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what does potential for rehab in very guarded and needs neurologist consult mean

by Wilfrid Walker Published 2 years ago Updated 1 year ago
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What is neurological rehabilitation?

Neurological rehabilitation is a physician-supervised program designed for people with diseases, trauma, or disorders of the nervous system. Neurological rehabilitation can often improve function, reduce symptoms, and improve the well-being of the patient.

Why do we determine rehab potential?

Mar 11, 2014 · 1. Decline in Function – the most popular reason, and we hope to get our patients to return to the prior level of function. 2. New Rehab Potential – a barrier to rehab may have resolved, such ...

What is new rehab potential?

Nov 15, 2021 · Rehabilitation also teaches new ways to compensate for any remaining disabilities. For example, one might need to learn how to bathe and dress using only one hand, or how to communicate effectively with assistive devices if the ability to use language has been affected. top. What factors can affect the outcome of stroke rehabilitation?

What conditions does a neurologist treat?

Your primary care doctor can help you examine your symptoms and decide if you need to see a neurologist. 10. Sleep problems. While we know many obvious causes of sleep problems, going to bed too late, having a condition like sleep apnea or anxiety, nightmares, or others, some sleep problems are neurological disorders. An example of this is narcolepsy, which is a chronic, …

What is neurologic rehabilitation?

Neurological rehabilitation (rehab) is a doctor-supervised program designed for people with diseases, injury, or disorders of the nervous system. Neurological rehab can often improve function, reduce symptoms, and improve the well-being of the patient.

What are examples of neurological physical disabilities?

Neurological disabilities include a wide range of disorders, such as epilepsy, learning disabilities, neuromuscular disorders, autism, ADD, brain tumors, and cerebral palsy, just to name a few. Some neurological conditions are congenital, emerging before birth.

Why would a doctor refer a patient to a neurologist?

Neurologists are specialists who can assess, diagnose, manage, and treat conditions that affect your nervous system. Your doctor might refer you to a neurologist if you're having symptoms that could be caused by a neurological condition, such as pain, memory loss, trouble with balance, or tremors.May 3, 2021

What does a neurological physical therapist do?

A neurologically-trained physical therapist specializes in the evaluation and treatment of individuals with movement problems related to disease or injury of the nervous system.

What is the most common neurological disorder?

1. Headaches. Headaches are one of the most common neurological disorders and can affect anyone at any age.Apr 5, 2021

What conditions can a neurologist diagnose?

Neurologists are specialists who treat diseases of the brain and spinal cord, peripheral nerves and muscles. Neurological conditions include epilepsy, stroke, multiple sclerosis (MS) and Parkinson's disease.Jan 24, 2020

What symptoms require a neurologist?

Numbness or weakness that comes on suddenly or happens on one side of the body (if you think you are having a stroke, however, go to the emergency room or call 911 immediately) Persistent (over weeks or months) or worsening numbness. Chronic muscle weakness or a rapid decline in muscle strength.Aug 23, 2021

What does a neurologist check for?

Blood and urine tests to look for infections, toxins, or protein disorders. Imaging tests of the brain or spine to look for tumors, brain damage, or problems with your blood vessels, bones, nerves, or disks. A study of your brain function called an electroencephalograph, or EEG. This is done if you're having seizures.Jun 26, 2020

What are the signs and symptoms of neurological disorder?

Signs and symptoms of nervous system disordersPersistent or sudden onset of a headache.A headache that changes or is different.Loss of feeling or tingling.Weakness or loss of muscle strength.Loss of sight or double vision.Memory loss.Impaired mental ability.Lack of coordination.More items...

Can a neurologist recommend physical therapy?

Neurological physical therapy is extremely important for those patients who have had or who currently have neurological diseases or injuries. The brain and spinal cord and the central nervous system control movement and sensation.

What is the difference between neuro physical therapy and physical therapy?

Neuro therapy helps determine the areas that need work, while physical therapy helps carry out those tasks. By participating in physical therapy treatments following a neurological injury, you can improve your function, perform targeted activities, and regain your independence much faster.

Can exercise cure neurological disorders?

- Patients with neurological disorders who exercise experience less stiffness, as well as reduction in, and even reversal of muscle wasting. - Research also has shown that exercise can improve gait, balance, tremor, flexibility, grip strength and motor coordination in patients with Parkinson's disease.

