All Posts Tagged: Brain Injuries

5 Tips on Caring For An Individual With a Brain Injury

When a loved one or family member suffers a brain injury, you may take the role of caregiver – a role that can be exceptionally challenging. At the very least, it’s a stressful time that can call on all of your mental and physical resources and abilities.

The fact is, few injuries are as devastating as a severe brain injury. The person who suffers one may behave, think, and see the world differently than he or she did prior. Providing support and being their caregiver, is often a delicate, demanding task. Here are some suggestions to keep in mind.

1. Structure is Vital

Maintaining a structured environment is essential for providing care to someone who’s suffered a brain injury. The structure will minimize potential issues by providing the individual a consistent, dependable way of life. It provides you (the caregiver) with a disciplined approach that accounts for most variables and inevitable challenges that may arise. It also means maintaining a schedule that provides as much activity as the patient can handle, without becoming overly fatigued.

2. Communication

Knowing what not to say to a person with a brain injury is just as important as knowing what to say. Keep these tips in mind:

  • Don’t tell them they’re not trying hard enough – Apathy, not laziness, is common after a brain injury. Recognize apathy and take steps to treat it.
  • Understand the invisible signs – A person with a brain injury often suffers from hidden signs such as fatigue, depression, anxiety, etc., and saying that they “look fine” to you is belittling.
  • Don’t complain about having to repeat yourself – Almost everyone who suffers a brain injury will experience some memory problems. Becoming frustrated that you have to repeat yourself only emphasizes the issue.
  • Remain patient when they’re not – Irritability is a common sign of a brain injury and it can come and go without reason. If you are always pointing out their grumpiness, it doesn’t help the situation.
  • Don’t remind them how much you do for them – The person may already know how much you do for them – and feels some guilt about it – or may not understand at all (depending on the severity of their injury).

3. Educate Yourself

Become involved in their recovery during the rehabilitation process. Doing so enables you to have a clear understanding of struggles the person will face, and strategies that you can implement at home to lessen the impact of these problems.

4. Be Aware of Changes in Behavior

Check with your physician whenever you notice any behavioral changes in your loved one, or person you are caring for. Seizures can develop after a brain injury and occur several months, or even years after the injury occurred. Your physician may recommend anti-seizure medications.

5. Take Time for Yourself

It can be easy to ignore personal fatigue and frustration while you’re caring for someone with a brain injury. Taking time for yourself, calling on the help of others, joining a caregiver support group – all are ways that can assist you from becoming physically and emotionally exhausted. Above all, be kind to yourself and give yourself credit for all that you do.

Read More

Caregiver’s Guide to Brain Injury Rehabilitation

The goal of rehabilitation is to help your loved one live and function as independently as possible. Rehabilitation helps the body heal and assists the brain in relearning processes so that an individual recovers as quickly and efficiently as possible. Rehabilitation will also help the person with Brain Injuries learn new ways to do things if any previous abilities have been lost.

After your loved one’s initial life-saving treatment at the time of the injury, he or she will most likely start a rehabilitation program and will work with a team of specialists. The person with an injury and his or her family are the most important members of the rehabilitation team. Family members should be included in the rehabilitation and treatment as much as possible. Some of the other professionals who may be part of this team include:

  • Neurologists – doctors who are trained in the diagnosis and treatment of nervous system disorders, including diseases of the brain, spinal cord, nerves, and muscles.
  • Occupational, physical, speech and language therapists – therapists that help the person regain thinking skills, communication skills, physical abilities and behavioral skills.
  • Neuropsychologists – specialized psychologists who focus on thinking skills and behavior problems.
  • Vocational rehabilitation experts – employment coaches who help with regaining job skills.

Some of the different types of rehabilitation facilities include:

  • Acute rehabilitation – an intensive rehabilitation program.
  • Coma treatment centers – provide coma-specific medical care.
  • Transitional living programs – nonmedical residential programs that teach skills for community living.
  • Long-term care and supervised living programs – residential facilities that provide care and
  • rehabilitation to people with brain injuries who are not able to live independently.
  • Behavior management programs – typically community-based (i.e., not residential) programs that teach self-control and appropriate social behaviors.
  • Day treatment programs – provide rehabilitation during the day so the person can return home at night.

Recovering from a brain injury is a process and is individual to each person and family. One of the major impacts that stroke has on quality of life is the way that it affects a person’s emotions and relationships. There are hardships that immediately come to mind – communication problems, mobility limitations, cognitive impairment – but there are also complex social and emotional stressors that impact well-being. Stroke affects emotions, and in turn, relationships and social functioning among stroke victims and family, friends, and/or caregivers. It is important to remember that rehabilitation may last weeks or even years and that your loved one will benefit from the ability to receive rehabilitation services throughout this time. Appropriate programs and treatments will also change as your family member’s needs change. Choosing Ernest Health is a huge step forward on the road to recovery!

References:

www.biausa.org

www.caregiver.org

Read More

What to Expect from Rehabilitation

Last week we covered identifying and understanding brain injuries. If you or a loved one you know has had a brain injury or are at risk for a brain injury, knowing what rehabilitation will consist of can be comforting during a stressful time. There are many physical and emotional challenges that can discourage both the patient and the caregiver.

Brain injury is a broad category that refers to any injury to the brain which impairs functioning. The injury may be mild, severe, traumatic, or caused by associated medical problems; however, the goal of rehabilitation is the same – help patients gain the most independent level of functioning possible. Whether the brain was injured during a stroke, a fall, or even an electric shock, the goal of Ernest Health is to get our patients back to a place where they can manage and hopefully flourish in daily life. Rehabilitation therapists form a team, together with the patient and family/caregiver(s), to achieve the best possible outcome.

REHABILITATION AFTER BRAIN INJURY:

Rehabilitation after a brain injury is more likely to involve several types of therapists and practitioners on our staff because of the effect that a brain injury can have on multiple parts of the body. A physical therapist would help the individual regain range of movement and strength, like in the case of a patient who has had a stroke and subsequent paralysis. An occupational therapist caring for the same patient might work with him or her on dressing, eating, and completing household chores. A speech pathologist might work with the patient on swallowing and communication. Still other practitioners such as psychologists and social workers would aid in psychological, emotional, and social assessment and care.

Just as with any type of rehabilitation, a patient’s treatment plan is highly individualized. A patient who has experienced a stroke may need different types and degrees of therapy than a person who was in a car accident. It all depends on the extent and impact of the injury. Likewise, one’s treatment may vary according to life stage, age, and daily needs. This individualization greatly benefits our patients and their families.

However, Brain Injuries are so much more than a series of physical consequences. One of the major impacts that brain injuries have on the quality of life is the way that they affect a person’s emotions and relationships. There are hardships that immediately come to mind – communication problems, mobility limitations, cognitive impairment – but there are also complex social and emotional stressors that impact well-being.

 

Knowing what to expect from brain injuries can be especially useful for the caregiver. Being a caregiver requires constant encouraging and optimism, but that can be wearying. Next week we cover brain injury rehabilitation for the caregiver.

For more information on brain injury, go to www.biausa.gov.

 

Read More

Understanding Brain Injuries

Brain injury is unpredictable in its consequences. Brain injury affects who we are, the way we think, act and feel. It can change everything about us in a matter of seconds. The most important things to remember include:

  • A person with a brain injury is a person first.
  • No two brain injuries are exactly the same.
  • The effects of a brain injury are complex and vary greatly from person to person.
  • The effects of a brain injury depend on such factors as cause, location, and severity.

Traumatic Brain Injury (TBI)

A TBI is caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The severity of a TBI may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury.

2.4 million people sustain a traumatic brain injury (TBI) each year. According to the Centers for Disease Control and Injury Prevention, the leading causes of TBI are:

  • Falls (35.2%)
  • Motor vehicle-traffic crashes (17.3%)
  • Struck by/against events (16.5%)
  • Assaults (10%)

Acquired Brain Injury

An acquired brain injury is an injury to the brain, which is not hereditary, congenital, degenerative, or induced by birth trauma. An acquired brain injury is an injury to the brain that has occurred after birth.

There is sometimes confusion about what is considered an acquired brain injury. By definition, any traumatic brain injury (e.g., from a motor vehicle accident, or assault) could be considered an acquired brain injury. In the field of brain injury, acquired brain injuries are typically considered any injury that is nontraumatic. Examples of acquired brain injury include stroke, near drowning, lack of oxygen to the brain, tumor, neurotoxins, electric shock or lightening strike.

An Injured Brain

When a brain injury occurs, the functions of the neurons, nerve tracts, or sections of the brain can be affected. If the neurons and nerve tracts are affected, they can be unable or have difficulty carrying the messages that tell the brain what to do. This can change the way a person thinks, acts, feels, and moves the body. Brain injury can also change the complex internal functions of the body, such as regulating body temperature; blood pressure; bowel and bladder control. These changes can be temporary or permanent. They may cause impairment or a complete inability to perform a function.

www.biausa.org

 

Read More