000 03248naaaa2200409uu 4500
001 https://directory.doabooks.org/handle/20.500.12854/28130
020 _aOAPEN_459991
024 7 _a10.26530/OAPEN_459991
_cdoi
041 0 _aEnglish
042 _adc
072 7 _aMBDC
_2bicssc
072 7 _aMBDP
_2bicssc
072 7 _aMJN
_2bicssc
100 1 _aMcCullagh, Peter
_4auth
245 1 0 _aTed Freeman and the Battle for the Injured Brain: A case history of professional prejudice
260 _aCanberra
_bANU Press
_c2013
506 0 _aOpen Access
_2star
_fUnrestricted online access
520 _aThis book recounts some experiences of young Australians with catastrophic brain injuries, their families and the medical system which they encountered. Whilst most of the events described occurred two to three decades ago they raise questions relevant to contemporary medical practice. The patients whose stories are told were deemed to be ‘unsuitable for rehabilitation’ and their early placement in nursing homes was recommended. In 2013, it is time to acknowledge that the adage of ‘one size fits all’ has no place in rehabilitation in response to severe brain injury. Domiciliary rehabilitation, when practicable, may be optimal with the alternative of slow stream rehabilitation designed to facilitate re-entry into the community. Patients’ families were impelled to undertake heroic carers’ commitments as a reaction to nihilistic medical prognoses. It is time for the Australian health care system to acknowledge those commitments, and the budgetary burden which they lift from the system by providing family members with support to retrieve career opportunities, most notably in education and employment, which have been foregone in caring. Medical attendants repeatedly issued negative prognoses which were often confounded by the patient’s long term progress. Hopefully, those undertaking the acute care of young people with severe brain injury will strive to acquire an open mind and recognise that a prognosis based on a snapshot observation of the patient, without any longer term contact provides a flawed basis for a prognosis. The story of these patients and of Dr Ted Freeman has wider implications.
540 _aAll rights reserved
_4http://oapen.org/content/about-rights
546 _aEnglish
650 7 _aMedical ethics & professional conduct
_2bicssc
650 7 _aDoctor/patient relationship
_2bicssc
650 7 _aNeurology & clinical neurophysiology
_2bicssc
653 _adoctor-patient relations
653 _amedical history
653 _aBrain damage
653 _aBusiness in the Community
653 _aComa
653 _aFamily (biology)
653 _aNursing home care
653 _aPersistent vegetative state
653 _aTheodore Freeman
653 _aTraumatic brain injury
856 4 0 _awww.oapen.org
_uhttps://library.oapen.org/bitstream/20.500.12657/33533/1/459991.pdf
_70
_zDOAB: download the publication
856 4 0 _awww.oapen.org
_uhttps://library.oapen.org/bitstream/20.500.12657/33533/1/459991.pdf
_70
_zDOAB: download the publication
856 4 0 _awww.oapen.org
_uhttps://directory.doabooks.org/handle/20.500.12854/28130
_70
_zDOAB: description of the publication
999 _c51518
_d51518