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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

Hospi-Tales

Tag Archives: Brain Injury

Live On And Prove Yourself

24 Saturday May 2025

Posted by ReinhardSchaler in Uncategorized

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Tags

an-saol-foundation, Brain Injury, sabi, severe-acquired-brain-injury, teach-an-saol

You kill yourself and you make a big old sacrifice and try to get your revenge. That all you’re gonna end up with is a paragraph in a newspaper. In the end, it does nothing. Nothing changes. The world goes on and you’re gone. The best revenge is to live on and prove yourself.
Eddie Vedder

I would never have thought of revenge but about demonstrating that you could treat people with respect and help them to live their lives – even with some of the most devastating injuries you could imagine.

I am very hopeful that we will be able to do this. We have gone a long way already and with the realisation of Teach An Saol, a small campus in North Dublin covering a therapy, social, respite, and transitional supported living hubs, we will firmly make this effort part of the Irish health system and the Irish society.

The inspiration, the motivation, and the energy to carry all the hard work with have been doing is, of course, Pádraig, together with so many families in similar situations as ours.

I met families struggling with their new lives via the ZNS Hannelore Kohl Stiftung (Foundation) in Germany for the first time a few years ago. They organise regular meetings for family members, for parents, for siblings, and for the entire families, including their injured members. I have been attending these meetings for some years now, perhaps once or twice a year.

This weekend I have been in Dresden where we were a neurological consultant taught us about the brain and brain injuries. There were discussion sessions with therapists. Hands-on sessions with Neuro ICU OTs about moving our injured family members. And there was a half-day boat excursion going down the river Elbe visiting the beautiful centre of Dresden.

Right in the Centre of Dresden, there was a protest where one to the placards caught my eyes. It read:

“It is the living who close the dead people’s eyes.
However, it is the death people who open the eyes of the living.”

Although the protest was about a different issue, it made me think about what we have been doing, effectively trying to persuade the HSE to allow us to do the work they should be doing themselves. Getting them the land they should have got. Gathering experts to design and plan an entire campus to deliver services that should be delivered by them. A campus and services they themselves said were necessary, should be delivered, and should be expanded.

In return, they have led us into a jungle of never-ending bureaucratic twists and turns where there is no urgency and no end in sight.

Pádraig and those like him want to live although their doctors wanted them dead. They kept their eyes open and opened our eyes.

We won’t kill ourselves and make a big auld sacrifice; we’ll be ending up with more than this paragraph in a newspaper or a TV report.

We’re going to live and make sure that what needs to be done will be done.

Need

01 Wednesday Oct 2014

Posted by ReinhardSchaler in Uncategorized

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Brain Injury, ireland, National Rehabilitation Hospital, Provision of Neuro-Rehabilitation Services, Traumatic Brain Injury

images2Someone asked the question – what are the figures for Acquired Brain Injury (ABI) and  Traumatic Brain Injury (TBI) in Ireland?

Whatever about the answer – it’s the right question to ask.

In 2011, the government published the National Policy and Strategy for the Provision of Neuro-Rehabilitation Services in Ireland 2011-2015. Surprisingly, it did not include what business people would call a market study, and what medical people call an epidemiological study. In other words, the Government did not establish the need for neuro-rehabilitation in the country which seems to be surprising.

A CEO of one of the major interest groups and service providers said to me that this study does not exist, because the Government is afraid for the public to have access to those figures. Would he be right?

Again, looking at Germany and transferring the figures to Ireland – which is not, strictly speaking, valid but should give us an idea. Remember, this is just for TBIs, not for ABI, and not for rehab in general – in this case the figure would be much higher.

Description Germany Ireland
Pop in m 80 5
Acute TBI p.a. 267,000 15,353
ICU admissions 30,000 1,725
Beds in early NeuroRehab required 1,600 92
Admissions in Rehab Clinics 10,000 575
Costs per year in € 2,500,000,000 143,750,000
Source: Schädel-Hirn-Trauma. Epidemiologie, Versorgungsverläufe und Patientenbewertung. Paul Wenzlaff. Zentrum für Qualität und Management im Gesundheitswesen. Supported by ZNS Hannelore Kohl Stiftung. 2005.

 

Without going into too much detail: Ireland’s only National Rehabilitation Hospital has 3 beds for early neuro rehab for severe TBIs, and 110 beds in total for any kind of rehabilitation (source: Quick Facts about NRH) – when there is a likely demand for 92 beds in early neuro rehab and 575 beds for rehab just for TBI patients.

Pádraig is ok these days, not terribly awake or aware, but he continues to communicate with his tongue (although slowly), he eats (although little and very slowly), and all his vital parameters are ok. We asked for a meeting with his doctor to find out about his current medication and plans for further treatment. Today, there was a special nurse examining the skin on his shoulders which needs some attention – maybe it’s just regular cleaning, but there are a few small wounds, though nothing serious. A very nice nurse helped me today to transfer Pádraig into his wheelchair and back into bed, and all in very good humour:) We went out onto the roof terrace, the temperatures are still quite high here and we’re taken advantage of the good weather, as long as it lasts.

Check out Donal’s fundraising page for the Marathon, just in case you haven’t done so already.

UntitledWe have to organise ourselves – I know there will be a few people running this year, in addition to Donal. There was Ciara, there’s Cian, Fergal, and myself (though I’m still recovering from the half marathon which is not a good sign). Anybody else?

Keep watching out for the Dreamboat – it’s getting closer and closer to our shores!

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