Staff Extranet >
We are a specialist service that provides help and guidance to individuals who have experienced a brain injury, and their families to provide a caring and personalised programme of rehabilitation.
We provide:
East Dorset ABIRS Poole Community Health Clinic Shaftesbury Road Poole Dorset BH15 2NT Tel: 01202 308 077 Fax: 01202 667 009
West Dorset ABIRS 30 Maiden Castle Road Dorchester Dorset DT1 2ER Tel: 01305 214 500
Email: community.braininjury@dhuft.nhs.uk
Liaison with treating teams and referrers. Offering consultation and advice and reviewing management plans.
Clinical appraisal by a single professional to make an initial cognitive assessment and formulation of problems. This may lead to a programme of rehabilitation in the service, referral to other or less specialist services, or discharge to the GP with self-management advice.
This will focus on the core values and aspirations expressed by the person with ABI and involve more than one professional group. Goal achievement and changes in DHT approval outcome measures will be assessed at regular review or at a later multi-disciplinary clinic. The rehabilitation programme is likely to involve participation in one or more therapeutic groups.
Rehabilitation will progress to a prepared discharge when the person with ABI and the referrer will be provided with a summary of the interventions that were undertaken and advice for continued self-management. People with ABI may be referred to other services for review or presented with one or two reviews from a clinician previously involved with their treatment.
Catchment areas: Dorset GP
Referral process: Dr JPS Burn, GP, community services, self-referral.
A person with severe (usually diffuse) brain injury with specialist rehabilitation needs whose management is not able to be addressed by other or less specialist services.
In particular:
Priority will be given to people with ABI discharged from the inpatient service on Portland Ward or who have received further CCG funded specialist rehabilitation.
These conditions are characteristically diffuse damage to the brain and interruption of cortical and subcortical networks leading to characteristic physical, emotional, cognitive and behavioural difficulties.
These types of brain injury affect particularly people with premorbid problems such as
The ABIS has developed expertise in the formulation of brain injury related within the context of such problems and establishing a broad based management plan.
SAH can be complicated by diffuse ischaemic injury from vascular spasm resulting in profound memory and other neuro-cognitive impairments within the context of an acute life threatening condition. As a result it shares many characteristics of diffuse acquired brain injury.
Some people with an atypical type of stroke stroke have particular rehabilitation needs that require the expertise of the acquired brain injury rehabilitation service.
Referrals of people with atypical stroke may be considered in exceptional situations for people who are:
Such people should be referred after assessment by stroke services and following the completion of standard post stroke therapy. This is because ABIRS rehabilitation is tailored for longer-term life-aim-related rehabilitation and therefore does not have sufficient therapy resource to provide regular task based practice as required for the fast-paced shorter-term rehabilitation required post stroke.
ABIRS may be able to offer consultation, training and advice to local generic and neurological rehabilitation services.
ABIRS also sometimes works in collaboration with local rehabilitation services, share resources or set-up a collaborative rehabilitation programme whilst that person remains with the caseload of the local service.
If uncertain as to whether a person should be referred to the service, please contact us.
