Independent living following a 'Do Not Resuscitate' order after subarachnoid haemorrhage.
Disabil Rehabil
; 29(4): 347-52, 2007 Feb 28.
Article
in En
| MEDLINE
| ID: mdl-17364785
ABSTRACT
PURPOSE:
The recovery and psychosocial adjustment of a 41-year-old right handed women (K.E.) following subarachnoid haemorrhage (SAH) with initially poor predicted prognosis is presented.METHOD:
A single case report with an early post surgery 'Do Not Resuscitate' order following SAH with a significant period of impaired consciousness is outlined.RESULTS:
Following a right frontal craniotomy and clipping of a left distal anterior communicating artery (AcoA) aneurysm, K.E. was unresponsive for 23 days and 'minimally conscious' for a further 5+ weeks post surgery (36 days). At two months post insult, after some neurological improvement, she was transferred for post-acute goal directed neurorehabilitation. At 8 months post insult, after 4 months inpatient and 2 months intensive outpatient neurorehabilitation, K.E. was largely independent, did not require home care services and had made a good psychosocial adjustment to her acquired difficulties.CONCLUSIONS:
The potential for recovery following a significant period of reduced consciousness after SAH is highlighted despite initially poor prognostic indicators.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Subarachnoid Hemorrhage
/
Resuscitation Orders
/
Persistent Vegetative State
/
Recovery of Function
Type of study:
Etiology_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Disabil Rehabil
Journal subject:
REABILITACAO
Year:
2007
Type:
Article
Affiliation country:
United kingdom