Traumatic Brain Injury, Part I

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Jump to navigation. As discussed in Part I of this series, a range of factors influence the likelihood of returning to work after a brain injury, including:. Although some of the challenges related to returning to work RTW cannot be changed, growing evidence suggests that many people can successfully return to work after a brain injury.


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This Fact of the Matter brief focuses on specific practices that contribute to successful reentry into the workforce. Person-centered planning PCP — in the context of RTW — is a process for clients to identify personally meaningful goals. PCP focuses on helping individuals understand their unique strengths and abilities to develop their vision of what they would like to do in the future. Self-directed goals are more likely to provide the motivation needed to succeed than goals set by others.

However, a self-directed process still requires facilitation. A resource facilitator see below can provide the guidance needed to keep the process on track and identify challenges or compensatory strategies.

A new biomechanical assessment of mild traumatic brain injury. Part 2: Results and conclusions

Resource facilitation RF has been one of the most consistent predictors of successful employment after brain injury. A resource facilitator provides a comprehensive set of services that bridge the gaps among hospital, rehabilitation, and community agencies and services. Individuals at high risk of failure, such as those with more severe or recent injury, will benefit from early and intense emphasis on preparation for employment. For individuals with mild injuries, less intense clinic-based services might be enough for them to return to work.

Concussion / Traumatic Brain Injury (TBI)

Although funding for intense rehabilitation services might be scarce, matching the intensity of services with severity of the injury has proved helpful and allows for effective use of rehabilitation dollars. Although the research evidence for the services listed below is not as strong as for PCP and RF, studies have found that each improves length of employment, income, or how quickly clients return to paid employment after injury. Introduction: After traumatic brain injury TBI and emergence from coma, the majority of people experience posttraumatic amnesia PTA , characterized by confusion, disorientation, retrograde and anterograde amnesia, poor attention, and sometimes agitation and delusions.

What is traumatic brain injury?

An international team of researchers and clinicians developed recommendations for assessment and management of PTA. Methods: The experts met to select recommendations, then reviewed literature to ensure they were current. The team then prioritized recommendations for implementation and developed audit criteria to evaluate the adherence to the best practice recommendations. Results: Evidence in support of assessment and management strategies during PTA is weak.

UAB - Traumatic Brain Injury Information Network - Información en español

It is recommended that duration of PTA be assessed prospectively using a validated tool. Consideration should also be given to use of a delirium assessment tool. No cognitive or pharmacological treatments are known to reduce PTA duration. Recommendations for environmental manipulations to reduce agitation during PTA are made.

Minimizing use of neuroleptic medication is supported by animal research and 1 retrospective study.

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