What is the NINDS?

The National Institute of Neurological Disorders and Stroke ( NINDS ), a component of the National Institutes of Health ( NIH ), supports research on disorders of the brain and nervous system, including stroke and post-stroke rehabilitation. Several other NIH Institutes also support rehabilitation efforts.

What happens to people with apraxia after a stroke?

Emotional disturbances. After a stroke someone might feel fear, anxiety, frustration, anger, sadness, and a sense of grief over physical and mental losses.

What are the common deficits resulting from stroke?

Common deficits resulting from stroke are: anosognosia, an inability to acknowledge the reality of the physical impairments resulting from a stroke. neglect, the loss of the ability to respond to objects or sensory stimuli located on the stroke-impaired side.

What is the term for the loss of voluntary movement?

Paralysis, loss of voluntary movement, or weakness that usually affects one side of the body, usually the side opposite to the side damaged by the stroke (such as the face, an arm, a leg, or the entire side of the body). Paralysis on one side of the body is called hemiplegia; weakness on one side is called hemiparesis.

What are the different types of disabilities that can be caused by a stroke?

Generally, stroke can cause five types of disabilities: Paralysis, loss of voluntary movement, or weakness that usually affects one side of the body, usually the side opposite to the side damaged by the stroke ( such as the face, an arm, a leg, or the entire side of the body).

What is the purpose of rehabilitation?

Rehabilitation also teaches new ways to compensate for any remaining disabilities.

What is the degree of recovery of stroke?

The degree of recovery is often greater in children and young adults as compared to the elderly. Level of alertness. Some strokes depress a person’s ability to remain alert and follow instructions needed to engage in rehabilitation activities. The intensity of the rehabilitation program.

What are the symptoms of a stroke?

Numbness or tingling symptoms like those described can also be signs of a stroke, in which case you need to get help very quickly. While your primary care doctor can help you evaluate these symptoms, if you think you are having a stroke, get immediate medical help. 5. Weakness.

What are the symptoms of a nervous system problem?

6. Movement problems. Problems moving, like difficulty walking, being clumsy, unintentional jerks or movements, tremors, or others, can be symptoms of a problem in your nervous system. You may want to see a neurologist if these movement problems interrupt your daily life, though something like a tremor can be a side effect of medication or anxiety. ...

What is a neurologist?

A neurologist is a specialist who treats diseases in the brain and spinal cord (the central nervous system), peripheral nerves (nerves connecting the brain and spine to the organs, like the lungs or liver), and muscles.

What doctor treats numbness in bladder?

When this pain is not something your primary care physician can help you manage, you may choose to see a neurologist, especially if you have other symptoms along with the pain like weakness, numbness, or problems with bladder or bowel control. 3. Dizziness. Dizziness can come in different varieties. Neurologists treat dizziness that is ...

What are the symptoms of confusion?

Problems speaking, extreme problems with memory, changes in personality, or confusion are all symptoms that could be caused by disorders or problems in the brain, spine, and nerves. Some of the symptoms may be due to learning disabilities or they may be caused by a disease like Alzheimer’s. ...

What is the difference between vertigo and disequilibrium?

Dizziness. Dizziness can come in different varieties. Neurologists treat dizziness that is a symptom of vertigo or disequilibrium. Vertigo makes you feel as if you or the things around you are spinning; disequilibrium is difficulty keeping your balance . Your primary care doctor can help you decide if your dizziness is severe enough ...

What are the symptoms of a head injury?

Headaches are something we all experience. We can feel them stretching into our sinuses, across the top of our head, down through the muscles of the head, neck, and shoulders or along the base of the skull and brain.

What is rehab therapy?

Rehab can take many forms depending on your needs, and might include physical, occupational, and speech therapy, as well as psychiatric care and social support. All of these are designed to help you recover from the effects of your injury as much as possible.

What is a case coordinator?

Your program is likely to involve many types of healthcare providers. It’s important to have one central person you can talk to. This person is often called your case coordinator. Over time, your program will likely change as your needs and abilities change. Rehab can take place in various settings.

What to do before rehab for TBI?

Before you can start rehab, you must get care and treatment for the early effects of TBI. This might include: Emergency treatment for head and any other injuries. Intensive care treatment. Surgery to repair brain or skull injuries. Recovery in the hospital . Transfer to a rehabilitation hospital.

