Article

This series of articles for rehabilitation in practice aims to cover a knowledge
element of the rehabilitation medicine curriculum. Nevertheless they are intended
to be of interest to a multidisciplinary audience.
The competency addressed in
this article is 'The trainee demonstrates a knowledge of diagnostic approaches
for specific impairments including cognitive dysfunction as a result of cardiac
arrest.' Abstract Objective: To describe a new early intervention service for
survivors of cardiac arrest and their caregivers, and to explain the evidence and
rationale behind it. Rationale: A cardiac arrest may cause hypoxic-ischaemic
brain injury, which often results in cognitive impairments. Survivors of cardiac
arrest can also encounter emotional problems, limitations in daily life, reduced
participation in society and a decreased quality of life. A new early
intervention service was designed based on literature study, expert opinion and
patient experiences. Description of the intervention: The early intervention
service is an individualized programme, consisting of one to six consultations by
a specialized nurse for the patient and their caregiver. The intervention starts
soon after discharge from the hospital and can last up to three months. The
intervention consists of screening for cognitive and emotional problems,
provision of information and support, promotion of self-management strategies and
can include referral to further specialized care if indicated. Discussion: This
intervention is assumed to reduce future problems related to hypoxic-ischaemic
brain injury in the patient and caregiver, and its effectiveness is currently
being investigated in a randomized controlled multicentre trial.

Langue : ANGLAIS