This slide is for the Community Integration After TBI training for the WV TBI program at the Center for Excellence in Disabilities at West Virginia University.
Whether you are a cyclist, a swimmer, a runner, a former college athlete or starting your child in youth sports, staying injury-free is important to keeping you and your student athlete at top performance. By incorporating injury prevention strategies into your workout routine, you can stay on the field and off of the sidelines. According to the Center for Disease Control, more than half of all sports injuries in children are preventable, and almost two thirds of injuries in organized sports occur during practice. By understanding the major factors contributing to these injuries, you can lower your risk. This overview will give you guidelines to keep you competing year-round.
How to Recover from Arthritis in physiotherapy.apnaacare
Physiotherapy plays an important role in managing arthritis. It can help you to maintain independence through improving your mobility, strength and flexibility.
TFCC Repair in 2014: from hammoc to icebergNikos Darlis
State of the art in Triangular FibroCartilage Complex lesion management. Current concepts in anatomy biomechanics and treatment with special focus in arthroscopic techniques. Detailed step by step description of the surgical technique with animations and video. See also https://www.youtube.com/watch?v=rgbemvKbtFk. Visit www.orthoinfo.gr
Συγχρονες τεχνικές αντιμετώπισης των βλαβών του Τρίφωνου Ινοχόνδρινου Συμπλέγματος στον Καρπό
Lumbar spinal stenosis perhaps is understood best as a clinicopathologic disorder: narrowing of the lumbar spinal canal and the nerve root canals (causing central and lateral recess stenosis respectively) typically is brought about by the process of osteoarthritis and leads to compression of the contents of the canals the neural and vascular structures, causing neurologic symptoms (typically low back and leg pain and lower limb numbness and weakness) that are intermittent, characteristically triggered by ambulation (ameliorated by pausing), and generally positional (aggravated by standing and eased by trunk flexion).
Post Polio Residual Palsy: Pathophysiology & Principles of RxAnisuddin Bhatti
Prof. Anisuddin Bhatti, Paeds Orthop Surgeon delivered lecture on Post Polio paralysis and deformities Part 1 on Pathophysio and principles of treatment, through Dr. Ziauddin University Hospital Clifton Karachi webinar on googel.meet, on 3rd April 2021. Acknowledge for material taken from Research papers, slideshare and books as referred in reference list.
Whether you are a cyclist, a swimmer, a runner, a former college athlete or starting your child in youth sports, staying injury-free is important to keeping you and your student athlete at top performance. By incorporating injury prevention strategies into your workout routine, you can stay on the field and off of the sidelines. According to the Center for Disease Control, more than half of all sports injuries in children are preventable, and almost two thirds of injuries in organized sports occur during practice. By understanding the major factors contributing to these injuries, you can lower your risk. This overview will give you guidelines to keep you competing year-round.
How to Recover from Arthritis in physiotherapy.apnaacare
Physiotherapy plays an important role in managing arthritis. It can help you to maintain independence through improving your mobility, strength and flexibility.
TFCC Repair in 2014: from hammoc to icebergNikos Darlis
State of the art in Triangular FibroCartilage Complex lesion management. Current concepts in anatomy biomechanics and treatment with special focus in arthroscopic techniques. Detailed step by step description of the surgical technique with animations and video. See also https://www.youtube.com/watch?v=rgbemvKbtFk. Visit www.orthoinfo.gr
Συγχρονες τεχνικές αντιμετώπισης των βλαβών του Τρίφωνου Ινοχόνδρινου Συμπλέγματος στον Καρπό
Lumbar spinal stenosis perhaps is understood best as a clinicopathologic disorder: narrowing of the lumbar spinal canal and the nerve root canals (causing central and lateral recess stenosis respectively) typically is brought about by the process of osteoarthritis and leads to compression of the contents of the canals the neural and vascular structures, causing neurologic symptoms (typically low back and leg pain and lower limb numbness and weakness) that are intermittent, characteristically triggered by ambulation (ameliorated by pausing), and generally positional (aggravated by standing and eased by trunk flexion).
Post Polio Residual Palsy: Pathophysiology & Principles of RxAnisuddin Bhatti
Prof. Anisuddin Bhatti, Paeds Orthop Surgeon delivered lecture on Post Polio paralysis and deformities Part 1 on Pathophysio and principles of treatment, through Dr. Ziauddin University Hospital Clifton Karachi webinar on googel.meet, on 3rd April 2021. Acknowledge for material taken from Research papers, slideshare and books as referred in reference list.
Outcome measures in cardiac rehabilitation Javidsultandar
Physical therapists, as integral members of the multidisciplinary team in cardiac rehabilitation, should be knowledgeable about methods for assessing outcomes for their patients, and they need to understand the value of aggregated data in improving interventions. (Pashkow P. Outcomes in cardiopulmonary rehabilitation. Phys Ther. 1996;76:643-656.1 ).
The rehabilitation team conventionally includes the physiatrist, rehabilitation nurse, physical and occupational therapist, speech pathologist, rehabilitation psychologist, and social worker or case manager, with availability of other services such as nutrition and respiratory therapy.
