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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

Jehangir Hospital

Dr. Farzana Mulla

MSc, MA

head.neuropsychology@jehangirhospital.com




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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  • “Thank you Jehangir Hospital. I can play with my children again.”

    - Shilpa Sarangi, May 2017

  • “During the last two and a half years, I’ve survived serious illnesses by getting admitted to Jehangir Hospital. In fact, my very life was saved by doctors and the dedicated nursing staff. After having four surgeries, I am indebted to the complete nursing team. Compassion and efficiency were exemplified by most of the nurses. Thank you Col. Nirmala and your stalwart nursing staff.”

    - M Thomas, Sep 2017

  • “I saw my child only after five days as I was recovering from my delivery. I was very scared but the doctors and nurses at Jehangir Hospital took very good care of my baby. They have been a constant support in the last two weeks.”

    - Ashwini Dhobale, Jan 2018

  • “I was in Jehangir Hospital from 29th Jan to 2nd Feb and my daughter Shai from 12th to 16th Feb. We were well attended to by all the staff and that includes the sisters, brothers and the floor staff. Call bells were immediately responded to at all times and every effort was made to keep us comfortable during our respective stays! Thank you Maya Mahale & Gina Ali Khan for ensuring no let up in the service.”

    - C A Heredia, Feb 2018

  • “With the Grace of Almighty, I have been blessed with a baby boy on the 9th of August. Thanks to Nina Mansukhani and the sweet staff at Jehangir Hospital for making this very special for me. Nina Ma\'am... your positive attitude gives us courage. Thanks again for all the advice and support.”

    - Sadaf Kachchwa, Aug 2018

  • “A big thank you to a super doctor Nina Mansukhani who helped me complete my family. Only due to your support and motivation I could deliver two twin angels normally. Thank you to your team, Dr Mehak, Dr Kalyani and all the support staff of Jehangir Hospital who helped me with the delivery of my MCDA twins normally.”

    - Priyanka Sharma, Aug 2018

  • “I went through the most fabulous experience of my life and it was made so comfortable because of Dr. Nina Mansukhani. Her vibrancy and assurance kept me going throughout the 9 months. Today, I delivered a baby boy and the last phase of my experience in labor ward will remain a sweet memory due to the gentleness, caring and encouraging attitude of Dr Nina and her team. They boosted my motivation level and led me through a wonderful labor experience. Everything was perfect. Last but not the least, I was absolutely impressed by the manner in which Dr. Pawan and Dr. Pragati expanded my knowledge about the reason behind each and every step that we took which was very inspiring.”

    - Vidhi Kapoor, Aug 2018

  • “The doctors associated with Jehangir Hospital are excellent. Special thanks to Dr Nilesh Kamat, Dr Sachin Vaze, and Dr Karanjit Singh. I felt extremely happy with the professionalism. Special Thanks to Sachin Mali who was excellent with the food, and made my stay enjoyable with his culinary expertise. Also, special mention to Sister Supriya Archana and the head sister who took excellent care.”

    - Cyrus Paymaster, Aug 2019

  • “I had a good experience here, the staff here is very friendly and helpful. The food is good and hygienic. Housekeeping facilities and staff is very proactive, polite, and understanding. Nurses here are too good and helpful.”

    - Shivank Patti, Nov 2019

  • “Excellent services of mama and sisters. Our doctor, Dr. Sanjay Patel, is an excellent doctor. He saved our patient\'s life we are thankful to him.”

    - Mr Anil Katti, Dec 2019

  • “Nursing and cleaning staff and doctors are well experienced. Thank you to all members for excellent services.”

    - Mr Shabbir Sayyed, Dec 2019

  • “Prajakta Sister was a star in her counselling and services.”

    - Mrs Fulwanti Pujara, Dec 2019

  • “All staff members are compassionate and dedicated towards their work. Thanks”

    - Mr Parag Somvanshi, Dec 2019

  • “I highly appreciate the service provided by the hospital staff.”

    - Mr Madhusudan Khajuria, Dec 2019

  • “The hospital is very good. The service and staff was very good and the housekeeping guy did a great job taking care of the patient.”

    - Mr Fayyaz Warunkar, Dec 2019

  • “Sister Priyanka is very compassionate and polite. On bell response time is very good and staff is very knowledegeable about patient and treatment.”

    - Mr Pramod Agarwal, Dec 2019

  • “Experience was very good, satisfied with all services and all staff was good.”

    - Mr Dilip Mutha, Dec 2019

  • “There was a dengue emergency. When I contacted Ruby Hall Clinic, they said they cannot help, as it was Christmas night. When I contacted Jehangir Hospital, they said come, we will provide all assistance. There is leaps and bounds in improvement in Jehangir Hospital. Very clean premises, soft spoken staff, very good food and service, I am really impressed!”

    - Koinoorh Sinha, Dec 2019

  • “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

  • “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

  • “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

  • “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

  • “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

  • “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

  • “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

  • “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

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

    - George, 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

  • “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

  • “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

  • “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

  • “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

  • “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

  • “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

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

    - Sunita Dinde, 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

  • “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

  • “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

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

    - Dr Shilpa Yadav, 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

  • “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

  • “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

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

    - Sandeep Borse, Jul 2021

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

    - Darius Dorabjee, Jul 2021

  • “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