118 FYSIOTERAPEUTEN 5/24 FAGARTIKKEL problemer i senfasen av TBI. I tverrfaglig målorientert rehabilitering er kollegialt samarbeid, råd og veiledning på tvers av egen spesifikke fagkompetanse sentralt for å sikre kunnskapsbaserte tiltak og strategier for målarbeidet. Tilnærmingen er godt egnet til å stryke samarbeidet mellom kommunehelsetjenesten og spesialisthelsetjenesten og har overføringsverdi til andre aktuelle pasientgrupper, som f.eks. hjerneslag og andre nevrologiske lidelser med langvarig funksjonsnedsettelse etter sykdom og skader. Referanser 1. Menon DK, Schwab K, Wright DW, Maas AI. Position statement: definition of traumatic brain injury. Archives of physical medicine and rehabilitation. 2010;91(11):1637-40. doi: https://doi.org/10.1016/j.apmr.2010.05.017 2. Peeters W, van den Brande R, Polinder S, Brazinova A, Steyerberg EW, Lingsma HF, et al. Epidemiology of traumatic brain injury in Europe. 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Abstract Title: Goal-oriented and individualized home-based rehabilitation in the chronic phase of traumatic brain injury Introduction: Individuals with traumatic brain injury (TBI) experience long-term consequences of the injury and need long-term support from health care services. The consequences are complex and heterogeneous and may limit physical, cognitive, emotional, and social activities. Goal-oriented and individualized home-based rehabilitation is an appropriate approach for individuals living at home with long-term activity limitations after TBI. Main part: Based on a recently completed research project, this article describes a SMART-goal and action planning approach based on patient-reported problem areas for home dwelling individuals with ongoing activity limitations in the chronic phase of TBI. Collaboration with municipal health-resources and other outside collaborators was established for 53% of the participants. Acceptability was high for both participants and family members. The research project has shown that goal-oriented and individualized home-based rehabilitation improves health-related quality of life and reduces symptom burden and anxiety in the chronic phase of TBI. Sum up: This article has exemplified how individualized goal-oriented rehabilitation can be carried out for individuals living at home with long-term activity limitations after TBI. Even after several years, the physical, cognitive, emotional and social activity limitations can be improved by individualized and goal-oriented evidence-based rehabilitation. The SMART-goal and action planning approach is well suited to strengthen the collaboration between the municipality and the specialist health care service. Keywords: Goal-oriented rehabilitation; Traumatic brain injury; chronic phase of TBI.
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