Accessible Living Through Home Modificationsginaarroyo
Learn how home modifications can enhance independent living for individuals with disabilities and individuals aging in place. Occupational therapy promotes home safety and greater independence for caregivers and their loved ones.
This is a comprehensive guide to the Ream and Run procedure, a variation of shoulder replacement for younger patients with shoulder arthritis or those who wish to have no restrictions after surgery
Outcome measures in cardiac rehabilitation Javidsultandar
Physical therapists, as integral members of the multidisciplinary team in cardiac rehabilitation, should be knowledgeable about methods for assessing outcomes for their patients, and they need to understand the value of aggregated data in improving interventions. (Pashkow P. Outcomes in cardiopulmonary rehabilitation. Phys Ther. 1996;76:643-656.1 ).
The rehabilitation team conventionally includes the physiatrist, rehabilitation nurse, physical and occupational therapist, speech pathologist, rehabilitation psychologist, and social worker or case manager, with availability of other services such as nutrition and respiratory therapy.
Accessible Living Through Home Modificationsginaarroyo
Learn how home modifications can enhance independent living for individuals with disabilities and individuals aging in place. Occupational therapy promotes home safety and greater independence for caregivers and their loved ones.
This is a comprehensive guide to the Ream and Run procedure, a variation of shoulder replacement for younger patients with shoulder arthritis or those who wish to have no restrictions after surgery
Head injury types, clinical manifestations, diagnosis and managementVibha Amblihalli
I prepared this presentation for CME at 108 Emergency Services GVK-EMRI, Bangalore in January 2013. I kept it simple and concise as the CME was attended by EMTs too. Hope its of help to any medical professional out there.
Each month, join us as we highlight and discuss hot topics ranging from the future of higher education to wearable technology, best productivity hacks and secrets to hiring top talent. Upload your SlideShares, and share your expertise with the world!
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Learn how to develop programs or link to existing services designed to help your tenants meet their goals and foster social inclusion and economic well-being.
Engaging families in voluntary services to prevent further intervention from the formal system.
Christine Secrist, PhD, LMFT
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Developing a Provincial Patient and Family Advisor NetworkCHICommunications
Introductory session on the collaborative planning process that Shared Health’s Public, Patient, and Family Engagement Team led, with patient and family advisors and engagement staff from across the province, to develop a provincial network of advisors.
Join us to learn about the collaborative planning process for the Manitoba Provincial Patient and Family Advisor Network, and how engagement staff can access the Network to help recruit advisors for their projects. We will also share what provincial projects we have been working on and what we see for the future.
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A process by which a community mobilizes its resources, initiates and takes responsibility for its own development activities and share in decision making for and implementation of all other development programmes for the overall improvement of its health status.
AIMS OF COMMUNITY PARTICIPATION
The community develops self-reliance
The community develops critical awareness
The community develops problem solving skills
TYPES OF COMMUNITY PARTICIPATION
Passive – (Manipulation)
Active – (consultation)
Involvement – (Community control)
The Robert Wood Johnson Foundation Executive Nurse Fellows Program
Linda Cronenwett, PhD, RN, FAAN
Co-Director
Distinguished Professor and Former Dean,
UNC-Chapel Hill School of Nursing
Mano y Corazón Binational Conference of Multicultural Health Care Solutions, El Paso, Texas, September 27-28, 2013
According to the World Health Organization, mental health is defined as “a state of well-being in which every individual realizes his or her own potential, can cope with the normal stress of life, can work productively and fruitfully, and is able to make a contribution to her or his community.”
This presentation is to be paired with the TBI Learning Module: Children with Traumatic Brain Injury apart of the West Virginia State Traumatic Brain Injury Program.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
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Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
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1. Improving Community
Integration after Traumatic
Brain Injury
Successful completion of this training meets one hour of the four hour annual
training requirement for Personal Attendant Services direct care staff as
provided through the WV TBI Waiver Program
2. Disclaimer
Information included in this presentation was
current at the time it was developed
Presentation materials are reviewed on an
annual basis
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2014 West Virginia TBI Waiver Program direct care staff annual training
3. Author
MELODEE A HURSEY, MSW, LSW, CBIST
APS HEALTHCARE, INC.
TBI WAIVER PROGRAM PROVIDER EDUCATOR
Ms Hursey is a Certified Brain Injury Specialist Trainer through the Academy of Certified Brain Injury
Specialists and a West Virginia Licensed Social Worker. She has more than 17 years of brain injury
experience in a variety of areas including rehabilitation, waiver, support group facilitation, training,
and program development.
CONTACT INFORMATION:
mhursey@apshealthcare.com
304-964-9007
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2014 West Virginia TBI Waiver Program direct care staff annual training
4. Learning Objectives
• Describe community integration in a comprehensive
way
• Describe two methods that can be used to help
persons with brain injury return to their home and
community
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2014 West Virginia TBI Waiver Program direct care staff annual training
5. Overview of Traumatic Brain Injury
Traumatic Brain Injury (TBI) is
an insult to the brain not of a degenerative or
congenital nature caused by an external physical force,
that may produce a diminished or altered state of
consciousness resulting in an impairment of cognitive
abilities or physical functioning. It can also result in
the disturbance of behavioral or emotional
functioning, may be temporary or permanent and
cause partial or total functional disability or
psychosocial maladjustment.
