MM1321:TRAUMATIC BRAIN INJURY:

• PART 1
• PART 2
• PART 3

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1. Define traumatic brain injury (TBI).
2. Explain the scales and levels used to determine severity of injury.
3. Describe a variety of cognitive deficits that may be experienced by the patient with a TBI.
4. Discuss the rehabilitation process.
5. List the professionals involved in the rehabilitation process and briefly describe their roles in the rehabilitation/treatment program.

A.  INTRODUCTION
B. WHAT IS TRAUMATIC BRAIN INJURY?
C. EFFECTS OF TRAUMATIC BRAIN INJURY ON COGNITIVE / MENTAL ABILITIES
D. HOW SEVERE WAS THE BRAIN INJURY
     1. Glasgow Coma Scale
     2. Loss of consciousness
     3. Post traumatic amnesia

E. THE RELATIONSHIP BETWEEN SEVERITY AND OUTCOME
F. PROGNOSTIC CONSIDERATIONS
G. RANCHO LOS AMIGOS LEVELS OF COGNITIVE FUNCTIONING
H. REHABILITATION
I. WHAT IS THE REHABILITATION PROCESS?
J. THE REHABILITATION / TREATMENT TEAM
K. KEY POINTS / CONCLUSION

The Case Manager will be able to:

1. Define the goals for traumatic brain injury rehabilitation.
2. Describe the various types of rehabilitation services.
3. Discuss the special issues to consider in the case management of the TBI patient.
4. Explain Family Systems Theory and the family’s role in rehabilitation.
5. Relate discharge planning and post-acute hospitalization tips.

A. INTRODUCTION
B. NATIONAL INSTITUTE OF HEALTH CONSENSUS STATEMENT FOR REHABILITATION OF PERSONS WITH TRAUMATIC BRAIN INJURY.
C. CONTRIBUTION OF REHABILITATION SERVICES TO FUNCTIONAL OUTCOMES IN TBI  PATIENTS
D. MODELS OF REHABILITATION
     1. Medically Based
     2. Community Based

E. SPECIAL ISSUES TO CONSIDER IN THE CASE MANAGEMENT OF THE TBI PATIENT
     1. Premorbid level of functioning
     2. Legal Issues
     3. Financial Services
     4. Substance use
     5. Sexuality
         a. Assessment of possible sexual dysfunction
         b. Management of the sexually inappropriate patient
         c. Sexuality dysfunction and medication
         d. Treatment
     6. Driving

The case manager will be able to:

1. Discuss a variety of possible emotional and psychological differences in the post brain injury patient.
2. Relate common behaviors of TBI patients.
3. Describe techniques and interventions that will aid the patient’s rehabilitation.
4. Explain Family Systems Theory and the family’s role in rehabilitation.
5. Recall discharge planning recommendations and identify referral sources.

A. Introduction
B. The Brain Injured Patient
C. Additional Reactions / Behaviors of Individuals with TBI
D. Safety Awareness
E. Substance Use after Injury
F. Sexuality after Injury
G. Helpful Tips for the Caregiver
H. Families and the Systems Perspective
I.  Summary