Specialised care of bed sores
Pressure ulcers (bed sores) are one of the most common complications that can occur after a spinal cord injury. This programme includes prevention, risk assessment, conservative evaluation and treatment or restorative plastic surgery when indicated and always very conservatively by experts in order to try to keep future options open in case of recurrence.
Assessment and treatment of communication disorders
Communication disorders are common after suffering brain injury, either because of language impairment or speech impairment. In these cases, a full evaluation and diagnostic orientation is carried out to determine individualised treatment programmes, as well as the most suitable systems in each case for functional communication. It includes rehabilitation techniques, alternative methods and augmentative communication strategies.
Comprehensive child rehabilitation outside school hours
This aims to provide comprehensive and specialised rehabilitation for children with a severe physical disability of neurological origin (traumatic brain injury, cerebral palsy, traumatic spinal cord injury, myelomeningocele, progressive diseases, etc.), in order to achieve the highest possible level of autonomy, depending on their neurological injury, and possible rehabilitation treatment on a schedule compatible with their schooling to enable better use of the studies, while providing the best possible normalisation and social integration.
Psychological counselling and treatment
Evaluation, counselling and intervention in the psychological aspects related to the confrontation and adaptation to a situation of illness or disability, both in the initial stages and for the possible long-term complications. This includes prevention and treatment of post-traumatic stress disorders, relaxation techniques for anxiety, individual and/or family intervention, and treatment of other adaptive or psychopathological disorders that affect the well-being and quality of life.
Comprehensive care for people with neurodegenerative diseases
Assessment, treatment and periodic monitoring of people affected by these diseases; prevention and treatment of complications; neuropsychological care and control.
Personal autonomy and control of surroundings
Using computers and learning operation of other technical aids and orthoprosthetic components as instruments for achieving the greatest autonomy and best quality of life possible for a person affected by a major disability.
Periodic comprehensive assessment
This is the study that a person with a spinal cord injury, severe acquired brain injury or other major disability of neurological origin must undergo regularly to allow the early detection of any disease that, because of the characteristics of the baseline neurological injury, could pass as asymptomatic or unnoticed until more advanced phases. If not detected, these diseases may lead to long hospital treatment and might even be able to threaten the very survival of the patient.
This is a preventive action in order to decrease the incidence of complications in people with spinal cord injury and/or severe brain damage and, at the same time, help them get the best possible level of personal autonomy, as well as enhance the quality of life and their social reintegration. This assessment covers the medical aspects, including functional, psychological/neuropsychological and social aspects, as well as those related to health education and the prevention of health risks. It is mainly done on an outpatient basis, i.e., during the morning.
Specialised new rehabilitation assessment
An interdisciplinary study of patients with a severe physical disability of neurological origin in subacute or chronic phase; i.e., medical rehabilitation patients who have followed treatment in another hospital during the acute phase of the process and that, for various reasons, seek a second opinion from experts in the Institut Guttmann that includes functional assessment and prognosis of the consequences.
The study includes:
- Physical and neurological examination needed to establish the deficit (physical and neuropsychological - cognitive, behavioural and language or speech disorders) and possible complications.
- Functional assessment, in which the secondary disability is determined.
- Psychological exploration for underlying disorders or possible dysfunctions that interfere with the integration process or involve the risk of disease.
- Social study that tries to establish the disadvantage, intellectual and behavioural, caused by the physical damages
- Additional tests (blood and urine tests, radiology, urological examinations, etc.).
- This assessment, conducted during the 5-day admission period, can assess the aspects that may benefit from specialised treatment, rule out complications and advise the patient and family about future needs while training them in preventive measures in order to avoid the most frequent complications.