Aggression and TBI

May 28, 2007

I did a journal review this week, an article found by a collegue who has a subscription to the British Journal of OT. The title is “Occupational Therapists’ Perceptions and Management of Aggression related to Adults with a Brain Injury”, written by K.Beauliu (2007) 70(4).

The whole article raised some interesting points, including

  • physical aggression towards OT is most common when helping with ADL’s
  • agression is related to fear of failure when presented with challenging assessments
  • OT’s dont tend to blame patients for their aggressive behaviour, instead they see it as a sympton of their TBI
  • OT’s avoid the behavioural approach when managing aggression, instead opt for preventative strategies by eliminating the perceived cause of aggression

But most importantly – we need training!! This dramatically improves our confidence in managing aggressive behaviour, and therefore reduces the incidence of aggression.

It’s worth a looking into.

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Working with numbers

May 14, 2007

My work environment has recently become quite quiet. Quietness is relative, if your overloaded and overworked, then having a normal workload can be thought of as ‘quiet’. There has been a mazz exodus, discharge after discharge, which has left me with time to actually stop and think. This lead to some fantastic OT rehabilitation! With a reduced caseload I had the time I needed to engage with my patients, and to make a real difference in their lives in only 2 weeks of their stay as an inpatient.

The admissions are slowly filling up the ward again, and I’m finding myself almost laughing at how how my practice is going to return to fast-paced semi chaos, because I’ve been so enjoying a reduced case load and the amazing opportunities to do all I want to for my patients.

Is this sustainable? Is it fair to us or the people we treat? Is accepting the minimal standard acceptable? I certainly hope not!!