150 KB53 KB192920262015Grabljevec, KlemenJesenšek Papež, BredaKos, NatašaPlaskan, Lidijaštevilka:3letnik:84str. 165-181ISSN:1318-0347COBISSID:2014825URN:URN:NBN:SI:doc-8GHGFIU5slSlovensko zdravniško društvoZdravniški vestnikBrain injuriescomplicationsGuidelines as Topicpoškodbe možganovrehabilitacijarehabilitationsmernicevocational rehabilitationzapletiRehabilitacija odraslih oseb po zmerni in težki možganski poškodbi| priporočila Slovenskega združenja za fizikalno in rehabilitacijsko medicino| recommendations of the Slovenian society of physical and rehabilitation medicine| Rehabilitation of adults after moderate and severe brain injury|Traumatic brain injury is any non-degenerative and non-congenital injury of the brain and the surrounding tissue caused by an external mechanical force. Its short- and long-term consequences on cognitive, behavioral and physical functioning are not limited to injury itself but are closely connected with the secondary cellular metabolic and vascular changes after the acute impact. High mortality, extremelly demanding acute treatment, long term need for intensive rehabilitation and inevitably permanent deficits on subject%s multi-level functioning, render severe traumatic brain injuries the most acute medicosocial problem of the developed world. There are many different national guidelines available in the literature for rehabilitation of subjects after traumatic brain injury. A protocol for early recognition and prevention of complications after and during admission in the rehabilitation programme serves as a protection against events that too often prevent an effective progress in rehabilitation, entail serious long-term consequenses for the patient and cause additional costs of medical care. The Slovenian guidelines for rehabilitation after moderate / severe traumatic brain injury in acute and post-acute phase are presentedNezgodna možganska poškodba je vsaka nedegenerativna in neprirojena poškodba možganov, ki nastane zaradi delovanja zunanje sile in vključuje posledice neposrednih zapletov te poškodbe ter vodi v začasne ali trajne posledice na področju vedenjsko-kognitivnega, kliničnomedicinskega in psiho-socialnega delovanja. Zaradi visoke umrljivosti, zelo zahtevnega akutnega zdravljenja, dolgotrajne rehabilitacijske obravnave in zanesljivih ter trajnih posledic na vseh področjih poškodovančevega življenja, razumemo možgansko poškodbo kot največji medicinsko socialni problem razvitega sveta. V strokovni literaturi najdemo veliko število nacionalnih smernic za obravnavo bolnikov po vseh oblikah možganskih poškodb in po posledicah le-teh. Sledenje protokolom in algoritmom, ki so opisani v kliničnih poteh, omogoča pravočasno ukrepanje, sprejemanje ustreznih bolnikov na oddelek, prepoznavanje in preprečevanje zapletov in s tem nemoten potek terapevtskih programov. V prispevku so predstavljena priporočila za obravnavo bolnikov po zmerni in težki možganski poškodbi v akutnem in poakutnem obdobju v SlovenijiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo