Evaluación e intervención neuropsicológica en un caso de encefalopatía anóxica tras parada cardiorrespiratoria: secuelas visibles e invisibles tras el daño cerebral
This paper deals with a patient with traumatic brain injury (TBI) due to anoxic encephalopathy after cardiorespiratory arrest (CRA). Cerebral anoxia occurs when there is a complete oxygen deprivation in the brain and causes permanent damages to the person who suffers it. Usually after suffering cere...
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| Tipo de recurso: | tesis de maestría |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universitat Oberta de Catalunya (UOC) |
| Repositorio: | O2, repositorio institucional de la UOC |
| OAI Identifier: | oai:openaccess.uoc.edu:10609/150452 |
| Acceso en línea: | http://hdl.handle.net/10609/150452 |
| Access Level: | acceso abierto |
| Palabra clave: | alteración disejecutiva encefalopatía anóxica rehabilitación neuropsicológica parada cardiorespiratoria nueva identidad daño cerebral anoxic encephalopathy new identity neuropsychological rehabilitation dysexecutive disorders cardiorespiratory arrest traumatic brain injury Neuropsychology -- TFM Neuropsicologia -- TFM |
| Sumario: | This paper deals with a patient with traumatic brain injury (TBI) due to anoxic encephalopathy after cardiorespiratory arrest (CRA). Cerebral anoxia occurs when there is a complete oxygen deprivation in the brain and causes permanent damages to the person who suffers it. Usually after suffering cerebral anoxia a period of coma appears, and if it is longer than 48 hours, the mortality rate increases and the possibilities of recovery decrease. The case chosen is that of a 51-year-old real patient who is referred to the private Neuropsychology service three weeks after CRA and after stayed 5 days in a coma. In the neuropsychological evaluation, cognitive alterations are observed, mainly dysexecutive and mnesic/learning, phonological verbal fluency and slow speed of information processing, and neuropsychiatric alterations such as apathy, irritability, anxiety and depression, in addition to a high level of prior self-demand, that significantly affects the patient´s functionality and quality of life. The proposed neuropsychological intervention, on the basis of the results obtained, consists of two weekly sessions of 50 minutes during 6 months through cognitive stimulation and compensatory strategies, and psychotherapy and family intervention too. The expected results after neuropsychological rehabilitation will indicate a cognitive, emotional and behavioral improvement, a decrease in the level of self-demand and the assumption of a new identity after TBI, promoting autonomy and enhancing the quality of life of the patient and her family. |
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