Passive exercise is another intervention therapists will often use to help a person … TBI can result in physical, cognitive, behavioral, or emotional difficulties. Further Resources for Treating Traumatic Brain Injury with Applied Behavior Analysis. Nutrition Following Traumatic Brain Injury: Recommendations for Education and Interventions Jessica Gottenborg MS, RD, LD Kelli Hall PharmD, BCPS Deborah Huddleston MD Diane Mortimer MD, MSN, FAAPMR . Traumatic brain injury (TBI) is a form of nondegenerative acquired brain injury, resulting from an external physical force to the head (e.g., fall) or other mechanisms of displacement of the brain within the skull (e.g., blast injuries). Traumatic brain injury (TBI) can be devastating, with death the worst-case scenario. Are all of the fluorescent lights on brightly? Whether your patient is or is not agitated, they all will benefit from low stimulation environments while their brain is healing. We also use third-party cookies that help us analyze and understand how you use this website. BrainLine is powered in part by agenerous grant from: BrainLine is a national service of WETA-TV, the flagship PBS station in Washington, D.C. BrainLine, WETA Public Television If you’d add anything to this article, please share in the comments below. These cookies will be stored in your browser only with your consent. Interventions reported may prompt OT practitioners to seek advanced training in preparatory stimulation methods. Turn off the TV and focus on one task at a time as well as your cuing. Find What You Need It’s okay to take breathers. If you would like to consult an occupational therapist, they are available through most hospitals, medical centers, and community clinics. If a patient is showing signs of agitation or frustration, try not to stand right in front of them; give them space and try to remind yourself not to overstimulate them as you’re providing the intervention. Mild TBIs often go undiagnosed, and consequently the person suffering the injury loses out on the benefits of rehabilitation and medical care. Your patient may also demonstrate physical limitations, so remember to keep that in mind and incorporate interventions targeting those limitations as well. If your hospital has a pre-made medication management kit, then you’re all set to help your patient practice setting up daily medications using the pill box organizer and fake medications. Helmets. Do NOT follow this link or you will be banned from the site! In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. If you are in an inpatient setting, you can recommend outpatient neuro rehab or community-based rehab for your patient to continue to work to regain the skills needed to thrive post-hospital discharge. Provide long-term support to a family member with a TBI. Similar to collaborating with your speech therapy counterparts as mentioned above, if your PT counterparts are also working on cognition during mobility I would also check in with them to also ensure you aren’t doing the exact same interventions on the same day. Chemical (e.g., pollutants, poisons, drugs, pharmaceutical agents, alcohol, caffeine, nicotine, preservatives, cosmetics, and dyes) 3. As a therapist, you want to be aware that your patient could be agitated and combative, depending on their Ranchos Los Amigos level. You’ll want to really focus on the environment to make sure it’s not too cluttered or distracting. The results of this review identify gaps in the literature, specifically the content of OT treatment. For a great source on community reintegration, check out this easy to follow Community Reintegration Fact Sheet from AOTA. A small child should always sit in the back seat of a car secured in a child safety seat or booster seat that is appropriate for his or her size and weight. Regardless of the severity of the injury and length of rehabilitation services, advance communication and coordination between the hospital, therapists, family, and the school system is a critical first step in student’s returning to school. A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. “…individuals with TBI may have changes to their personality, trouble with memory, confusion, or poor judgment. Although, I’ve found in my experiences it’s less likely OT and PT are doing the same cognitive treatments, but it never hurts to check in with your team! This is especially true if you have not been exposed to such a patient or any cognitive interventions for traumatic brain injury. Passive Exercise. These cookies do not store any personal information. You can create these yourself by using a day planner, calendar, or creating a memory book to assist the patient in writing down what they have done that day. This post was originally published on May 8, 2016 and updated on March 22, 2020. Learn techniques to help the person with a TBI manage cognitive and physical problems. Please note that these interventions will also work for patients affected by an acute stroke or other new injury affecting their cognition. 2. Treatment modalities vary extensively based on the severity of the injury and range from daily cognitive therapy sessions to radical surgery such as bilateral decompressive craniectomies. This article covers the traditional games as well as digital games. Abstract Background and purpose: Although most patients recover from a mild traumatic brain injury (mTBI) within 7-14 days, 10-30% of people will experience prolonged mTBI symptoms. I also want to point out that these cognitive interventions are not one-size-fits-all, and each patient will be different and respond differently. This can be just as detrimental as the above reasons. Alcohol and drug use. Get targeted resources quickly! TBI can result in physical, cognitive, behavioral, or emotional difficulties. Describe the pathphysiology of traumatic brain injury. Traumatic brain injury (TBI), a form of acquired brain injury, occurs when a sudden trauma causes damage to the brain. You mention working with speech therapy however neglect the topic of working with physical therapy. A "closed head injury" may cause brain damage if something hits your head hard but doesn’t break through your skull. Traumatic Brain Injury / Concussion. VETERANS HEALTH ADMINISTRATION Affiliations The changes to the brain after TBI can affect people’s ability to do daily activities (occupations). This is where we as occupational therapists come in to help our patients with traumatic or acquired brain injuries live their most productive lives as independently and safely as possible. If you’re looking for a deeper dive, be sure to check out all of the great CEUs covering brain injury and stroke rehab on MedBridge Online Continuing Education as well. This might include things like puzzles, card games and word finding sheets which all work on attention, concentration and focus, which can be affected after brain injury or stroke. Think of it as taking physical breathers during the interventions, as your patient is working really hard cognitively to perform the task you’ve given them. Seat belts and airbags. Traumatic brain injury (TBI) is a form of nondegenerative acquired brain injury resulting from a bump, blow, or jolt to the head (or body) or a penetrating head injury that disrupts normal brain function (Centers for Disease Control and Prevention [CDC], 2015). 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