Zaburzenia świadomości : perspektywa kliniczna i etyczna

2014
journal article
article
3
cris.lastimport.wos2024-04-09T20:32:51Z
dc.abstract.enDisorders of consciousness are among the main consequences of severe brain injury. They are characterised by the disruption of the relationship between the quantitative (arousal, wakefulness) and the qualitative (awareness of the self and environment) aspects of consciousness. This includes conditions where a high level of arousal is not accompanied with retained awareness (and vice versa). An accurate diagnosis of patients with severe brain injuries who present with various forms of disorders of consciousness still poses a real clinical, scientific and ethical challenge. This paper describes those conditions as well as diagnostic criteria and behavioural tools commonly used for their discrimination. The authors discuss brain death, coma, vegetative state, minimally conscious state and locked-in syndrome. Ethical and prognostic issues associated with the diagnosis and treatment of such patients are also discussed. Moreover, a clear classification of disorders of consciousness is proposed, which is intended to eliminate some ambiguities in Polish nomenclature concerning this type of neurological disorders. Behavioural scales are standard clinical tools for bedside assessment of patients with disorders of consciousness. In this paper, we review several behavioural scales, and describe their diagnostic advantages and shortcomings. The JFK Coma Recovery Scale–Revised (CRS-R) appears to present high sensitivity and specificity of diagnosing disorders of consciousness. The use of scales, such as the CRS-R, along with neuroimaging approaches (which have been developing intensively in the recent years) may provide a way to obtain a complete and accurate diagnosis of disorders of consciousness. That is why translation of the CRS-R and its validation in Polish conditions might play an important role in the diagnosis of such patients in our country.pl
dc.affiliationWydział Filozoficzny : Instytut Psychologiipl
dc.contributor.authorGórska, Urszula - 165644 pl
dc.contributor.authorKoculak, Marcin - 149247 pl
dc.contributor.authorBrocka, Martapl
dc.contributor.authorBinder, Marek - 101031 pl
dc.date.accessioned2015-07-03T17:16:01Z
dc.date.available2015-07-03T17:16:01Z
dc.date.issued2014pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 197-198. Streszcz. ang., pol.pl
dc.description.admin[AB] Brocka, Marta
dc.description.number3pl
dc.description.physical190-198pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume14pl
dc.identifier.doi10.15557/AN.2014.0022pl
dc.identifier.issn1641-9227pl
dc.identifier.projectDEC-2013/11/B/HS6/01242pl
dc.identifier.projectROD UJ / Ppl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/11524
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych
dc.rights.licenceCC-BY-NC-ND
dc.rights.simpleviewWolny dostęp
dc.rights.urihttps://creativecommons.org/licenses
dc.share.typeotwarte czasopismo
dc.subject.endisorders of consciousnesspl
dc.subject.enminimally conscious statepl
dc.subject.envegetative statepl
dc.subject.enComa Recovery Scale–Revisedpl
dc.subject.enbedside assessmentpl
dc.subtypeArticlepl
dc.titleZaburzenia świadomości : perspektywa kliniczna i etycznapl
dc.title.alternativeDisorders of consciousness : clinical and ethical perspectivepl
dc.title.journalAktualności Neurologicznepl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T20:32:51Z
dc.abstract.enpl
Disorders of consciousness are among the main consequences of severe brain injury. They are characterised by the disruption of the relationship between the quantitative (arousal, wakefulness) and the qualitative (awareness of the self and environment) aspects of consciousness. This includes conditions where a high level of arousal is not accompanied with retained awareness (and vice versa). An accurate diagnosis of patients with severe brain injuries who present with various forms of disorders of consciousness still poses a real clinical, scientific and ethical challenge. This paper describes those conditions as well as diagnostic criteria and behavioural tools commonly used for their discrimination. The authors discuss brain death, coma, vegetative state, minimally conscious state and locked-in syndrome. Ethical and prognostic issues associated with the diagnosis and treatment of such patients are also discussed. Moreover, a clear classification of disorders of consciousness is proposed, which is intended to eliminate some ambiguities in Polish nomenclature concerning this type of neurological disorders. Behavioural scales are standard clinical tools for bedside assessment of patients with disorders of consciousness. In this paper, we review several behavioural scales, and describe their diagnostic advantages and shortcomings. The JFK Coma Recovery Scale–Revised (CRS-R) appears to present high sensitivity and specificity of diagnosing disorders of consciousness. The use of scales, such as the CRS-R, along with neuroimaging approaches (which have been developing intensively in the recent years) may provide a way to obtain a complete and accurate diagnosis of disorders of consciousness. That is why translation of the CRS-R and its validation in Polish conditions might play an important role in the diagnosis of such patients in our country.
dc.affiliationpl
Wydział Filozoficzny : Instytut Psychologii
dc.contributor.authorpl
Górska, Urszula - 165644
dc.contributor.authorpl
Koculak, Marcin - 149247
dc.contributor.authorpl
Brocka, Marta
dc.contributor.authorpl
Binder, Marek - 101031
dc.date.accessioned
2015-07-03T17:16:01Z
dc.date.available
2015-07-03T17:16:01Z
dc.date.issuedpl
2014
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 197-198. Streszcz. ang., pol.
dc.description.admin
[AB] Brocka, Marta
dc.description.numberpl
3
dc.description.physicalpl
190-198
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
14
dc.identifier.doipl
10.15557/AN.2014.0022
dc.identifier.issnpl
1641-9227
dc.identifier.projectpl
DEC-2013/11/B/HS6/01242
dc.identifier.projectpl
ROD UJ / P
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/11524
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych
dc.rights.licence
CC-BY-NC-ND
dc.rights.simpleview
Wolny dostęp
dc.rights.uri
https://creativecommons.org/licenses
dc.share.type
otwarte czasopismo
dc.subject.enpl
disorders of consciousness
dc.subject.enpl
minimally conscious state
dc.subject.enpl
vegetative state
dc.subject.enpl
Coma Recovery Scale–Revised
dc.subject.enpl
bedside assessment
dc.subtypepl
Article
dc.titlepl
Zaburzenia świadomości : perspektywa kliniczna i etyczna
dc.title.alternativepl
Disorders of consciousness : clinical and ethical perspective
dc.title.journalpl
Aktualności Neurologiczne
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

* The migration of download and view statistics prior to the date of April 8, 2024 is in progress.