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Jehangir Centre For Neuropyschology

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Centre of Mental Health/Neuropsychology in Pune


Jehangir Centre For Neuropyschology

HAVE YOU OR YOUR RELATIVE SUFFERED A BRAIN INJURY (BI)?



People can suffer an injury to the brain due to many reasons. Different types of brain injury seen at the centre are:

  • Head Trauma: caused by road traffic accident or post-surgical damage (e.g. after tumour removal, epilepsy surgery etc.)
  • Stroke or brain haemorrhage
  • Cerebral hypoxia: due to reduced oxygen supply to the brain (for example after cardiac arrest, respiratory arrest, drowning etc.)
  • Brain Infection: e.g. Meningitis, encephalitis.
  • Brain Inflammation: e.g. Vasculitis.
  • Other toxic or metabolic insult: for example, hypoglycaemia
  • Dementias: such as Alzheimer’s, Vascular, Parkinson’s, Multiple Sclerosis, etc.
Centre of Mental Health/Neuropsychology in Pune


PROBLEMS CAUSED BY BRAIN INJURY (BI)



Depending on the type of brain injury and the location of injury, a person with moderate to severe brain injury may face a combination of cognitive, behavioural/emotional, physical or psychosocial problems. Some difficulties under these categories are listed below:


Cognitive (thinking) difficulties:

  • Memory or learning new information
  • Attention
  • Perception
  • Problem solving
  • Identifying & understanding errors
  • Safety awareness
  • Self-monitoring
  • Social judgment

Behavioural/emotional difficulties:

  • Easily crying or laughing
  • Depression and anxiety
  • Adjustment problem
  • Aggressive outburst
  • Disinhibition (such as use of rude/hurting words, impulsivity)
  • Poor motivation/initiation
  • Inappropriate behaviour
  • Psychosis
Centre of Mental Health/Neuropsychology in Pune


HOW BRAIN INJURY AFFECTS DAILY ACTIVITIES



As a result of the difficulties listed above, patients with brain injury may have reduced ability to perform various previous levels of day to day duties or social responsibilities, such as managing multiple household task efficiently or office work. This may cause distress among patients and family members too. Family members may also face considerable long-term strain and stress due to caring for the patient at home for long, as well as managing household/childcare role amongst others. Thus, brain injury affects not only the patient but the whole family as well.



Changes in day to day functioning include reduced ability:

  • To live independently
  • To return to work or education
  • To fulfil family duties
  • To maintain personal and sexual relations
  • To drive or use public transport independently
  • To participate in social activities & leisure
Centre of Mental Health/Neuropsychology in Pune


SOME LESSER KNOWN FACTS ABOUT Brain Injury (BI)



  • Brain injury (from road traffic accidents, stroke and dementia only) affects about 3.5 million people annually in India.
  • 1 million cases of brain injury (due to road traffic accidents only) a year in India require rehabilitation.
  • Brain injury is increasingly occurring amongst the young, working age population.
  • Cognitive changes after Bl can be long lasting or even permanent.
  • Difficulties in cognition, emotion, and behaviour can become more obvious after discharge from hospital and when the person with Bl is trying to return to work or family role. Hence, sometimes it may take weeks/months after the actual injury for the patient and his/her family to recognize these difficulties.
  • Lack of insight is common after a Bl. Hence many a times it is the family members who can see the changes in the person with the Bl rather than the patients themselves.

WHAT TYPE OF TREATMENT IS NEEDED TO MANAGE COGNITIVE, EMOTIONAL AND BEHAVIOURAL PROBLEMS AFTER BRAIN INJURY?



