Author/Editor		Grabljevec, Klemen; Košorok, Viktorija
Title		Klinična pot v rehabilitaciji bolnikov po nezgodni možganski poškodbi na Inštitutu RS za rehabilitacijo
Translated title		Clinical pathways in rehabilitation of patients after traumatic brain injury at the Institute for rehabilitation - Republic of Slovenia
Type		članek
Source		In: Košorok V, Grabljevec K, editors. Poškodba glave - vpliv celovite nevrorehabilitacijske obravnave na funkcijski izid. Zbornik predavanj 16. dnevi rehabilitacijske medicine; 2005 mar 18-19; Ljubljana. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year		2005
Volume		str. 163-77
Language		slo
Abstract		Clinical pathway for rehabilitation after traumatic brain injury at the Institute for Rehabilitation Ljubljana is presented in this article. All members of our rehabilitation team were involved in building and decision making in this process. We identified three formally separated but interdependent parts of clinical pathway: a) first evaluation in out-patient setting before admission into rehabilitation programm, b) admission and follow up of the patient (mainly oriented in recognising complications) while he/she is hospitalized and c) therapeutic interventions. Protocol for evaluation of patient in out-patient setting before admission, helps us to select apropriate patients, that can iricmediately and actively enter the rehabilitation program. Protocol for early recognition and prevention of highly expected complications after and during admission, serves as a protection against events that to often prevent the effective rehabilitation programm, mean serious long-term consequenses for patient and cause additional costs of medical care. Pathway and decision making algoritms are made for following complications: malnutrition, pressure sores, MRSA colonisation, high dependency in daily activities (thus connected with level of nursing care), respiratory complications and spasticity. All those steps are condition, that patient enter and fulfill optimal rehabilitation and therapeutic programm, where his/her functional status is tested in standardised and regular way, therefore helshe can achive best rehabilitation outcome. Main obstacles in building clinical pathway were lack of experiences and very restricted usefull information about making clinical pathways in rehabilitation medicine (most pathways were built for acute medical care and diagnostic procedures). (Abstract truncated at 2000 characters).
Descriptors		BRAIN INJURIES REHABILITATION CENTERS