CME : Your SA Journal of CPD - Volume 26, Issue 2, 2008
Volume 26, Issue 2, 2008
Author Nilesh PatelSource: CME : Your SA Journal of CPD 26, pp 54 –55 (2008)More Less
Nilesh has been instrumental in developing stroke and rehabilitation services in South Africa, in particular the development of a network of private acute rehabilitation units within the Life Healthcare Group. He is founding chairman of SANRA (Southern African Neurological Rehabilitation Association) and is currently Managing Director of Life Esidimeni.
Rehabilitation assessment in general practice : why general practitioners should know about disability : main articleAuthor Helen SammonsSource: CME : Your SA Journal of CPD 26, pp 56 –64 (2008)More Less
Helen Sammons has been involved in clinical (public and private), managerial, academic (under- and postgraduate training) and community aspects of rehabilitation for the past 14 years. She developed the present undergraduate MB ChB rehabilitation curriculum for Stellenbosch University. With her present research on this curriculum, she hopes that rehabilitation will eventually be incorporated into all undergraduate medical curricula in South Africa.
Author Ed Baalbergen'sSource: CME : Your SA Journal of CPD 26, pp 66 –68 (2008)More Less
The treatment of chronic pain in the disabled requires the utilisation of an interdisciplinary team approach, as the treatment is complex.
Chronic pain comprises nociceptive pain, neuropathic pain or a combination of the two.
Treatment regimens utilise a combination of physical therapies, psychotherapeutic modalities and pharmacotherapeutic interventions.
Complete resolution of pain is usually not possible - realistic goals must be set.
The pharmacological regimen should be individualised for each patient.
Combination therapy of one or more agents may result in a synergistic effect.
Author Brent TippingSource: CME : Your SA Journal of CPD 26, pp 70 –74 (2008)More Less
Rehabilitation is the process that stimulates activity-driven reorganisation of the brain after stroke and is aimed at restoring function.
Dysphagia after stroke causes aspiration, malnutrition and dehydration.
Speech therapy evaluation facilitates management of dysphagia and communication disorders.
Incontinence generally improves and can be managed with an appropriate bladder and bowel routine.
Fall prevention strategies after stroke should allow maximal activity levels.
Shoulder pain is best managed by strategies aimed at preventing trauma and ensuring correct positioning.
All post-stroke patients should be monitored for mood disorders and cognitive impairment.
Occupational therapy plays an important role in functional integration of stroke survivors into the community.
Source: CME : Your SA Journal of CPD 26, pp 76 –82 (2008)More Less
TBIs are a leading cause of death and disability worldwide.
The incidence of TBI is highest in children and young adults.
TBI can result in significant impairment of an individual's physical, cognitive and psychosocial functioning.
The leading causes of TBI are motor vehicle accidents, violence, falls, being hit by falling debris and pedestrian vehicle accidents .
Fast, effective medical care is required after a TBI in order to prevent secondary brain injuries and long-term complications.
Signs and symptoms of TBI may only appear days or even weeks after the initial injury.
Accurate and objective assessment of a patient's functioning after a TBI is essential in predicting outcome and justifying the need for rehabilitation after injury.
Source: CME : Your SA Journal of CPD 26, pp 84 –93 (2008)More Less
Acute rehabilitation services make use of interdisciplinary teams in order to treat neurologically impaired patients.
The interdisciplinary teams work closely with an extensive network of supporting services.
The primary goal of rehabilitation is to restore maximal function following a neurological insult or illness.
Patients are admitted to acute rehabilitation units a short time after the neurological insult, once medically stable and able to participate in a graded programme of therapy.
The patient and family form a pivotal part of the interdisciplinary model of rehabilitation.
Patients with neurological deficits are often at high risk of developing serious secondary complications.
The prevention of secondary complications is an important goal in the effective management of neurologically impaired patients.
Acute inpatient rehabilitation is usually followed up by ongoing outpatient therapy services after discharge.
The delivery of effective rehabilitation services after injury has important economic implications for the patient, family, funders and state medical systems.
Author Michelle Van ZylSource: CME : Your SA Journal of CPD 26, pp 95 –96 (2008)More Less
Author Anna MarxSource: CME : Your SA Journal of CPD 26, pp 96 –97 (2008)More Less
Author Lize WeichSource: CME : Your SA Journal of CPD 26, pp 98 –101 (2008)More Less
Source: CME : Your SA Journal of CPD 26, pp 103 –105 (2008)More Less