International guidelines recommend that cognitive rehabilitation especially holistic/comprehensive neuropsychological rehabilitation should be the practice standard for managing cognitive, emotional, and behavioural problems after brain injury, and that this is proven to be effective even for people who are many years post their brain injury. For more details please refer to the following international guidelines:


  • Scottish Intercollegiate Guidelines Network (SIGN)
  • American Congress of Rehabilitation Medicine: Cognitive Rehabilitation Task Force

NEUROPSYCHOLOGICAL REHABILITATION: ROAD TO RECOVERY



Jehangir Centre for Neuropsychology follows internationally recommended holistic neuropsychological rehabilitation model for providing rehabilitation. It is the first and the only centre in the region to provide comprehensive neuropsychological rehabilitation. The rehabilitation programme offered at the centre includes:


  • Neuropsychological (Cognitive) assessment of thinking, memory, judgment, emotions, behaviour and personality, using a range of specially designed tests.
  • Brain injury education involves helping patients and their families understand the brain injury, and how cognitive changes can impact on daily functioning of the patient.
  • Cognitive rehabilitation helps patients develop new strategies to deal with cognitive problems and to improve their level of day to day functioning and ability.
  • Assistive technology based cognitive rehabilitation uses gaming platforms such as Xbox and Kinect System to improve concentration ability, information processing ability, mental fatigue, and develop meta-cognitive strategies.
  • Interventions for managing emotional and behavioural problems like anger outburst, depression, or anxiety.
  • Psychotherapy and counselling for helping patients and their families come to terms with and accept the changes that a brain injury brings about in a person, to manage the stress amongst family members and to create new goals and meaning in life.
  • Multidisciplinary approach alongside physiotherapy department towards integrative management of physical and cognitive problems post brain injury.

Unique features:



  • Cognitive Assessment for Inpatients (IPD): Cognitive assessment and specialist rehabilitation provided to inpatients to facilitate early recovery and return to independent functioning after hospital discharge.
  • Specialist neuropsychological advice and cognitive rehabilitation aimed to facilitate return to work/studies/independent living.
  • Virtual reality and assistive technology based cognitive rehabilitation.
  • Multi-disciplinary individual and group therapy programmes for patients and family members.
  • Brain injury related education materials on display (and on request) produced in collaboration with international agencies and experts. Some booklets include: Learn How Brain Injury Affects You: Cognitive, Emotional and Behavioural Changes, Advice For People Who Are Returning To Work After Having Suffered A Brain Injury Or Brain Illness, Managing Mental Fatigue After Brain Injury or Brain Illness, Carers Guide To Management Of Patients After A Brain Injury.
  • Follows international guidelines and recommendations in treatment and management of brain injury cases.

Expertise



Jehangir Centre for Neuropsychology is headed by Dr Farzana Mulla, who has vast experience and expertise in managing different types of brain injuries. She has had specialized training and work experience in a centre of excellence, brain injury rehabilitation centre in the UK. She is invited to speak at various national and international level conferences related to her work with brain injury people in India and has brain injury related publications in international journals.

USEFUL WEBSITES:



There are many informative brain injury related websites on the internet. To learn more about it, you can contact people living with the effects of a brain injury. Some useful brain injury organization websites you can visit are: Headway, UK; Stroke Association, UK; and Brain Injury Association of America.


Consultants List




TESTIMONIALS

“I had a long discussion with Dr Farzana today regarding my dad’s dementia and she gave me wonderful ideas on how to manage this neurological condition. She was amazing…! Do recommend this Jehangir Centre to your acquaintances who may have relatives with neurological conditions. They will be under expert care.” Ninad Sarvate (name changed), family member of a patient with dementia.



“Happy to see him post his stroke getting involved in daily activities which make both of us confident that very soon he will be doing his normal activities. I will suggest other stroke patients to go ahead and take up the sessions of the virtual reality based cognitive rehabilitation.” Uma Kakkar (name changed), Spouse of a stroke patient



“Two years post my stroke and under cognitive rehabilitation only now. This has helped me think before doing any actions which proves that my concentration has improved a lot during the session.” Reema Swaroop (name changed), stroke patient.



“Got good advice. Felt like we came to the right place to help our loved one who underwent tumour resection and had cognitive problems. We as a family would like to thank the team.” Joshis, (name changed), family of tumour surgery patient.

FAQ

Answer:

Clinical neuropsychology is focused on understanding the link between the brain and behaviour. For example, how changes in the brain may affect the ability to pay attention, remember, or solve problems. This understanding between how someone thinks and acts and how the brain works is used to diagnosis and treat brain disorders.

