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1 month ago | 
rehabilitationmatters.com | Derick Wade
My first post on rehabilitation thinking discussed the crucial role of expertise when considering three aspects of rehabilitation: the process, the professional, and the person. I finished by introducing a fourth viewpoint, holistic rehabilitation thinking. This post expands on holistic thinking.
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1 month ago | 
rehabilitationmatters.com | Derick Wade
In 2002, I wrote that “… rehabilitation is a way of thinking and not a way of doing.” The editorial did not develop the rehabilitation thinking hypothesis much. I have been asked to give a talk on “What is really important in rehabilitation?”. This is a challenging title. My initial idea was to structure my reply around the process, highlighting specific aspects of diagnosis, formulation, planning, intervention, and evaluation that I considered most essential. This seemed boring.
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Mar 27, 2025 | 
rehabilitationmatters.com | Derick Wade
Last edited: March 27, 2025 The patient had previously been active intellectually, creatively, physically, and socially; after his ischaemic brain damage a year ago, he was left requiring 24-hour care, with aphasia limiting communication. While discussing his future, his daughter mentioned the magnitude of his losses and how it would distress him.
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Feb 22, 2025 | 
rehabilitationmatters.com | Derick Wade
Last updated: February 22, 2025 I have been assessing patients with disordered consciousness since working in neurosurgery in 1976. Initially, most patients were people who soon recovered consciousness.
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Feb 10, 2025 | 
rehabilitationmatters.com | Derick Wade
Last modified: February 10, 2025 On 6 February 2025, three speakers at a seminar organised by COPPA (the Court of Protection Practitioners Association) considered “Withdrawal of treatment applications in the Court of Protection for patients in PDOC”.
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Jan 12, 2025 | 
rehabilitationmatters.com | Derick Wade
Recently, I saw a patient in a care home to give a second opinion on rehabilitation needs, and the team gave me a detailed report on their observations. I read the 15-20 page report, which included standardised assessment and personal observations. One colossal omission struck me: no information about the patient beyond gender and age. None! Later, I met many family members; at least one family member visited daily and had done so for five months. I asked them to tell me about the person.
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Dec 29, 2024 | 
rehabilitationmatters.com | Derick Wade
I often appear as an expert witness in the UK Court of Protection, giving evidence and my opinion on the best interests of someone with a prolonged disorder of consciousness (PDOC). Generally, this is when continuing active medical treatment is considered, and their best interests are in doubt or dispute. I will discuss my role at a meeting in Manchester on 6 February 2025. I will explore and discuss my thoughts in this post, as this makes me reflect on my role.
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Nov 21, 2024 | 
rehabilitationmatters.com | Derick Wade
I have agreed to talk, on 6 December 2024, to medical trainees about Acquired Brain Injury rehabilitation. I decided to write a post to help me set out six principles, but as I wrote this post, I realised there was a gaping hole around the term: acquired brain injury, sometimes abbreviated to ABI. It needs to be made clear what is included or excluded. For example, multiple sclerosis is usually acquired after age 21, but it is not necessarily considered an acquired brain injury.
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Nov 9, 2024 | 
pn.bmj.com | Derick Wade |Oxford Brookes
Prolonged disorder of consciousness: giving a second opinion on the best interests of a person Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
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Nov 8, 2024 | 
pn.bmj.com | Derick Wade
Prolonged disorder of consciousness: giving a second opinion on the best interests of a person Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