What is the difference between a closed head injury and a penetrating head injury?

Traumatic brain injury (TBI) occurs when a sudden injury causes damage to your brain. A "closed head injury" may cause brain damage if something hits your head hard but doesn’t break through your skull. A "penetrating head injury" occurs when an object breaks through your skull and enters your brain.

What are the symptoms of a TBI?

Symptoms that may occur after TBI may include: Headaches. Dizziness. Confusion. Convulsions. Loss of coordination. Slurred speech. Poor concentration.

What are the causes of TBI?

According to the CDC, the leading cause of TBI is falls, particularly for young children and adults over 65. Other common causes of TBI include accidental blunt force trauma, motor vehicle accidents, and violent assaults.

Can you rehab after a TBI?

Rehab after a TBI is not likely to cause problems. But there is always a risk that parts of treatment such as physical or occupational therapy might lead to new injuries or make existing symptoms or injuries worse if not done properly.

Why do you see a neurologist?

Your neurologist may help your primary care doctor take care of you, or she may become your primary care provider in some cases. Here are eight reasons to see a neurologist. 1. You have neuropathic pain. Neuropathic pain is pain that happens when nerves are damaged from injury or disease.

What kind of doctor treats spinal cord injuries?

A neurologist will look for the best treatment for you and help you manage the condition. 4. You have a brain or spinal cord injury. Car accidents, falls, and sports injuries can harm your brain or spinal cord. Symptoms depend on what was injured and how much damage was done.

What is the most common type of dementia?

These changes cause a condition called dementia. Alzheimer's disease is the most common type of dementia. A neurologist can determine if you have the beginnings of dementia or if something else is causing your symptoms. The doctor will do a complete neurological exam.

How do you know if you have MS?

Symptoms may come and go, but they progress over time. A neurologist will use results of an exam and imaging studies of your brain and spinal cord to make a diagnosis. Many medications can help control or slow down MS attacks.

What is neurologic symptoms?

Neurological symptoms depend on what part of the system is affected. You may experience pain and changes in any of your five senses. A neurologist has the expertise necessary to diagnose and treat a range of conditions.

How old do you have to be to get Parkinson's?

Your brain needs dopamine for normal body movements. Most people who get Parkinson's are past age 60. Symptoms include trembling movements, stiff or slow movement, and clumsiness. There are no tests for Parkinson's, but a neurologist can diagnose the disease after a thorough exam.

What is a stroke?

A stroke is a loss of blood supply to part of your brain. The cause could be bleeding in the brain or a blocked blood vessel. Brain cells start to die without their blood supply. A neurologist may diagnose and treat a stroke as it's happening if you or someone around you is quick to call 911.

How to get back pain relief without surgery?

Appropriate physical therapy can get the majority of back pain patients better without surgery, by re-training the muscles of the hip and abdomen to support the back the way they were intended. What these physical therapists accomplish can seem like a miracle to the patients they help.

What is a neurologist?

Any neurologist is highly specialized in diagnosing back pain and neck pain, and in assessing risks and treatment options. Every back pain and neck pain patient is unique, with different degrees of problems associated with a bone or disc abnormality. A neurologist is trained to discover the causes of symptoms.

What is the primary duty of a neurologist?

The primary duty of any clinician should be to the patient, to provide the best care possible, and not to prevent “leakage” of patients out of any hospital system. So patients should always get a second opinion from an independent Neurologist, or at least one who is not an employee of the same system.

What tests do they use to determine if an injury is reversible?

In addition, they look at your “electrical system” by using EMG testing to assess the injury to nerves ,and whether that injury is reversible in the short and long term.

Is spinal surgery bad for back pain?

This article takes for granted that you are already aware of the slippery slope of spinal surgery for back pain and neck pain. Put concisely, one bad thing leads to another. Surgery is never the “final answer” for back and neck pain. Just as injury begets weakness which begets more injury, one spine surgery frequently leads to more spine surgeries.

Is spine surgery a profit center?

And spine surgery is one of the highest profit centers for our hospital-centered healthcare, in the medical-industrial-congressional complex. It’s a complex topic, and decisions must be individualized for each patient.

Do neurologists care for neck pain?

Neurologists make a long-term connection with patients. Surgeons don’t generally care for patients with back pain and neck pain over the long term. The last time you see a surgeon is likely at a post-op follow-up visit a month or two after surgery, long before you are fully recovered. There are many “cracks” to fall through later on, ...

