Conscious care: a proposed model to improve interprofessional care of patients with disorders of consciousness in the acute hospital setting.

Background: Forty percent of individuals within the Disorders of Consciousness (DoC) spectrum are misdiagnosed as in a vegetative state/unresponsive wakefulness syndrome (VS/UWS) when in fact they are minimally conscious or emerged, underscoring a need to optimize evaluation techniques and interprof...

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Publicado en:Brain Injury Vol. 38; no. 13; pp. 1125 - 1133
Autores principales: Keech, Kristen, Asiello, Jessica
Formato: pictorial tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02699052.2024.2376767
        180329941
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        atl: Conscious care: a proposed model to improve interprofessional care of patients with disorders of consciousness in the acute hospital setting.
      aug:
        au:
          Keech, Kristen
          Asiello, Jessica
        affil: Department of Rehabilitation Services, The Queen's Medical Center, Certified Brain Injury Specialist, Honolulu, Hawaii, USA
      sug:
        subj:
          Patient Centered Care
          Consciousness Disorders
          Professional Knowledge
          Patient Safety
          Confidence
          Acute Care
          Hospital Units
          Models, Theoretical
          Brain Injuries
          Implementation Science
          Professional Practice, Evidence-Based
          Program Evaluation
          Practice Guidelines
          Documentation
      ab: Background: Forty percent of individuals within the Disorders of Consciousness (DoC) spectrum are misdiagnosed as in a vegetative state/unresponsive wakefulness syndrome (VS/UWS) when in fact they are minimally conscious or emerged, underscoring a need to optimize evaluation techniques and interprofessional care management. Primary Objective: Conscious Care is a proposed care model that aims to improve interprofessional care of patients with DoC in the hospital setting. The aim of this paper is to describe this model's key ingredients and various components. Conclusions: This care model will advance clinician and caregiver preparedness to manage the complexities of this population and advocate for equal access to post-hospital medical and rehabilitative services. Evaluation and treatment of survivors of DoC should incorporate current evidence which drives continuous quality improvement and education to clinicians across the continuum of care. Immediate action must be taken to decrease the vulnerability and neglect of this marginalized population. Conscious Care is an innovative, sustainable solution that will improve interprofessional awareness of best practices and available science, strengthen care, and advocate for the right to quality of life that this population is so often denied.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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