Transdisciplinary Team Approach to a Patient with Severe Cognitive and Behavioral Dysfunction.

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  • HASHIMOTO Keiji
    Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital
  • OHASHI Masahiro
    Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital
  • WATANABE Shu
    Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital
  • MIYANO Satoshi
    Department of Rehabilitation Medicine, Jikei University School of Medicine

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Other Title
  • 重度認知・行動障害者に対する相互乗り入れチムアプローチ
  • ショウレイ ホウコク ジュウド ニンチ コウドウ ショウガイシャ ニ タイスル ソウゴ ノリイレ チームアプローチ

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Abstract

A thirty-seven-year-old man with cognitive, emotional and behavioral dysfunction due to anoxic encephalopathy after a myocardial attack was admitted to our hospital. The purpose of this hospitalization was to evaluate his impairment and to help his family to care him at home. His brain dysfunction was so severe that he could not participate in the ordinary rehabilitation program. Because of his condition, our rehabilitation team and his wife communicated closely to obtain mutual agreement about the way to deal with his difficult behavioral problems. The therapists treated him with whatever the way that can bring up patient's better responses. As a result of such transdisciplinary team (TDT) approach for about five months, he became to show less problematic behaviors and to be able to live with his family at home. The TDT approach is reported to be effective to those who have cognitive and behavioral problems such as this patient.

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