RESUMO
Individuals who have acquired brain injury (ABI) may express themselves through the use of challenging behaviors, such as aggression, withdrawal, disinhibition, and self-destructive behaviors. This article describes the effectiveness of behavior interventions derived from the assessment of behavior in a community-based setting. The premise is that behavior, no matter how difficult, has function, purpose, and meaning for the individual. A therapeutic model of behavior assessment is presented that bases its strength on behavior assessment and well-trained staff. A well-formulated behavior management plan is developed, reinforcing alternative behaviors teaching skills, and reducing unwanted behaviors. Through the use of data collection methods, the treatment team identifies variables related to unwanted behavior and outcomes of consequences as they relate to the behavior. Illustrated through a case study, the behavioral treatment model is defined through behavior identification, initial assessments, treatment approaches, and tracking outcomes.
Assuntos
Terapia Comportamental/métodos , Lesões Encefálicas/psicologia , Lesões Encefálicas/reabilitação , Terapia Ambiental/métodos , Agressão , Transtornos Cognitivos/etiologia , Extinção Psicológica , Humanos , Comportamento Impulsivo , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Cooperação do Paciente , Reforço Psicológico , Resultado do TratamentoRESUMO
A traumatic assault to the brain often leaves significant residual effects, including severe behavioral dyscontrol. The person may demonstrate unwanted behaviors, such as physical aggression or verbal abuse, and lack motivation or the skills to engage in desirable behavior. ReMed, a community-based brain injury program, specializes in using a behavior analytic approach to address unwanted behaviors while understanding and developing strategies to further recovery from the brain injury.
Assuntos
Terapia Comportamental/métodos , Lesões Encefálicas/complicações , Transtornos Mentais/etiologia , Transtornos Mentais/reabilitação , Atividades Cotidianas , Adulto , Humanos , Masculino , Avaliação em Enfermagem , Planejamento de Assistência ao Paciente , Reforço PsicológicoRESUMO
This article addresses an aspect of outcomes assessment that includes outcomes from the perspective of the patient; namely, functional health status and patient satisfaction. For rehabilitation care they are the only outcomes that can be measured. Measurement tools exist and are being used to quantify the qualitative perspectives of patient care to produce valuable information about the quality and the efficiency of rehab services. The biggest challenge is lack of standardization to allow comparability of data. Different users bring different perspectives to the issue. The researcher, the software developer, the health care facility, and the payer all have an interest in using functional status and patient satisfaction to evaluate outcomes.
