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The recently published 2014 national clinical guideline on management people with prolonged disorders of consciousness makes several recommendations of relevance to OCE, including recommendations that:
The Oxford Centre for Enablement has the expertise to offer this service within this region. Several members of staff are specifically trained in the SMART assessment technique (Sensory Modality Assessment and Rehabilitation Technique).
Recognising that it is not necessarily appropriate for a patient to remain in a specialist centre if they are unable to benefit from ongoing therapy, we have organised a planned admission pathway lasting between four and eight weeks whereby the patient is fully assessed, meetings are held with the family and others, and advice is given. The expectation is that most patients remaining either in the vegetative state or in a minimally conscious state will then transfer to an appropriate nursing home.
They should then be followed up by the service with regular reassessment either in the nursing home or with a further planned readmission.