LOGIC March 2018 Vol 17 Vol 1 - Page 32

In a recent Cochrane Review (2015) for outcomes of working- age adults recovering from TBI, results indicate there is strong evidence for rehabilitation, associated with earlier functional gains (Turner-Stokes et al., 2015). Further, evidence suggests that continued outpatient therapy could help to sustain gains made in early post-acute rehabilitation to community settings, critical follow. They may be admitted to hospital via the emergency department or be seen by their GP several days after the event. The important thing is that if they are experiencing ongoing symptoms they can get help. It is important to note that patients who have major orthopaedic injuries and/or spinal cord injuries are often managed with these injuries as acute and community resources will help continue education and outreach to integrate with the great work occurring in primary care. Collaborative, cross-discipline management will aid in reduction of ongoing symptoms and further presentations, assisting a more rapid return to normal functioning. Providing the right care, at the right place, at the right time will not only enhance Fig. 3: Schematic Depicting Usual Care Pathway for TBI NZ, Insight Rehabiliation. when considering return to work and participation in community (Turner-Stokes et al., 2015). There are different pathways a person who has sustained a brain injury can March 2018 L.O.G.I.C priority. Possible TBI symptoms, particularly cognitive issues may not become apparent until they have reduced pain meds and start being more active. A heightened awareness of post- patients experiences, but can greatly improve use of resources, which may in the long-term promote cost savings. Concussion Services 30