapists.” with natural disasters.”
  • 12. References American 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

Editor's Notes

  1. Screen shot here
  2. Word cloud of impressions here