Answer:

A progressive neurological disorder such as dementia, Parkinson’s disease, multiple sclerosis and so on.
An acquired brain injury from:

  • Head injury: such as after a road traffic accident.
  • Stroke.
  • Haemorrhage: that is bleeding in the brain.
  • Hypoxia: that is reduced oxygen supply to the brain due to status epilepticus, partial drowning, cardiac arrest, respiratory arrest, etc.
  • Infection: such as encephalitis, TB meningitis, toxoplasmosis, etc.
  • Neurosurgery: such as for brain tumour removal, epilepsy surgery, clipping and coiling of aneurysm etc.

Answer:

It will help to:

  • Make or confirm a diagnosis such as what type of dementia it is
  • Identify type of cognitive, emotional and behavioural problem the person has after a brain injury.
  • Plan for the persons cognitive/memory rehabilitation.
  • Understand and plan management of emotional and behavioural problems after a brain injury.
  • Make decisions about practical situations such as return to work, return to studies, planning for the future, decision-making capacity and so on.

    Answer:

    A neuropsychological evaluation involves examining thinking, behaviour, and social- emotional functioning. The evaluation uses specially designed standardized tests and procedures. Tests may be performed using paper and pencil or on the computer. Your family member with a brain injury will be asked some questions and to solve different types of problems. Neuropsychological evaluations typically include tests that measure the following:


    • Intelligence
    • Attention and concentration
    • Memory
    • Processing speed
    • Planning, problem solving, and decision making
    • Language
    • Visual perception
    • Depression and anxiety

Testimonials

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  • “Dear Dr Nina, I wish I could see you to thank you in person before getting discharged. I wanted to take a moment to express my deepest gratitude to you for the exceptional care and support you have provided throughout my pregnancy and the delivery of our baby. Your kindness, patience, and reassuring presence made a world of difference during a time that was both exciting and challenging. You were really my last hope at getting pregnant and I thank God every day that He brought me to you. I was also very anxious when the baby was detected with FGR. But you put our minds at ease at every consult and I left the fate of the delivery process in your hands. I was never really fixated on a "Normal" delivery. I have heard many stories where the doctors scare the parents into C- sections. However the situation was strange in this case, where you still gave us a shot at a normal delivery and I have zero regrets that it ended in a surgical one at the last minute. I feel fortunate to have had you by my side during this incredible journey. Your professionalism and genuine concern for your patients are truly commendable. This gratitude note would be incomplete without the mention of some kind souls that helped throughout. 1. Rachita Duggal- her reassuring smile itself is enough to drive worries away! 2. Dr Ayesha- again a very calming presence and grateful to have had her in the OT! 3. Miss Vaikhare- extremely pleasant to talk to, the perfect person to run a department full of anxious moms to be/new moms. 3. Dr Saket, Dr Prakriti, Sister Sushmita, Sister Sayali and all the other nurses. 5. All the support staff and maushis. Wishing you continued success in your medical practice, and once again, thank you for being an integral part of this memorable chapter in my life.”

    - Sanyogita And Ashish, Jan 2024

  • “We would like to thank Dr Jyotsna Angom and her team for the constant support throughout the pregnancy. Last 8 months was both physically and emotionally exhausting as it was a complicated one but she dealt it with it so well and was always available. Without her it would not have been possible to pull through. Heartfelt gratitude.”

    - Aamra Ahmed, Nov 2022

  • “We are thankful to Sachin sir and Sharayu mam for bringing joy and happiness into our life. You are a ray of hope to all those couples who are planning to have a child but due to health issues, they can\'t. My experience with Dr. Sachin is excellent, very motivating with a positive feelings, a humble human being and his staff is also very helpful and understanding. I would definitely recommend this team to all couples.”

    - Vishal Patil, Nov 2022

  • “Aishwarya Jiman here. Our family has been blessed with our little princess on 23-Jul-2022 I would like to write a heartfelt thank you note to Dr.Nina and her team. Hello Dr. Nina Ma\\\'am.... Words are not enough to express the joy of delivering a baby with the support of your expertise and the commendable efforts of the entire Team of Jehangir Hospital... There was a point where I was about to give up hope and your words of determination to push myself to the finish line made our bundle of joy arrive with normal delivery... Jehangir facilities staff, Maternity Nursing staff, Dr. Sayali, Resident Dr. Prakhriti, Dr. Mehek Mukhi (making me understand to push with my mouth closed and not scream cuz that would drain out all the energy), the entire team was alert and hands on during the entire birthing process. Our first prenatal workshop U and Me Baby was an experience that we will always cherish. The breathing techniques demoed in the session were the most helpful during the birthing process. 100 sqauts > castor oil. + Milk .. all made the trick for a challenging yet smooth delivery. You were always determined to ensure I had a normal delivery despite being a diabetic. All the tests were performed at the right time during the pregnancy cycle.. Dr. Saket was always prompt to answer any doubts we had.. Dr. Sarita K made sure my sugar levels were under control with the insulin dosage though I was very tensed if high insulin dosage could have any effects.. Overall.. the comfort level that Dr.Nina Ma\\\'am has with her patients ..being clear and vocal ..shows how much of an expert she is in her profession that is her passion for a lifetime.. I remember she said during my delivery in the labor room.. OBGYN is something that I can\\\'t live without..🙂 (Ma\\\'am - I could catch only some of those words . Thank you for all your efforts and dedication. And yes..do follow Ma\\\'am on Instagram for all the helpful tips and facts about OBGYN and salad dressings too..”

    - Aishwarya Jiman, Jul 2022

  • “I Shradha Sanjay Chavan, granddaughter of subhadra vijay chavan. My grandmother is facing spine pain, she is having cramp since 4 years from CGHS we came to know about jehangir hospital and Mr. Sanjay Gandhi Sir. My family was scared about spine operation. And many of the peoples are given feedback for spine operation. Some people are given feedback that the sine operation will not work or patient will suffer a lot after operation. But the operation goes very well. My grandmother is able to walk now and the pain which she is having before that pain is no more with her. The services of the hospitals superb. In jehangir hospital I noticed there is less paper work. All staff and doctors are so friendly and handled politely. And I will make sure I will refer my family and friends for future treatment in jehangir hospital only”

    - Shradha Sanjay Chavan, Apr 2022

  • “Detect tumor in MRI before only 7 day headache & vomiting. At 04-12-2021 Dr. Sachin Gandhi operated at Poona hospital after surgery of 8 days doctors declared that patient survives from cancer fourth grade, so we have done 45 day medication & chemo therapy at budhani hospital. It completed at 31st Jan 2022. After 1 month gap we had do monthly 5 days chemo line with reference to Dr.Piplani(Jehangir Hospital). There is 3 chemo line done up to June 2022 after Dr. Piplani said we do MRI. In that MRI again detect tumor is increased at same stage so Dr Åžahin Gandhi operated 2nd time(27-06-2022). He is recovering from 2nd surgery after we will do chemo lines in jehangir hospital with ref to Dr. Sanjay Piplani Patient name - Akshay Konde”

    - Tejaswini Konde, Dec 2021

  • “Dear Dr. Lad & Team, The last 2 months were tough for us to go through our child was suddenly put into ICU & Ventilator. these things were very difficult for us to accept. Rutvi has gone through difficult times with different medical complications for a child & her age it was very difficult to imagine such pain & such a challenging situation. The team of doctors & healthcare gives at Jehangir Hospital were just on top of the job to help Rutvi come back to normal. The challenges were many but each time the team was proactive and reactive. She has got the perfect treatment with the medical expertise & the diagnosis. We got many re-affirmation about the line of treatment and many experts assured us that our child is in safe hands. We are so delighted to give the best possible medical treatment to our child & bring back her with little or less impact. The smile & happiness on Rutvi\'s face right now assures us that the care she got is unmatched Our Gratitude & thanks beyond words”

    - Sneha And Alok Patwardhan, Jun 2022

  • “To the Best physiotherapist Dr. Radhik Patil & Team. Thank you for pushing me to limits I didn\'t think were possible from the first visit to the last, I am always stoked to see the difference. Thank you for getting me back on the field quickly Sitting out kills me, and you guys are the best at getting me back on the field in the shortest amount of time possible Thank you for encouraging me to keep going even when it hurt Even when I felt my arm was going to fall off, thank you for encouraging me to keep going as it will get it stronger. Thank you for treating me like a person, not a number, and caring about my life outside of my injuries. I enjoyed the talks just about life in general and getting to know you guys Thank you for continuing to work with me even when your next patient has arrived Thank you for learning my sport to target the specific muscles needed in my daily game. Thanks for being a huge part of my success as an athlete.”

    - Himanshu Jadhav, Jun 2022

  • “Excellent doctors & services provided by our staff especially Dr. Snita Sinukumar for all of her dedication and personal attention towards the patient. Thank you for sharing time to time all information and bare our questions.”

    - Pramilla, Apr 2022

  • “I, the undersigned here Mohammed Ali Al Badri, the vice president of Supreme Court in Republic of Yemen, have the honour to submit herewith my sworn declaration that I accompanied my wife Safia Mohammed Qadri from Yemen to India as a patient after 2 years of suffering, motionless in her room, can not walk more than 10 meters.l presented her to all specialists available in Sanaa, Yemen but of no use. So we. reached Pune. And due to her good luck,I exposed her to hounarable Dr.Sandeep Borse in Jehangir hospital, in view of advice given by one surgent in Pune to do nails in her lower spine. But when she was examined by Dr.Sandeep he refused that view and said: No need of surgery, I will prescribe a medicine for her that will enable her to walk again, I was astonished. I couldn\'t believe what I have heard, just after 4 days of using that medicine, she felt that the ropes tighten her body started to untightened, and with a help of physiotherapy exercises, she was able to walk independently for long distances gradually. However, I hereby express my family\'s gratitude for DR.SANDEEP BORSE, the statue and pillar of medicine in Pune, who deserves all thanks for his efforts In relief ing human suffering. Alongside him, there are others who deserve the same gratitude. This is a real witness under my oath, and according to the best of my belief.”

    - Mohammed Ali Albadri, Aug 2021

  • “Super Staff, Excellent Doctors. Very Comfortable Experience. Thanks to Team Jehangir”

    - Darius Dorabjee, Jul 2021

  • “All Service and treatment is very good Thank you for everything”

    - Sandeep Borse, Jul 2021

  • “Every staff was appreciated happy with the treatment given by the doctors. very good coordination between nursing staff and doctors. They treated me like a brother. ward sisters & housekeeping staff had treated me very nicely. Thank you for all your service”

    - Raghundan Rathi, Jul 2021

  • “Our experience at Jehangir hospital was and always is lovely. Ms. Maya took care of us so well. all the labour room staff were extremely caring and efficient. Dr. Ninan Mansukhani and Dr. Kamat took care of us very well. The nursing staff at cardiac care is also excellent. All in all a great experience”

    - Zara, Jul 2021

  • “We received very good service from everyone in the hospital. I am very much thankful to Maya & the Doctors. Thank You so much for everything”

    - Sham Balani, Jul 2021

  • “Would like to thank all the people who took good care of me during my short stay”

    - Dr Shilpa Yadav, Jul 2021

  • “We received a very good service from everyone at Jehangir. All the nurses and doctors gave the all required support. We all like to thank everyone for their support”

    - Shikha Bose, Jul 2021

  • “The staff were very kind, from Maya head of admin to the nurses everyone was tremendous a special thank you to Maya, snehal, Rutika, Aishwarya & Priyanka for taking my care.”

    - U R Dani, Jul 2021

  • “I would like to appreciate the entire team at Jehangir for taking such good care of me. I would especially like to mention Maya Mahale\'s name her personal touch and presence made me confident.”

    - Devyani Mungali, Jul 2021

  • “Excellent Service at operation theater, Special thanks to doctors and nursing staff”

    - Sunita Dinde, Jul 2021

  • “We are very satisfied with the service, the nursing staff is caring and works professionally. the attendant was prompt. we thank you for all the care provided.”

    - Nargis Nagarwalla, May 2021

  • “Felt totally at home. overall extremely grateful to the entire team of Dr. Gadgil the nurses and ward boys. Everyone took lots of care with a smiling face.”

    - Pathik Divate, May 2021

  • “I am grateful to all the team of doctors, nurses, and medical staff. all staff worked well in my treatment and recovery. thank you Jehangir Hospital.”

