Table Of ContentTeamwork in Neurology
THERAPY IN PRACTICE SERIES
Edited by Jo Campling
This series of books is aimed at 'therapists' concerned with rehabili
tation in a very broad sense. The intended audience particularly
includes occupational therapists, physiotherapists and speech and lan
guage therapists, but many titles will also be of interest to nurses,
psychologists, medical staff, social workers, teachers or volunteer
workers. Some volumes are interdisciplinary, others are aimed at one
particular profession. All titles will be comprehensive but concise, and
practical but with due reference to relevant theory and evidence. They
are not research monographs but focus on professional practice, and
will be of value to both students and qualified personnel.
1. Occupational Therapy for Children with Disabilities
Dorothy E. Penso
2. Living Skills for Mentally Handicapped People
Christine Peck and Chia Swee Hong
3. Rehabilitation of the Older Patient
Edited by Amanda J. Squires
4. Physiotherapy and the Elderly Patient
Paul Wagstaff and Davis Coakley
5. Rehabilitation of the Severely Brain-Injured Adult
Edited by Ian Fussey and Gordon Muir Giles
6. Communication Problems in Elderly People
Rosemary Gravell
7. Occupational Therapy Practice in Psychiatry
Linda Finlay
8. Working with Bilingual Language Disability
Edited by Deirdre M. Duncan
9. Counselling Skills for Health Professionals
Philip Burnard
10. Teaching Interpersonal Skills
A handbook of experiential learning for health professionals
Philip Burnard
11. Occupational Therapy for Stroke Rehabilitation
Simon B. N. Thompson and Maryanne Morgan
12. Assessing Physically Disabled People at Home
Kathy Maczka
13. Acute Head Injury
Practical management in rehabilitation
Ruth Garner
14. Practical Physiotherapy with Older People
Lucinda Smyth et al.
15. Keyboard, Graphic and Handwriting Skills
Helping people with motor disabilities
Dorothy E. Penso
16. Community Occupational Therapy with Mentally Handicapped
Adults
Debbie Isaac
17. Autism
Professional perspectives and practice
Edited by Kathryn Ellis
18. Multiple Sclerosis
Approaches to management
Edited by Lorraine De Souza
19. Occupational Therapy in Rheumatology
An holistic approach
Lynne Sandles
20. Breakdown of Speech
Causes and remediation
Nancy R. Milloy
21. Coping with Stress in the Health Professions
A practical guide
Philip Burnard
22. Speech and Communication Problems in Psychiatry
Rosemary Gravell and Jenny France
23. Limb Amputation
From aetiology to rehabilitation
Rosalind Ham and Leonard Cotton
24. Management in Occupational Therapy
Zielfa B. Maslin
25. Rehabilitation in Parkinson's Disease
Edited by Francis I. Caird
26. Exercise Physiology for Health Professionals
Stephen R. Bird
27. Therapy for the Burn Patient
Annette Leveridge
28. Effective Communication Skills for Health Professionals
Philip Burnard
29. Ageing, Healthy and in Control
An alternative approach to maintaining the health of older people
Steve Scrutton
30. The Early Identification of Language Impairment in Children
Edited by James Law
31. An Introduction to Communication Disorders
Diana Syder
32. Writing for Health Professionals
A manual for writers
Philip Burnard
33. Brain Injury Rehabilitation
A neuro-functional approach
Gordon Muir Giles and Jo Clark-Wilson
34. Living with Continuing Percepto-motor Difficulties
Theory and strategies to help children, adolescents and adults
Dorothy E. Penso
35. Psychology and Counselling for Health Professionals
Edited by Rowan Bayne and Paula Nicholson
36. Occupational Therapy for Orthopaedic Conditions
Dina Penrose
37. Teaching Students in Clinical Settings
Jackie Stengelhofen
38. Group work in Occupational Therapy
Linda Finlay
39. Elder Abuse
Concepts, theories and interventions
Gerald Bennett and Paul Kingston
40. Teamwork in Neurology
Ruth Nieuwenhuis
41. Eating Disorders
A guide for professionals
Simon Thompson
42. Community Mental Health
Practical approaches to the long-term problems
Steve Morgan
FORTHCOMING TITLES
Research Methods for Therapists
Avril Drummond
Stroke: Recovery and Rehabilitation
Polly Laidler
HlV and Aids Care
S. Singh and L. Cusack
Speech and Language Disorders in Children
Dilys A. Treharne
Spinal Cord Rehabilitation
Karen Whalley-Hammell
Team.work in
Neurology
Ruth Nieuwenhuis
MA(Hons), Dip CSLT, Reg MCSLT
Sully Hospital Stroke Unit, South Glamorgan
SPRINGER-SCIENCE+BUSINESS MEDIA, B.V.
