Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress
The operational model and strategies developed at the Institute S. Anna-RAN to be applied in the care and neurorehabilitation of subjects with disorders of consciousness (DOC) are described. The institute units are sequentially organized to guarantee appropriate care and provide rehabilitation progr...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/463829 |
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| _version_ | 1849691836533178368 |
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| author | Giuliano Dolce Francesco Arcuri Simone Carozzo Maria Daniela Cortese Pierpaolo Greco Lucia Francesca Lucca Loris Pignolo Maria Elena Pugliese Francesco Riganello |
| author_facet | Giuliano Dolce Francesco Arcuri Simone Carozzo Maria Daniela Cortese Pierpaolo Greco Lucia Francesca Lucca Loris Pignolo Maria Elena Pugliese Francesco Riganello |
| author_sort | Giuliano Dolce |
| collection | DOAJ |
| description | The operational model and strategies developed at the Institute S. Anna-RAN to be applied in the care and neurorehabilitation of subjects with disorders of consciousness (DOC) are described. The institute units are sequentially organized to guarantee appropriate care and provide rehabilitation programs adapted to the patients’ clinical condition and individual’s needs at each phase of evolution during treatment in a fast turnover rate. Patients eligible of home care are monitored remotely. Transferring advanced technology to a stage of regular operation is the main mission. Responsiveness and the time windows characterized by better residual responsiveness are identified and the spontaneous/induced changes in the autonomic system functional state and biological parameters are monitored both in dedicated sessions and by means of an ambient intelligence platform acquiring large databases from traditional and innovative sensors and interfaced with knowledge management and knowledge discovery systems. Diagnosis of vegetative state/unresponsive wakefulness syndrome or minimal conscious state and early prognosis are in accordance with the current criteria. Over one thousand patients with DOC have been admitted and treated in the years 1998–2013. The model application has progressively shortened the time of hospitalization and reduced costs at unchanged quality of services. |
| format | Article |
| id | doaj-art-b6532969e5c24d04bde5fb4455f56dc0 |
| institution | DOAJ |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-b6532969e5c24d04bde5fb4455f56dc02025-08-20T03:20:54ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/463829463829Care and Neurorehabilitation in the Disorder of Consciousness: A Model in ProgressGiuliano Dolce0Francesco Arcuri1Simone Carozzo2Maria Daniela Cortese3Pierpaolo Greco4Lucia Francesca Lucca5Loris Pignolo6Maria Elena Pugliese7Francesco Riganello8Institute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyInstitute S. Anna-Research in Advanced Neurorehabilitation (RAN), 88900 Crotone, ItalyThe operational model and strategies developed at the Institute S. Anna-RAN to be applied in the care and neurorehabilitation of subjects with disorders of consciousness (DOC) are described. The institute units are sequentially organized to guarantee appropriate care and provide rehabilitation programs adapted to the patients’ clinical condition and individual’s needs at each phase of evolution during treatment in a fast turnover rate. Patients eligible of home care are monitored remotely. Transferring advanced technology to a stage of regular operation is the main mission. Responsiveness and the time windows characterized by better residual responsiveness are identified and the spontaneous/induced changes in the autonomic system functional state and biological parameters are monitored both in dedicated sessions and by means of an ambient intelligence platform acquiring large databases from traditional and innovative sensors and interfaced with knowledge management and knowledge discovery systems. Diagnosis of vegetative state/unresponsive wakefulness syndrome or minimal conscious state and early prognosis are in accordance with the current criteria. Over one thousand patients with DOC have been admitted and treated in the years 1998–2013. The model application has progressively shortened the time of hospitalization and reduced costs at unchanged quality of services.http://dx.doi.org/10.1155/2015/463829 |
| spellingShingle | Giuliano Dolce Francesco Arcuri Simone Carozzo Maria Daniela Cortese Pierpaolo Greco Lucia Francesca Lucca Loris Pignolo Maria Elena Pugliese Francesco Riganello Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress The Scientific World Journal |
| title | Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress |
| title_full | Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress |
| title_fullStr | Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress |
| title_full_unstemmed | Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress |
| title_short | Care and Neurorehabilitation in the Disorder of Consciousness: A Model in Progress |
| title_sort | care and neurorehabilitation in the disorder of consciousness a model in progress |
| url | http://dx.doi.org/10.1155/2015/463829 |
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