    - Chetan Tolia, May 2021

  • “The excellent medical facility provided Dr. Kamat and the team are excellent and very supportive Staff have a good sense of humor.”

    - Tejas Belhekar, May 2021

  • “A very pleasant stay, good medical staff, best nursing plus cleaning facility. IN this pandemic Medical staff was taken care of very well thank you so much. also very happy with the check-out procedure.”

    - Yehan Morris, May 2021

  • “Patient\'s treatment handled very well by nursing, housekeeping staff, and doctors as well. Thank you so much for your help & Support. God bless each one of you and your family member.”

    - Joel Pinto, May 2021

  • “My first experience of hospitalization. The staff, doctors, sisters, pantry all contributed well. Thank you for living to your motto We Add Care.”

    - Randeep Khokar, May 2021

  • “Outstanding medical care, Excellent nursing staff. Thank you for everything”

    - George, May 2021

  • “Whenever I have come here I have been always treated well. staff is efficient and caring. I and my family found Jehangir Hospital Doctors and medical staff has been most helpful always.”

    - Avantika, May 2021

  • “Very caring and most attentive medical staff. All doctors were completely professional and at the top of their subject. the care is warm, personalized, and genuine.”

    - Lianne Poonawalla, May 2021

  • “Dear Team Covid, Namrata Pimpalkar got admitted at Jehangir Hospital on 14th April 2021 due to symptoms of covid - 19. I was initially under a 6 days treatment of another doctor but due to the severity of the injection and the HRCT scan report I was advised for immediate hospitalization Mr. Shailesh and Ms. Maya from the administration and admission department helped me get a bed at the hospital. I was immediately given treatment after taking in the casualty. This helped my fever and head pain to relieve faster. Dr. Ambike, Dr. Chaitanya, Sister Sneha, Shaila, Libina were all very supportive during the treatment. They followed the doctor\'s instructions carefully and frequently took feedback about how I was feeling. Being a Covid patient I was away from my family, but these people gave me care and warmth. The dietician Ms. Manpreet was very protective and used to call me every day to check food preferences. Nikhil & Arvind both ward boys were very good at their job and on-time delivering food & water overall thank Jehangir Hospital 4th floor ward for helping me get recovered and their help towards me.”

    - Namrata Pimpalkar, May 2021

  • “On behalf of the School Management and staff, I would like to say a huge thank you to all at Jehangir Hospital for the care and relentless support rendered to our colleague during his illness due to Covid.We would like to thank all the Doctors, Nurses and staff at the hospital for working tirelessly during this pandemic and caring for him. To show our appreciation and gratitude, please accept a small snack and tea goody bag for all the staff at the ICU and Covid ward. This is gesture from all of us to show that we care for their well-being in these trying times. Thank you once again,”

    - Mahindra International School, May 2021

  • “My baby was born in Mid of June in Jehangir Hospital which is also a Covid treatment center. Since the day he was born, he has been under consultation/supervision of Dr Shilpa Yadav. Be it while being inside hospital or after discharge, she has always been there to guide us. Even in this COVID situation, she helped as much as possible by being available as a professional health-care provider”

    - Amita Singh, Aug 2020

  • “Thank you Dr Mayur Kardile for your excellent work while performing surgery on my father for spine injury. Your hands are skilled as my incision is very small and my father’s pain has been minimal during recovery. I will be recommending you to everyone I know who also as spine related challenges. Sachin Aher (Jan 2020)”

    - Sachin Aher, Apr 2020

  • “Expressing my gratitude with a humble heart and extend a warm thank you to Dr Chaitanya Kopikker for all you did with precision, skill and expertise. I would like to appreciate & Acknowledge the difference you made each & every day with care and compassion. I\'m truly grateful to the Jehangir Hospital services and utility rendered by the supporting staff. - Dr Dilip M.Jain [Medico Legal Consultant] (April 2020)”

    - Dilip M Jain, Apr 2020

  • “I cannot describe with words, how grateful i am for Dr Mayur Kardile\'s guidance, help and approach. Thank you for everything that you have done for me as well as for saving my legs so i can walk without any problem. Excelent outstanding performance with the spine surgery. Thank you million times - Peter Skol (March 2020)”

    - Peter Skol, Apr 2020