Transitioning from military to civilian life can take its toll not only on ex-military personnel but their families too. Physical and/or mental trauma can negatively impact relationships between loved ones as those directly affected struggle to come to terms with the aftermath of war. Veterans’ difficulty transitioning to civilian life can fuel anger and frustration within a household, and leave loved ones feeling increased levels of anxiety and isolation.
Private clinic the London Orthotic Consultancy (LOC), founded in 2004, provides bespoke orthotic treatments for a wide range of adult and paediatric conditions. It operates privately across the whole of the UK and abroad and also has a growing number of international clients. Director Sam Walmsley explains: “We deal with complex physical problems and generally manufacture bespoke orthotics to address them. We have a unique setup for the UK in that we have 2D video vector gait labs and we do all our manufacturing on site.’’
We often use the terms “concussion” and “mild” or “minor” head or brain injury, synonymously; and read “moderate”, “severe” and, more recently, “very severe” brain injury in medical records. When used appropriately these terms convey information about the clinical presentation, especially in the hours and days following a brain injury. This information helps us to predict overall outcomes, and informs opinions on prognosis. The most widely used definitions are shown in table A (below). Sometimes it is more useful to consider a TBI according to anatomy and pathology. To do this we must first understand some basic principles of brain structure and function.
By this definition, case management can be seen as a shared creative process, undertaken by a professional and their client, aimed at identifying solutions to address the client’s unmet needs and helping them to achieve their goals in a resource-efficient manner. Research has consistently shown the inextricable link between biomedical health, psychological wellbeing and social factors. In the context of case management, in order to maximise clients’ rehabilitation potential, biomedical issues should therefore not be isolated from their psychological and social counterparts as these components are interconnected and interrelated.
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