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Case Study: Neuropsychological Rehabilitation of Adult Head Injured Patient

Nabila Tarannum Khan

Barbara A. Wilson by using World Health Organizations (1980) conceptual frame work, classify the sequel of brain injury into impairment, disabilities and handicaps. Neuropsychological rehabilitation is a treatment modality that is offering hope to many with brain injury. It is employed by a neuropsychologist to assist patients who have sustained cognitive, emotional and behavior impairments as the result of brain injury. Neuropsychological rehabilitation (NR) is concerned with the amelioration of cognitive, emotional, psychosocial, and behavioral deficits caused by an insult to the brain. (Barbara W.2007). TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death,(wikepedia) TBI is a major cause of death and disability worldwide, especially in children and young adults. (Alves and Bullock, 2001). A head injury is any injury that results in trauma to the skull or brain. The terms traumatic brain injury and head injury are often used interchangeably in the medical literature. ( Snelson,et al.,2019) In the case of brain injury, parts of the brain are no longer able to function normally. This can result in cognitive, emotional, behavioral or physical impairments. So this head injured patient need neuropsychological rehabilitation to get rid of these problems to maintain better quality of life. For this purpose Case study has done of Mr.A1, 32 years old, married male Head Injury (HI) patient, referred to the researcher after completing medical treatment for Neuropsychological rehabilitation for better management. He was selected as a participant of the present study.(Diagnosis: Haemorrahagic Contusion, Site of the injury: Left Front-Temporal region. Date of the accident: 26.03.08, Duration of injury:5 to 6 hours, Causes of injury: Fall from height, History of seizures-Nil, History of retrograde amnesia-present, Post traumatic amnesia-present, Nature of lesion: Multiple Hemorrhagic Contusion. The comprehensive assessment is vital to development of sensible and coherent intervention programmes.Within Case management systems(Intagliata,1982;Beardshaw and Towell,1990) or the care programme approach(Department of Health,1990).Hence for the assessment purpose researcher used Semi-Structured questionnaire, in -depth interview, Mini Mental State Examination (MMSE) in Bangla, Neurobehavioral Functioning Inventory (NFI), Self- Rating Scale 0-100 point and observation in the case of Mr.A1.Through in-depth interview, information was gathered from Mr.A1 and his caregiver (wife). The problems were found which can be categorized as :( Physical :Smell –no smell sensation, Vision-blurred vision, Lack of energy, CognitiveImpairment: Memory problem, Behavioral: Sexual dysfunctionFear of sex. Emotional: Anger, Physiological changes/Somatic Complain: Headache, Sleep disturbance.Due to head injury Mr.A1’s Current Functional status: Unable to take responsibility, Relationship problem with wife and Can’t go to office.