Spasticity Management (2^nd Ed.) A Practical Multidisciplinary Guide, Second Edition

Spasticity is a common symptom that arises in a wide range of neurological conditions. Unfortunately, a poor understanding and inadequate management of spasticity often results in it having a greater impact on patients than necessary.

Using a multidisciplinary approach, Spasticity Management: A Practical Multidisciplinary Guideprovides the essential knowledge for the effective management of spasticity as well as the practical tools for developing wide-ranging services.

In line with the previous edition, this book emphasises the importance of all team members being involved in educating the individual with spasticity and, if appropriate, their carers and families. Thoroughly updated, this edition discusses new medications available for spasticity management, increased coverage of postural management via occupational therapy input, and pragmatic guidance using illustrations, algorithms and linkages to real-world clinical practice.

New chapters have been added to address individuals making the transition from paediatric to adult services as well as the provision of optimal end-of-life care. Also included are real-life case studies to emphasise learning points while engaging the reader, making this a valuable guide to any practitioner involved in managing spasticity.

What Is Spasticity? Assessment of the Individual with Spasticity. Provision of Education and Promoting Self-Management. Physical and Postural Management of Spasticity. Oral Medication. Focal Treatments, Including Botulinum Toxin. Intrathecal Baclofen and Phenol. Transitioning Young People with Spasticity from Paediatric to Adult Services. End-of-Life Care and Managing Spasticity. Appendices: Generalised Spasticity Multidisciplinary Proforma. Focal Spasticity Multidisciplinary Proforma. Spasticity Outcome Measures Form. Patient Information - Managing Your Spasticity and Spasms. Patient Information - Managing Spasticity and Spasms with Exercise. Patient Information - How Botulinum Toxin May Help Your Spasticity. Patient Information - How Intrathecal Baclofen May Help to Manage Your Spasticity. Medical Procedure for the Intrathecal Baclofen Trial Injection. Nursing Care Plans for Intrathecal Baclofen Therapy. Competencies for Intrathecal Baclofen Specialist Nurses. Physiotherapy Guidelines for Intrathecal Baclofen Therapy. Surgical Procedure for Intrathecal Baclofen Pump Placement. Refill Procedure for Medtronic Intrathecal Pumps. Patient Information - How Intrathecal Phenol May Help to Manage Your Spasticity. Nursing Care Plan for Intrathecal Phenol Therapy. Palliative Care Narrative. Advance Decision to Refuse Treatment.

Edited by

Valerie L. Stevenson, MD, MRCP (UK), National Hospital for Neurology and Neurosurgery, London, UK

Louise Jarrett, RGN, PhD, Royal Devon and Exeter Hospital NHS Foundation Trust, UK