1. Rehabilitation for a
Patient with a
Traumatic Brain
Injury (TBI)
in the US and Japan
A. Synnestvedt and S. Resseguie
Thomas Jefferson University, Philadelphia, PA
School of Health Professions
Department of Occupational Therapy
2. Introduction to the Web Conference
From: Web conference powerpoint, “East Japan Great Earthquake”
Departments of Occupational Therapy and Physical Therapy,
Kitasato University, Sagamihara, Japan, March 15, 2012
3. Objectives
• Conference experience
• Interdisciplinary care for an
individual with TBI
• OT care for an individual with TBI
• Similarities
• Differences
• Impressions
4. Phases of Rehabilitation
United States Japan
• Intensive Care Unit • Acute Phase
• In-Patient Rehabilitation • Recovery
• Community Re-entry • Maintenance Phase
5. Occupational Therapy for a patient
with TBI in the U.S. and Japan
• ICU/Acute:
– prevent impairments
• In-Patient Rehab/Recovery
– restore daily functioning
• Community Re-entry/Maintenance
– create supportive home set-up
7. Japan: OT for a Patient with a TBI
Home Adaptations Self Care Adaptations
From:
Web conference 3/12 – 3/15/12, Department of Occupational Therapy,
Kitasato University, Sagamihara, Japan
8. Similarities
• 3 Stages of care
• Healthcare teams work together
• International Model of Care
9. United States’
Discussion of ICF
(from TJU-OT presentation
at web conference)
Japan’s Discussion
of ICF
From: Web conference,
Department of
Occupational Therapy,
Kitasato University,
Sagamihara, Japan
10. Differences
Japan was surprised… U.S. was surprised….
“You talk to the whole “You have a longer length
healthcare team more.” of stay.”
“You talk with the family “You focus more on
more.”
patient self-care needs.”
“We’ve never heard of
medical family “You are prepared to deal
therapists.” with natural disasters.”
12. References
American Occupational Therapy Association. (2002). Traumatic brain injury
(TBI), effects and intervention. Retrieved from
http://www.aota.org/Consumers/consumers/Health-and-
Wellness/TBI/35199.aspx
Golisz, K. (2009). Occupational therapy practice guidelines for adults with
traumatic brain injury. Bethesda (MD): American Occupational Therapy
Association. Retrieved from
http://www.guidelines.gov/content.aspx?id=15287
World Health Organization. (2011). International Classification of
Functioning, Disability and Health (ICF). Retrieved from
http://www.who.int/classifications/icf/en/
To find out more about home adaptations, visit our wiki:
http://otsl.pbworks.com/w/page/5916987/Home%20Adaptations