First edition 1993
© 1993 Ruth Nieuwenhuis
Originally published by Chapman & HaU in 1993
Phototypeset in 10/12pt Palatino by Intype, London
ISBN 978-0-412-39350-1 ISBN 978-1-4899-4447-4 (eBook)
DOI 10.1007/978-1-4899-4447-4
Apart from any fair dealing for the purpose of research or private study,
or criticism or review, as permitted under the UK Copyright Designs
and Patents Act 1988, this publication may not be reproduced, stored
or transmitted, in any form or by any means, without the prior
permission of the publishers, or in the case of reprographic
reproduction only in accordance with the terms of the licences issued
by the Copyright Licensing Agency in the UK, or in accordance with
the terms of licences issued by the appropriate Reproduction Rights
Organization outside the UK. Enquiries concerning reproduction
outside the terms stated here should be sent to the publishers at the
London address printed on this page.
The publisher makes no representation, express or implied, with
regard to the accuracy of the information contained in this book and
cannot accept any legal responsibility or liability for any errors or
omissions that may be made.
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication data available.
I§Printed on permanent acid-free text paper, manufactured in
accordance with the proposed ANSIINISO Z 39.48-199X and ANSI Z
39.48-1984
Contents
Preface ix
1 Introduction 1
2 Patients' and relatives' views 22
3 The professions 39
4 Assessment 66
5 Approaches, models and techniques 85
6 Training and education for teamwork 104
7 Hospital case histories 121
8 Community case histories 136
9 Conclusion 152
Appendix A: Useful addresses 169
Appendix B: Glossary 174
Bibliography 183
Index 194
Preface
The problems which hamper teamwork in health care are well
documented. Foremost among these is a lack of knowledge
about each others' professions linked with poor understanding
and misperception of each others' roles. Limited appreciation
of the vital contributions of both patient and family is another
important factor.
This book aims to address these and other issues, thereby
encouraging improvements in the quality of health care. It
developed from an interest in teamwork with adults who had
suffered brain damage due to trauma, neurological illness or
degenerative neurological disease. The text reflects many years
of practical experience gained both in hospitals and in the com
munity. It assumes that shared knowledge between the pro
fessions may promote greater mutual understanding and foster
positive working relations.
Some stylistic features require explanation. The use of 'he'
and 'she' is always problematical. Ideally, both pronouns
should be used simultaneously because there are male or female
individuals in all walks of life. However the repeated use of
'he/she' becomes unwieldy and I have adopted, therefore, the
following convention: 'he' refers to patients and doctors and
'she' to nurses, physiotherapists, occupational therapists,
speech and language therapists, dieticians, social workers and
clinical psychologists.
Another important point concerns different terminology in
the UK and the US. A 'physiotherapist' in Britain is known as
a 'physical therapist' in the States. Similarly, a 'speech and
language therapist' is known as a 'speech and language pathol
ogist'. Some of these different terms appear in the book, their
X Preface
use dictated by the context. Furthermore, all patients' names
have been changed.
I would like to thank my colleagues who shared their practical
expertise and provided help and support. Particular thanks go
to those at the James Paget HospitaC Gorleston, Great Yarmouth
- namely Elizabeth Burningham, occupational therapist, and
Linda Clarke, physiotherapist. Staff at the 'Stroke Unit' at the
University Hospital of Wales have also been very helpfuC
especially Maggie Gillingham, dietician; Jennifer Moses, clinical
psychologist; Margaret Moss, social worker; Delyth Rees,
occupational therapist; and Maggie Webster, physiotherapist.
Barbara McCaffer and Helen Hughes, dieticians at Sully Hospi
taC near Cardiff gave very useful information, whilst Andrew
Butcher (formerly Unit General Manager at the James Paget
Hospital) arranged financial support for the necessary library
research. Christine Thompson, librarian there, carried this out
along with Alan Bullimore. Both willingly shared their knowl
edge and expertise.
Finally, Paul and Mum and Dad sustained the project from
start to finish. This book is dedicated to all three.
Ruth Nieuwenhuis
