This weeks chat will be hosted by Ruth Ndlovu @NeuroOT_Ruth.
TBI and Cognitive rehabilitation:
A severe traumatic brain injury (TBI) is defined as a condition where the patient has been in an unconscious state for 6 hours a more and to be in post-traumatic amnesia (PTA) for more than 24hours (Headway 2019). Patients who present with severe TBI are often hospitalised and depending on the severity of their injury they can be referred for rehabilitation.
Cognitive rehabilitation attempts to enhance functioning and independence in patients with cognitive impairments following brain injury or disease. Cognitive rehab consists of a diverse of interventions including restorative and compensatory approach. Restorative approach aims to restore functions that have been impaired following injury or diseases through task repetition. Whereas compensatory approach aims to restore function by use of compensatory strategies such as external memory aids e.g. calendars, diaries and use of electronic devices.
- What assessments/tools do you use in your setting for patients in PTA post TBI?
- As a team/discipline, how do you determine a patient is out of PTA?
- What cognitive assessments are commonly used for patients with a TBI? These can be standardised or non-standardised.
- What cognitive interventions or approaches do you use for TBI patients?
Headway (2019) Traumatic Brain Injury [online] accessed on 27.01.2019 at https://www.headway.org.uk/about-brain-injury/individuals/types-of-brain-injury/traumatic-brain-injury/