We'd love to keep you up to date on the real difference Reach are making to those who are impacted by brain injuries
Some Key Points:
– Neurological disease is one of the main risk factors for FND
– About one sixth of neurological outpatient diagnoses are for FND
– FND is one of the commonest diagnoses in neurology.
(Stone et al)
Amongst other concerns for clients are that functional problems often result in issues within work settings, and they can also experience difficulties in social settings and encounter problems in their relationships.
As we have seen within our clinical practice at Reach, symptoms can vary and fluctuate, and we have frequently observed clients in remission, followed by sudden relapse.
It is therefore prudent to identify the ongoing difficulties for FND patients, and to establish an appropriate treatment pathway, whilst carefully managing their expectations to ensure that they are able to achieve realistic goals.
Best practice – The Rehabilitation Pathway
We do not make the claim that Reach are FND experts in a medical, or a medico-legal sense. However, we are gaining more and more clinical experience of this disorder, with a number of our clinicians having worked with FND patients on both a community basis and on an inpatient basis within the NHS. We are drawing from our clinical experience and the available research evidence to provide the high-quality rehabilitation service these clients need and deserve. We are keen to share our practical knowledge and experience, so that we may contribute in any way we can to advance our clinical practice and support other providers within this sector.
In this series we have highlighted that FND manifests itself in a multitude of ways and symptoms can vary in severity. The capricious nature of the disorder often makes it very difficult for clients to plan and manage their day-to-day lives, which can be very disabling, but also where our rehabilitation treatment pathways can be of most benefit. It is well noted that neuro-occupational therapists are a good fit in the treatment toolkit of a multi-disciplinary team co-ordinating the complex needs of those with FND.
Within all of the literature reviewed, it states that “communication is key”. Presenting a positive diagnosis is a crucial part of the treatment, whilst not forgetting that it is equally important to supply an explanation of how the diagnosis was made. It was found in a study (Duncan et al, 2011) that proper communication of the diagnosis was followed by cessation of functional seizures in greater than 40 per cent of new-onset patients. This is a staggering percentage.
If we can help you and your client, please get in touch – firstname.lastname@example.org or call on 01423 326000