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Lee T.M.,Care of the Elderly | Savage J.,Care of the Elderly | McKee H.,Care of the Elderly | Flament M.-P.,Care of the Elderly | And 2 more authors.
Canadian journal of neuroscience nursing | Year: 2013

Coma, vegetative state (VS) and minimally conscious state (MCS) are disastrous outcomes following severe traumatic brain injury. Due to the extent of the resultant neurological deficits including hemisphere damage, loss of cellular integrity, altered and abnormal movements such as flexor and extensor patterns, and alterations in cranial nerve function, it can become difficult for the interprofessional team to identify when a patient is emerging from their coma. The Glasgow Coma Scale (GCS), commonly used to assess patients with traumatic brain injury (TBI) is not comprehensive or sensitive enough to provide concrete evidence that a patient is emerging from VS to an MCS. The purpose of this paper is to present a case study of a patient who has emerged from a persistent VS to promote a deeper understanding of what is involved when working with this clientele. Challenges in assessment of cognitive functioning, the development of successful communication through the use of technology and the goals of therapy amongst the various health team members will be provided. Collaborative support with the family will also be discussed. Members of the interprofessional team explored the literature to determine coma recovery assessment tools and best evidence guidelines to direct their interventions with this patient.


PubMed | Care of the Elderly
Type: Case Reports | Journal: Canadian journal of neuroscience nursing | Year: 2013

Coma, vegetative state (VS) and minimally conscious state (MCS) are disastrous outcomes following severe traumatic brain injury. Due to the extent of the resultant neurological deficits including hemisphere damage, loss of cellular integrity, altered and abnormal movements such as flexor and extensor patterns, and alterations in cranial nerve function, it can become difficult for the interprofessional team to identify when a patient is emerging from their coma. The Glasgow Coma Scale (GCS), commonly used to assess patients with traumatic brain injury (TBI) is not comprehensive or sensitive enough to provide concrete evidence that a patient is emerging from VS to an MCS. The purpose of this paper is to present a case study of a patient who has emerged from a persistent VS to promote a deeper understanding of what is involved when working with this clientele. Challenges in assessment of cognitive functioning, the development of successful communication through the use of technology and the goals of therapy amongst the various health team members will be provided. Collaborative support with the family will also be discussed. Members of the interprofessional team explored the literature to determine coma recovery assessment tools and best evidence guidelines to direct their interventions with this patient.


MOORESTOWN, N.J., Feb. 20, 2017 (GLOBE NEWSWIRE) -- Tabula Rasa HealthCare (NASDAQ:TRHC), a healthcare technology company providing medication safety solutions for health plans and provider groups, including the Centers for Medicare and Medicaid Services’ (CMS) Program for All-Inclusive Care of the Elderly (PACE), has relocated its California medication decision support and robotic dispensary. According to TRHC Chairman and CEO Calvin H. Knowlton, PhD, “We were in need of a larger, more technologically-advanced facility that could accommodate our growth trajectory, and our proprietary science and technology Medication Risk Mitigation products and services,” said Knowlton. The practice, acquired by TRHC in 2014, had been servicing the needs of frail elderly PACE participants in the San Francisco and Bay Area for over 35 years.  Its focus on participant care and customer service has earned it its long-term partnerships. The former owner remains with the company as part of its West Coast Operations. About Tabula Rasa HealthCare Tabula Rasa HealthCare (NASDAQ:TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize medication regimens to improve patient outcomes, reduce hospitalizations, lower healthcare costs and manage risk.  Medication risk management is TRHC’s lead offering, and its cloud-based software applications provide solutions for a range of payers, providers and other healthcare organizations. For more information, please visit: www.trhc.com.

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