Brocht Chauna, Sheldon Phill, Synovec Caitlin
Health Care for the Homeless, Baltimore, MD USA.
Work. 2020;65(2):311-320. doi: 10.3233/WOR-203083.
Medical respite programs provide a safe place for people experiencing homelessness to recover from an acute illness or injury. Many patients in respite programs have experienced a traumatic brain injury (TBI) that impedes their ability to complete the self-management tasks necessary to recover from an acute medical condition. Patients with brain injuries may also have behavioral problems that are difficult to manage in a medical respite setting.
This paper describes the experiences of one medical respite program in screening, assessing, and treating patients experiencing homelessness who have traumatic brain injuries.
Services by clinical providers were tailored to better address needs of those with a history of TBI, as well as implementation of environmental modifications. Two retrospective case studies were completed to illustrate the importance of addressing TBIs in respite programs.
Modifications to programming can improve patient outcomes and assist in transitioning patients to appropriate community resources.
Identifying and treating patients with TBIs in respite programs can result in long-term positive benefits for patients.
医疗休养项目为无家可归者提供了一个安全的场所，使其能从急性疾病或损伤中康复。许多参加休养项目的患者曾经历过创伤性脑损伤（TBI），这妨碍了他们完成从急性疾病中康复所需的自我管理任务的能力。脑损伤患者还可能存在行为问题，在医疗休养环境中难以管理。
本文描述了一个医疗休养项目在筛查、评估和治疗患有创伤性脑损伤的无家可归者方面的经验。
临床提供者提供的服务经过调整，以更好地满足有创伤性脑损伤病史者的需求，并实施环境改造。完成了两项回顾性案例研究，以说明在休养项目中处理创伤性脑损伤的重要性。
对项目的调整可改善患者预后，并有助于患者过渡到适当的社区资源。
在休养项目中识别和治疗创伤性脑损伤患者可为患者带来长期的积极益处。
