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Dealing with patients with impaired consciousness

The person close to you is no longer fully conscious due to a brain injury. This is referred to as impaired consciousness. You have to interact differently with someone who has impaired consciousness. Here you will find tips on how to engage with the person.

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afbThis poster was developed in collaboration with EENnacoma and Libra Rehabilitation & Audiology

Text of poster

  • Allow me to rest
    • Alternate rest and stimuli according to the daily schedule posted in the room. Rest means no stimuli at all (no radio, no TV, no conversations, etc.).
  • Describe what you see me doing
    • When I move or looks, tell me what you see. For example, “I see you looking at me.”
  • Help the patient with their orientation
    • State your name, your position, where we are, the day and time.
  • Tell me what you are going to do
    • Say out loud what you plan to do.
  • Give me time to respond
    • Wait a while after you have said or done something. My response may take a little longer. Give one stimulus at a time.
  • Give the patient worthwhile stimuli.
    • Use familiar music, pictures, familiar smells or talk about shared memories. Perform tasks together that are helpful (e.g., care).
  • Help me when I am uncomfortable
    • If the patient is sweating, grimacing or I have a rapid heartbeat or breathing, I may not feel comfortable. See if a different position makes me feel better or if I need different care.
  • Talk to me, not about me
    • Address me directly when talking. Have other conversations outside the room.