Comparaison des personnes âgées et des adultes plus jeunes en réadaptation après un traumatisme craniocérébral : caractéristiques cliniques, fonctionnement psychologique, statut fonctionnel et fardeau des aidants

Authors: Fournier-St-Amand, Geneviève
Advisor: Ouellet, Marie-ChristineLamontagne, Marie-Eve
Abstract: The aim of this study is to provide a comparative portrait of the functioning of adults under 65 years of age and adults aged 65 and over during a rehabilitation stay following mild-to-severe traumatic brain injury (TBI), as well as burden perceived by their primary caregiver. A sample of 546 adults who sustained a TBI was separated into two age groups and assessed during their stay in a rehabilitation institute. The differences between the two groups were examined for injuryrelated variables, premorbid functioning, psychological and cognitive functioning, functional status, and the level of burden perceived by the primary caregiver. These variables were collected by trained clinicians, using an evaluation grid developed for clinical purposes. The results show differences in the functioning between age groups. Compared to younger adults, older adults had milder injuries, less severe mechanisms of injury, shorter coma duration and less comorbid injuries. Nevertheless, inpatient rehabilitation duration was similar. Elderly patients showed greater cognitive impairment and significantly more functional impairment on several activities of daily living including preparation of simple meals, personal hygiene, management of healthcare and medications, outdoor walking, weekly housekeeping, shopping, and using community resources. They did not differ significantly from younger adults in terms of depression or anxiety symptoms or reported caregiver burden. These results underline the specific needs for older adults after rehabilitation for TBI and start to uncover the breadth of human assistance which may be needed to support community reintegration and optimal participation for adults who have suffered TBI in older age.
Document Type: Thèse de doctorat
Issue Date: 2019
Open Access Date: 1 March 2019
Grantor: Université Laval
Collection:Thèses et mémoires

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