| Physical Health | • Assessment of needs by internal / external Health Professionals • Understanding and management of long term and chronic conditions • Ensuring access to national screening programmes • Pharmacological interventions including monitoring of efficacy and side effect profiles • Nutrition and dietetics planning |
| Physical Rehabilitation and Management | • Gait, balance and mobility • Spasticity & Muscle Tone • Botulinum therapy • Cardio vascular fitness • Outdoor mobility • Falls and manual handling • Stairs assessments |
| Activities of daily living (ADLS) | • Personal ADLS • Personal hygiene • Toileting and continence • Domestic activities of daily living • Community skills • Road safety • Driving mobility support • Spirituality • Shopping • Public transport • Consideration of sexual needs |
| Psychological approaches | • Psychoeducational work aimed at understanding brain injury and associated issues • Behavioural approaches including monitoring of positive behaviours and challenging behaviour, functional analysis, neurobehavioural intervention and positive behavioural support • Neuropsychological assessment (to identify strengths and difficulties) • Cognitive rehabilitation • Psychosocial adjustment work considering identity, grief, mood, and mental health |
| Communication | • Social communication • Reading and writing • Hearing screening • Receptive and expressive language |
| Discharge planning | • Home assessment and advice including coordination of specialist equipment • Liaison with family and other support networks • Liaison with ICB, Social Care and other stakeholders • Plan for generalising skills to new environment • Relapse prevention planning |
| Vocational Rehabilitation | • Return to work assessment and support • Voluntary work skills support |
| Swallowing | • Eating and drinking • Dysphagia |
| Family & Carer Support | • Financial support |
| Advanced care planning / end of life | • Gold standard framework in end of life care |
