Strategy and Philosophy for Treating Pain and Sleep in Disorders of Consciousness.
Brain injury
Coma
Disorders of consciousness
Pain
Sleep
Journal
Physical medicine and rehabilitation clinics of North America
ISSN: 1558-1381
Titre abrégé: Phys Med Rehabil Clin N Am
Pays: United States
ID NLM: 9102787
Informations de publication
Date de publication:
Feb 2024
Feb 2024
Historique:
medline:
24
11
2023
pubmed:
23
11
2023
entrez:
22
11
2023
Statut:
ppublish
Résumé
Despite the evolving practice of brain injury medicine, consciousness remains enigmatic. Most patients with disorders of consciousness have disordered sleep and return of normal sleep architecture is essential to the emergence of consciousness and the healing brain. In this article we lay a framework for understanding the emergence of consciousness in brain-injured patients. We then explore ways to use that framework to evaluate and tailor treatment of sleep and pain in patients with disorders of consciousness. Although more research is needed to empower better treatment in the future, validated tools now exist for evaluation of emergent consciousness, pain, and sleep.
Identifiants
pubmed: 37993184
pii: S1047-9651(23)00073-6
doi: 10.1016/j.pmr.2023.06.022
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
145-154Informations de copyright
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