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9 - Other aspects of community neurological rehabilitation

Published online by Cambridge University Press:  11 August 2009

Michael P. Barnes
Affiliation:
University of Newcastle upon Tyne
Harriet Radermacher
Affiliation:
University of Newcastle upon Tyne
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Summary

Overview

If someone has been diagnosed with multiple sclerosis, sustained a stroke or is living with cerebral palsy, medical and therapeutic intervention is likely to form a substantial part of his or her life. The extent to which it does is dependent on the individual. At the acute end of the spectrum, health-related intervention is likely to be a priority as individuals may be in critical conditions. In the community, individuals may still have impairment-related needs, but they are likely to extend beyond the medical domain.

Neurological impairments not only affect an individual's physical and emotional health, but they can impact on many other areas of life. This includes employment, housing, education, transport and sport and leisure activities. Informal support networks, such as family and friends, may also play a significant part in the lives of disabled people. While rehabilitative practice focuses on health-related needs, many governmental agencies in the North are obliged to meet these additional social needs, including the needs of carers. In the past these needs have often been met in isolation in a number of different ways owing to the organizational structure of the different agencies involved and the source of funding. This has resulted in long delays, bad coordination, lack of communication, gaps and overlap in services, inefficient use of limited resources, inappropriate services, lack of flexibility and ultimately confusion for the client (Beardshaw, 1988).

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Publisher: Cambridge University Press
Print publication year: 2003

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