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Community rehabilitation follows the discharge from an inpatient rehabilitation stay.
Patients may benefit from further training in household independence and community reintegration through an outpatient programme or through a transitional living unit where patients are largely self-managing under health professional supervision.
Helping a person with TBI return to maximal independence is a challenging task and requires a prolonged period of involvement and education of the patient, family and supportive counseling.
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- Cost, variability of access and availability of such specialized services may limit patients access.
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Vocational assessment and rehabilitation, driving retraining and computer-aided cognitive rehabilitation may be required to address the needs of high-functioning TBI survivors
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Pain management clinics may be required for those with chronic posttraumatic headaches, cervicogenic headaches or related pain and orthopaedic or peripheral nerve injuries.
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| Issues of caregiver coping and long-term psychological or peer support for caregivers or spouses of patients who are unable to return to independent living may be provided by volunteer groups or local family centres. |
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| Lastly, independent medical evaluation for purposes of litigation and workmen’s compensation may be required in the late phase of injury recovery. |
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