Insight

  • The NR Times study guide: Fatigue

    Fatigue is a subjective phenomenon – it cannot be measured objectively. It can be caused or exacerbated by depression, anxiety and stress, as well as a lack of regular and restorative sleep, chronic pain, seizure-related fatigue, hydrocephalus and hormonal abnormalities like hypothyroidism. Nutritional deficiencies (e.g. B12), anaemia and serious illness such as leukaemia, renal failure and hepatitis [...]

  • In the wrong brain injury profession?

    Over 90% of case managers in the brain injury field would recommend their career to others - and more than seven in 10 say they enjoy their job. This is well above the UK national average and on par with the satisfaction levels found among the clergy, teachers and chief executives, says Nockolds Solicitors. It [...]

  • How Wayne fought back from the brink

    Exemplar care homes provide a home for a range of adults with complex needs and offer both end of life and long-term care for their service users. There can sometimes be the small ‘miracles’ for some families where their loved ones are placed in Exemplar homes cfor end of life care and they defeat the [...]

  • Lost in the world of foreign accent syndrome

    The curious case of Sarah Colwill gained global media coverage in 2009. The 41-year-old awoke one morning to find her Devon drawl replaced by a Chinese accent, after years of severe migraines. To tabloid editors, such tales of foreign accent syndrome (FAS) provide silly season page fodder, written with a smirk. For news broadcasters they’re [...]

  • Notes from the frontline of MS treatment

    The world around me began to spin, and the dizziness became unbearable. I collapsed. It was the start of my lengthy journey to a diagnosis of multiple sclerosis, and last year, a stem cell transplant for my MS.
My last major relapse in 2016 – with a lesion on the brain stem - left me unable to [...]

  • Children let down by brain injury care gaps

    An in-depth study conducted in the US and submitted to the American Congress outlines many issues hindering the delivery of rehab to brain injured young people. While carried out by US-focused organisations – the Centers for Disease Control and Prevention 
in collaboration with the National Institutes for Health – it offers insights for child brain [...]

  • Promising stroke report does not tell full story

    News of a 43 per cent fall in stroke incidents since 2000 made headlines in October. A report from King’s College London suggested that the number of people affected by stroke is falling, but people are having strokes at a younger age. It also reported that there has only been a small relative decrease in [...]

  • The art of staying client centred

    If case managers diversified into producing cars, they would be hand crafted in the hue of client choice. This is because of the widely accepted guiding principle that we as rehabilitation professionals and case managers are client centred in our work. Working in the medico-legal setting can be
a key factor in enabling the case manager
 [...]

  • The Big Debate: acquired brain injury

    Debate chair Steve Brine, parliamentary under-secretary of state for health and social care, began the debate by putting ABI into context. “While prevalence estimates for ABI are quite hard to make, the number living with it is thought
 to be over 500,000 and could be
as high as one million people. The total cost of brain [...]

  • The fall and rise of Special K

    'Revolutionary' diets come and go as fleetingly as the memoirs of the celebrities who endorse them. But one has outlived them all and could be set for a renaissance in neurological healthcare. Long before wellbeing gurus told us about the ‘caveman’ (eat as much meat as you can) or the (I will only eat) ‘cabbage [...]