Dietary education Standard diet/ required (ie healthy eating weight monitoring and weight reduction) Clinical Comments Physical 2-3 trained therapists/ Routine physical issues Higher function disability trained staff at one time problems only to treat 1-2 required to No/low level of Complex postural Moderate physical physical disability tone/contracture disability requiring some management specialist interventions Specialist interventions required to manage spasticity Clinical Comments Cognition Severe cognitive Moderate cognitive Higher function problems intensive problems problems only – support required for over or orientation Routine cognitive No cognitive assessment required by problems Complex cognitive/ occupational therapy neuropsychologist team assessment required Strategies may be Highly structured required to enable environment required to functioning enable functioning A environment may be required to enable functioning Clinical Comments Behavioural Highly challenging Mild/moderate Minimal/ no behaviours behavioural problems problems with generally managed well behaviour – with a behaviour managed management care plan effectively Interactive behavioural management A structured environment Compliance with programme required may be required care Some monitoring may be A secure facility is required not required
Dietary education required (ie healthy eating and weight reduction) Standard diet/ weight monitoring Clinical Comments Physical disability 2-3 trained therapists/ trained staff at one time to treat Complex postural tone/contracture management Specialist interventions required to manage spasticity Routine physical issues 1-2 required to Moderate physical disability requiring some specialist interventions Higher function problems only No/low level of physical disability Clinical Comments Cognition Severe cognitive problems – intensive support required for over or orientation Complex cognitive/ neuropsychologist assessment required Highly structured environment required to enable functioning Moderate cognitive problems Routine cognitive assessment required by occupational therapy team Strategies may be required to enable functioning A environment may be required to enable functioning Higher function problems only No cognitive problems Clinical Comments Behavioural Highly challenging behaviours Interactive behavioural management programme required Mild/moderate behavioural problems generally managed well with a behaviour management care plan A structured environment may be required Some monitoring may be required Minimal/ no problems with behaviour – managed effectively Compliance with care A secure facility is not required
Complex_Neurological_Rehabilitation_-_referral_documents-1.docx