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The researchers introduced a new set of guidelines for the rehabilitation of patients with moderate to severe traumatic brain injury, incorporating information provided by rehabilitation professionals responsible for providing care from the initial assessment to the end of life. long-term follow-up.
Clinical practice guidelines play a vital role in promoting quality care for patients with CBT. Professionals at Wolters Kluwer Health have revealed that updated guidelines are also needed to reflect the community-based rehabilitation trend.
From the outset, the guideline development process assessed the needs and expectations of "end-users": clinicians and managers providing rehabilitation care to patients with moderate to severe TBI. One study found that rehabilitation professionals had a positive perception of clinical practice guidelines – however, only a small proportion of respondents used them in day-to-day practice. Professionals identified several key topics to address in the guidelines, including the intensity and frequency of rehabilitation services, the management of behavioral and cognitive disorders, and social participation and community living. .
A separate survey asked professionals about their views on how the recommendations were implemented in the management of patients with CBT. Although a high percentage of recommendations were considered "fully or mainly implemented", several gaps in implementation were recognized, both in acute care facilities and in rehabilitation centers.
The study highlighted the unique features of the INESSS / NFB guidelines development process that respond to user needs, including prioritization of implementation recommendations, implementation tools, Indicators
The final clinical practice guidelines include 71 recommendations for components of the optimal CBT rehabilitation system, including the intensity / frequency of interventions, rehabilitation mechanisms, duration of interventions, and mechanisms for the continuity of interventions. care; and 195 recommendations for the evaluation and rehabilitation of brain injury sequelae, including behavioral disorders, cognitive disorders, fatigue, sleep disorders and mental health.
The vision behind the guidelines encompasses the whole "knowledge-to-action cycle", including measures to define and support the implementation of recommendations.
The results were published in the Journal of Head Trauma Rehabilitation.
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(This article has not been modified by Business Standard staff and is generated automatically from a syndicated feed).
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