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Zaburzenia świadomości : perspektywa kliniczna i etyczna

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Zaburzenia świadomości : perspektywa kliniczna i etyczna

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dc.contributor.author Górska, Urszula [USOS98128] pl
dc.contributor.author Koculak, Marcin [USOS78922] pl
dc.contributor.author Brocka, Marta pl
dc.contributor.author Binder, Marek [SAP11018111] pl
dc.date.accessioned 2015-07-03T17:16:01Z
dc.date.available 2015-07-03T17:16:01Z
dc.date.issued 2014 pl
dc.identifier.issn 1641-9227 pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/11524
dc.language pol pl
dc.rights Licencja Creative Commons - Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych (CC BY-NC-ND) *
dc.rights.uri https://creativecommons.org/licenses  *
dc.title Zaburzenia świadomości : perspektywa kliniczna i etyczna pl
dc.title.alternative Disorders of consciousness : clinical and ethical perspective pl
dc.type JournalArticle pl
dc.description.physical 190-198 pl
dc.description.additional Bibliogr. s. 197-198. Streszcz. ang., pol. pl
dc.abstract.en 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. pl
dc.subject.en disorders of consciousness pl
dc.subject.en minimally conscious state pl
dc.subject.en vegetative state pl
dc.subject.en Coma Recovery Scale–Revised pl
dc.subject.en bedside assessment pl
dc.description.volume 14 pl
dc.description.number 3 pl
dc.identifier.doi 10.15557/AN.2014.0022 pl
dc.title.journal Aktualności Neurologiczne pl
dc.language.container pol pl
dc.affiliation Wydział Filozoficzny : Instytut Psychologii pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl
dc.identifier.project DEC-2013/11/B/HS6/01242 pl
dc.identifier.project ROD UJ / P pl
.pointsMNiSW [2014 B]: 4


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Licencja Creative Commons - Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych (CC BY-NC-ND) Except where otherwise noted, this item's license is described as Licencja Creative Commons - Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych (CC BY-NC-ND)