Article

Orthopedic trauma is an unforeseen life-changing event. Serious injuries include
multiple fractures and amputation. Physical rehabilitation has traditionally
focused on addressing functional deficits after traumatic injury, but important
psychological factors also can dramatically affect acute and long-term recovery.
This review presents the effects of orthopedic trauma on psychological distress,
potential interventions for distress reduction after trauma, and implications for
participation in rehabilitation. Survivors commonly experience post-traumatic
stress syndrome, depression, and anxiety, all of which interfere with functional
gains and quality of life. More than 50% of survivors have psychological distress
that can last decades after the physical injury has been treated. Early
identification of patients with distress can help care teams provide the
resources and support to offset the distress. Several options that help trauma
patients navigate their short-term recovery include holistic approaches, pastoral
care, coping skills, mindfulness, peer visitation, and educational resources. The
long-term physical and mental health of the trauma survivor can be enhanced by
strategies that connect the survivor to a network of people with similar
experiences or injuries, facilitate support groups, and social support networking
(The Trauma Survivors Network). Rehabilitation specialists can help optimize
patient outcomes and quality of life by participating in and advocating these
strategies.
CI - Copyright (c) 2015 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS