Rehabilitation for a Patient with a

Traumatic Brain Injury (TBI)

in the US and Japan

A. Synnestvedt and S. ResseguieThomas Jefferson University, Philadelphia, PA

School of Health ProfessionsDepartment of Occupational Therapy

Introduction to the Web Conference

From: Web conference powerpoint, “East Japan Great Earthquake”Departments of Occupational Therapy and Physical Therapy, Kitasato University, Sagamihara, Japan, March 15, 2012

Objectives

• Conference experience• Interdisciplinary care for an

individual with TBI• OT care for an individual with TBI• Similarities• Differences• Impressions

United States• Intensive Care Unit• In-Patient Rehabilitation• Community Re-entry

Japan• Acute Phase• Recovery• Maintenance Phase

Phases of Rehabilitation

Occupational Therapy for a patient with TBI in the U.S. and Japan

• ICU/Acute:– prevent impairments

• In-Patient Rehab/Recovery– restore daily functioning

• Community Re-entry/Maintenance– create supportive home set-up

Adaptation Home

Japan: OT for a Patient with a TBI

Home Adaptations Self Care Adaptations

From: Web conference 3/12 – 3/15/12, Department of Occupational Therapy, Kitasato University, Sagamihara, Japan

Similarities

• 3 Stages of care• Healthcare teams work together• International Model of Care

United States’ Discussion of ICF

(from TJU-OT presentation at web conference)

Japan’s Discussion of ICF

From: Web conference,Department of Occupational Therapy, Kitasato University,Sagamihara, Japan

Differences

“You talk to the whole healthcare team more.”

“You talk with the family more.”

“We’ve never heard of medical family therapists.”

U.S. was surprised….

“You have a longer length of stay.”

“You focus more on patient self-care needs.”

“You are prepared to deal with natural disasters.”

Japan was surprised…

Impressions

ReferencesAmerican Occupational Therapy Association. (2002). Traumatic brain injury

(TBI), effects and intervention. Retrieved from http://www.aota.org/Consumers/consumers/Health-and-Wellness/TBI/35199.aspx

Golisz, K. (2009). Occupational therapy practice guidelines for adults with traumatic brain injury. Bethesda (MD): American Occupational Therapy Association. Retrieved from http://www.guidelines.gov/content.aspx?id=15287

World Health Organization. (2011). International Classification of Functioning, Disability and Health (ICF). Retrieved from http://www.who.int/classifications/icf/en/

To find out more about home adaptations, visit our wiki:http://otsl.pbworks.com/w/page/5916987/Home%20Adaptations