What are the conditions that neurologists treat?

Some other conditions neurologists treat include: Brain and spinal cord injuries. Headaches. Pain. Multiple sclerosis. Tremors. Speech and language disorders.

What is the test for numbness in the back?

Doctors can then check for bleeding, infection, and other disorders. Electromyogram ( EMG ): This test tracks electrical activity in your muscles and nerves to help find the cause of pain, numbness, and weakness.

What to expect at a neurologist appointment?

What to Expect at Your Appointment. Your neurologist will ask all about your health history. You will also have a physical exam to test your coordination, reflexes, sight, strength, mental state, and sensation. The neurologist may order other tests such as:

How long does it take to become a neurologist?

In the United States, neurologists attend 4 years of college, 4 years of medical school, 1 year of internship, and then at least 3 years of training in a neurology residency program. Neurologists can also have extra training in:

What is the difference between EEG and TCD?

Electroencephalogram ( EEG ): Electrodes attached to your scalp record your brain’s electrical activity. Transcranial Doppler (TCD): An ultrasound probe placed on your head measures blood flow in your brain by using sound waves.

What is a neurology?

Neurologists specialize in studying and treating the brain and nervous system. They diagnose and treat problems that include Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, stroke, amyotrophic lateral sclerosis ( ALS ), epilepsy, migraine, and concussion. Here’s information about what they do and why you might someday get ...

How long does it take to lie down in a CT machine?

You’ll lie down inside a machine for about 30 minutes. Computerized Tomography (CT) or Computer-Assisted Tomography (CAT) scans: X-rays and computers create multi-dimensional images of your body. A health care provider might inject dye to make arteries, blood vessels, tumors, or other areas visible in the image.

How much will the number of rehabilitation counselors grow in 2029?

Employment of rehabilitation counselors is projected to grow 10 percent from 2019 to 2029, much faster than the average for all occupations. Demand for rehabilitation counselors is expected to grow with the increase in the elderly population and with the continued rehabilitation needs of other groups, such as veterans and people with disabilities.

What do rehabilitation counselors do?

Rehabilitation counselors typically do the following: Provide individual and group counseling to help clients adjust to their disability. Evaluate clients’ abilities, interests, experiences, skills, health, and education.

How many jobs are there in rehabilitation counseling?

Rehabilitation counselors held about 120,200 jobs in 2019. The largest employers of rehabilitation counselors were as follows:

What are the skills needed to be a rehabilitation counselor?

Interpersonal skills. Rehabilitation counselors must be able to work with different types of people. They spend most of their time working directly with clients, families, employers, or other professionals. They must be able to develop and maintain good working relationships. Listening skills.

What is special education teacher?

Special education teachers work with students who have a wide range of learning, mental, emotional, and physical disabilities. Substance abuse, behavioral disorder, and mental health counselors provide treatment and advise people who suffer from alcoholism, drug addiction, or other mental or behavioral problems.

Do rehabilitation counselors work with veterans?

In addition, there will be a continued need for rehabilitation counselors to work with veterans who were disabled during their military service. They will also be needed to work with other groups, such as people who have learning disabilities, autism spectrum disorders, or substance abuse problems. Job Prospects.

Do you need a license to be a rehabilitation counselor?

For example, rehabilitation counselors who provide only vocational rehabilitation services or job placement assistance may not need a license. Licensure typically requires a master’s degree and 2,000 to 4,000 hours of supervised clinical experience. In addition, counselors must pass a state-recognized exam.

What does "if I may" mean?

In medical terminology it means the outcome is serious and uncertain. If I may, I'll use the example of this flu epidemic. If a patient is in guarded condition, he/she may or may not survive. It's uncertain at the moment. It's like saying "not sure just now". If you're wondering how I'd know even though I'm not in the medical field, ...

What does "less than good" mean?

Generally speaking, it means less than good, though markedly better than "serious" or "critical". In other words, with time, effort, and (if appropriate) rehabilitative services, the individual may return to a decent quality of life. 19.6K views. ·.

Is guarded more ill than critical?

Guarded is usually more ill than a serious prognosis, but not as ill as critical. The doctor is not exactly sure of what the patient’s probability for recovery might be, but they still believe that the patient has a (slight) chance of recovery. 33.6K views. ·. View upvotes.

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