CLINICAL-NEUROPSYCHOLOGY AREA

In its two facilities, Istituto S. Anna has a clinical neuropsychological area at the service of all patients admitted to all wards of the nursing home (Awakening Unit, Severe Brain Injury Unit, Functional Recovery and Rehabilitation Unit, Day Hospital).

Through inter and multidisciplinary approaches, highly specialised staff takes care of patients with neurological problems such as: Stroke, Severe Acquired Brain Injury, Multi-infarct Cerebropathy.

The specific areas of competence are:

Neuropsychology: It concerns patients that have cognitive, behavioural or mood disorders. Patients are subjected to systematic observation and evaluation using standardised tests and instruments. When specific cognitive deficits are highlighted, an individual cognitive treatment program is defined that includes, among other things, the use of dedicated devices RehacomErika, Interactive CDs Khymeia). To ensure continuity, meetings are held with family members in order to provide the information necessary to set correct relationship and stimulation methods.

Clinical psychology (individual and of the family): deals with the psychological and clinical care of patients and of their families who, following the traumatic event, need psychological support.  The therapeutic path includes an evaluation phase and the subsequent treatment that, taking into account the cognitive and behavioural difficulties, guide the patient towards the exploration of the psychological resources necessary to face and re-elaborate the event. Taking care of the family is aimed at supporting and integrating the family members in the patient’s rehabilitation process. The scope is to facilitate the understanding and acceptance of the traumatic event, activating the most functional relations among the family members for the reorganisation of the actual family.

Speech Therapy: the Laboratory deals with the rehabilitation of linguistic, phonatory and swallowing functions. After reporting to the various ward doctors, the patient is evaluated through a behavioural observation and through structured tests implemented at our institute.

At the same time, we organise observations/stimulations, systematic supervision during meals for patients with dysphagia/pre-dysphagia, and when there is a speech or language deficit, it is treated daily or on every other day.

Meetings with family members or caregivers are scheduled and two brochures are handed out, one on Aphasia and one on Dysphagia, for family members to find answers to their doubts or information on the management of existing diseases or for when they return home.

Occupational Therapy: Occupational Therapy foresees the taking in charge of the patient for the evaluation and recovery of the maximum possible level of autonomy in all areas of daily life (personal, home, out of home). The standardised tool of reference for the evaluation is the Progression of Autonomies Scale (PAS) – copyright of Istituto S. Anna. In relation to what has emerged from the evaluation, the structured treatment is defined as in strict continuity with the neuropsychologist and physiotherapist.