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Spasticity is a common symptom that arises in a wide range of neurological conditions. Unfortunately, a poor understanding and inadequate management of spasticity often results in it having a greater impact on patients than necessary.
Using a multidisciplinary approach, Spasticity Management: A Practical Multidisciplinary Guide provides the essential knowledge for the effective management of spasticity as well as the practical tools for developing wide-ranging services.
In line with the previous edition, this book emphasises the importance of all team members being involved in educating the individual with spasticity and, if appropriate, their carers and families. Thoroughly updated, this edition discusses new medications available for spasticity management, increased coverage of postural management via occupational therapy input, and pragmatic guidance using illustrations, algorithms and linkages to real-world clinical practice.
New chapters have been added to address individuals making the transition from paediatric to adult services as well as the provision of optimal end-of-life care. Also included are real-life case studies to emphasise learning points while engaging the reader, making this a valuable guide to any practitioner involved in managing spasticity.
What Is Spasticity?
Jonathan F. Marsden
Assessment of the Individual with Spasticity
Valerie L. Stevenson, Katrina Buchanan, Elizabeth Keenan and Louise Jarrett
Provision of Education and Promoting Self-Management
Louise Jarrett and Elizabeth Keenan
Physical and Postural Management of Spasticity
Katrina Buchanan and Susan Hourihan
Oral Medication
Valerie L. Stevenson
Focal Treatments, Including Botulinum Toxin
Rachel Farrell and Katrina Buchanan
Intrathecal Baclofen and Phenol
Valerie L. Stevenson, Elizabeth Keenan and Louise Jarrett
Transitioning Young People with Spasticity from Paediatric to Adult Services
Sarah Perides and Margaret Kaminska
End-of-Life Care and Managing Spasticity
Jane Neerkin and David Oliver
APPENDICES
Generalised Spasticity Multidisciplinary Proforma
Focal Spasticity Multidisciplinary Proforma
Spasticity Outcome Measures Form
Patient Information - Managing Your Spasticity and Spasms
Patient Information - Managing Spasticity and Spasms with Exercise
Patient Information - How Botulinum Toxin May Help Your Spasticity
Patient Information - How Intrathecal Baclofen May Help to Manage Your Spasticity
Medical Procedure for the Intrathecal Baclofen Trial Injection
Nursing Care Plans for Intrathecal Baclofen Therapy
Competencies for Intrathecal Baclofen Specialist Nurses
Physiotherapy Guidelines for Intrathecal Baclofen Therapy
Surgical Procedure for Intrathecal Baclofen Pump Placement
Refill Procedure for Medtronic Intrathecal Pumps
Patient Information - How Intrathecal Phenol May Help to Manage Your Spasticity
Nursing Care Plan for Intrathecal Phenol Therapy
Palliative Care Narrative
Advance Decision to Refuse Treatment
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