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Disorders of Consciousness, An Issue of Physical Medicine and Rehabilitation Clinics of North America
- 1st Edition, Volume 35-1 - November 21, 2023
- Editors: Sunil Kothari, Bei Zhang
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 8 3 5 4 - 6
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 8 3 5 5 - 3
In this issue of Physical Medicine and Rehabilitation Clinics, guest editors Drs. Sunil Kothari and Bei Zhang bring their considerable expertise to the topic of Disorders of… Read more
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Contains 15 relevant, practice-oriented topics including neuroanatomy and neurophysiology of disorders of consciousness; disorders of consciousness in the acute care setting; assessment of consciousness: behavioral evaluation; assessment of consciousness: technological modalities; ethical considerations; and more.
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Provides in-depth clinical reviews on disorders of consciousness, offering actionable insights for clinical practice.
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Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Conceptualizing Consciousness: a Change in Perspective: The Elephant Still Surprises Those only Touching Its Trunk
- Key points
- Introduction
- The nature of the problem
- Approaches
- Discussion and clinical relevance
- Clinics care points
- Disclosure
- Disorders of Consciousness: Classification and Taxonomy
- Key points
- Disorders of consciousness: an evolving taxonomy
- Summary
- Clinics care points
- Disclosure
- Structural and Functional Neuroanatomy of Core Consciousness: A Primer for Disorders of Consciousness Clinicians
- Key points
- Introduction
- Neuroanatomy of wakefulness and awareness
- Sleep
- Summary
- Clinics care points
- Declarations of interests
- Neuroimaging in Disorders of Consciousness and Recovery
- Key points
- Introduction
- Structural imaging
- Functional imaging
- Summary
- Clinics care points
- Disclosure
- Disorders of Consciousness Programs: Components, Organization, and Implementation
- Key points
- Introduction
- Discussion
- Summary
- Clinics care points
- Disclosure
- Evaluation and Management of Disorders of Consciousness in the Acute Care Setting
- Key points
- Definition and mechanisms
- Clinical assessment
- Diagnostic evaluation
- Treatment
- Prognosis and ethical challenges
- Summary
- Clinics care points
- Disclosure
- Special Considerations in Behavioral Assessments for Disorders of Consciousness
- Key points
- Introduction
- Mindsets and biases in the assessment of disorders of consciousness
- An illustrative real-life scenario
- Setting the patient up for success
- The role of rehabilitation clinicians
- An illustrative real-life scenario (continued)
- Individualized quantitative behavioral assessment (IQBA)
- Clinics care points
- Disclosure
- Appendix. An IQBA practice case
- Technological Modalities in the Assessment and Treatment of Disorders of Consciousness
- Key points
- Background
- Assessments
- Treatment
- Clinics care points
- Disclosure
- Medical, Neurologic, and Neuromusculoskeletal Complications
- Key points
- Introduction
- Paroxysmal sympathetic hyperactivity
- Hydrocephalus
- Spasticity and contracture
- Critical Illness Polyneuropathy and Myopathy
- Movement Disorders
- Seizures
- Neuroendocrine disturbances
- Infection
- Disclosure
- Strategy and Philosophy for Treating Pain and Sleep in Disorders of Consciousness
- Key points
- Evaluating and treating sleep in disorders of consciousness
- Evaluating and treating pain in disorders of consciousness
- Summary
- Disclosure
- Pharmacology in Treatment of Patients with Disorders of Consciousness
- Key points
- Introduction
- Monoamines including dopamine
- GABA
- Discussion
- Disclosure
- Prognostication and Trajectories of Recovery in Disorders of Consciousness
- Key points
- Background
- Discussion
- Summary
- Clinics care points
- Emergence from Disorders of Consciousness: Optimizing Self-Agency Through Communication
- Key points
- Introduction
- Neuroanatomy of language
- Bedside assessment of communication
- The role of imaging
- Confounds in assessment
- Patterns of recovery
- The role of rehabilitation
- The use of augmentative and alternative communication in early recovery
- Augmentative and alternative communication strategies and technology to support long-term communication needs
- New and emerging communication technologies for disorders of consciousness
- Emerging consciousness, communication, and the family
- Communication, self-agency, and ethical considerations
- Summary
- Clinics care points
- Disclosure
- Education, Training, and Support Across the Continuum of Recovery for Caregivers of Persons with Disorders of Consciousness
- Key points
- Introduction
- Research
- Guidelines
- Considerations for addressing caregiver needs across the continuum of recovery
- Discussion
- Future directions
- Summary
- Clinics care point
- Disorders of Consciousness Rehabilitation: Ethical Dimensions and Epistemic Dilemmas
- Key points
- Access to neurorehabilitative care
- Ethics, equity and access to diagnostic, prognostic and therapeutic technologies and research
- Supporting autonomy in settings of liminal self-expression and reemergent agency
- Beneficence, nonmaleficence, and disability bias in disorders of consciousness rehabilitation
- Revisiting goals of care and prognostic uncertainty in the rehabilitation setting
- Ethics and epistemology in disorders of consciousness nosology and diagnostic criteria
- Summary
- Clinics care points
- Funding/acknowledgments
- Disorders of Consciousness in Children: Assessment, Treatment, and Prognosis
- Key points
- Introduction
- Discussion
- Summary
- Clinics care points
- Disclosure
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 35-1
- Published: November 21, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780443183546
- eBook ISBN: 9780443183553
SK
Sunil Kothari
BZ