National Head Injury Foundation
(now the Brain Injury Association of America)
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2014 West Virginia TBI Waiver Program direct care staff annual training
6. Medicaid TBI Waiver Definition
A non-degenerative, non-congenital insult to the
brain caused by an external physical force
resulting in total or partial functional disability
and/or psychosocial impairment
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2014 West Virginia TBI Waiver Program direct care staff annual training
7. Overview of Traumatic Brain Injury
In 2010, about 2.5 million emergency department visits,
hospitalizations, or deaths were associated with TBI—
either alone or in combination with other injuries—in
the United States
Centers for Disease Control and Prevention
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2014 West Virginia TBI Waiver Program direct care staff annual training
8. Overview of Traumatic Brain Injury
• Falls were the leading cause of TBI-related ED visits
for every age group
• Motor vehicle crashes were the leading cause of
hospitalizations for adolescents and young adults
ages 15-44 years
Centers for Disease Control and Prevention
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2014 West Virginia TBI Waiver Program direct care staff annual training
9. Why the focus on Community Integration?
• Advances in acute care medicine means higher
survival rates after TBI
• Changes in the health care climate means shorter
rehabilitation stays or no rehabilitation at all
• People with TBI are being discharged with greater
disability
• People are being cared for in the community
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2014 West Virginia TBI Waiver Program direct care staff annual training
10. What is Community Integration?
The opportunity to live in the community and be
valued for one's uniqueness and abilities, like
everyone else (Salzer, 2006)
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2014 West Virginia TBI Waiver Program direct care staff annual training
11. What is Community Integration?
• Housing
• Employment
• Education
• Health Status
• Leisure/Recreation
• Spirituality/Religion
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2014 West Virginia TBI Waiver Program direct care staff annual training
• Peer Support
• Valued Social Roles
(e.g., marriage,
parenting)
• Self-Determination
• Citizenship and Civic
Engagement
12. What is Community Integration?
• Independence
• Relationships
• Meaningful activities to engage in
“. . . having something to do, somewhere to live, and someone
to love” (Jacobs, 1993)
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2014 West Virginia TBI Waiver Program direct care staff annual training
13. Decreased Role Functions After TBI
• High incidence of unemployment
• Decreased independence
• Financial
• Transportation
• Supervision
• Decision making
• Decreased social network size
• Decreased intimacy
• Decreased participation in leisure activities
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2014 West Virginia TBI Waiver Program direct care staff annual training
14. Successful Community Integration Is
• ACTIVE participation in a broad range of community
involvement
• It is NOT a narrow series of opportunities such as
employment or independent living
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2014 West Virginia TBI Waiver Program direct care staff annual training
15. Important Roles in Our Culture
OUR ROLES ARE SYMBOLS OF NORMALITY AND ALLOW US TO
FEEL PART OF THE LARGER COMMUNITY. THESE MIGHT
INCLUDE:
• Work
• Love
• Play (leisure and creative)
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2014 West Virginia TBI Waiver Program direct care staff annual training
16. Social and Emotional Impact of TBI
• Decreased social network size and loss of pre-injury
friendships
• Loneliness
• Family often becomes the primary source of social
and leisure activity
• Close relationships with others is a key component of
community integration
• Decrease in these relationships is most often listed as
the reason for a lack of integration
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2014 West Virginia TBI Waiver Program direct care staff annual training
17. Read this article
CLICK THE LINK BELOW TO GO TO THE CARRICK BRAIN
CENTER BLOG
HOW TO HELP TBI SUFFERERS NAVIGATE SOCIAL AND
LEISURE ACTIVITIES AFTER INJURY
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2014 West Virginia TBI Waiver Program direct care staff annual training
18. Approaches to Successful Community Integration
• Take a comprehensive view of community integration
• What are the priorities, values, and interests of the person
• Include social and leisure interests
• Focus on personal choice & empowerment
• What the member does in the community is for THEM not
you
• Emphasize sustainability beyond the waiver program
• Support the person making new connections and
friendships that will continue even if they are not in the
waiver program
• Emphasize changing the environment to maximize
integration
• This includes the home AND the community
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2014 West Virginia TBI Waiver Program direct care staff annual training
19. Improving Community Integration
• Increase family and community awareness of
community integration and brain injury
• Develop and use peer support programs
• Social activities
• Workplace
• Partner with community organizations to increase
understanding of TBI
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2014 West Virginia TBI Waiver Program direct care staff annual training
20. Training Family Members as Paraprofessionals
• Family members often become the sole source of
support after a TBI
• Family members have first-hand knowledge of
functional needs and environmental obstacles
• Consistent carryover means a greater opportunity for
successful integration
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2014 West Virginia TBI Waiver Program direct care staff annual training
21. Rosemary and Hugh Rawlins’ life was turned upside
down on April 13, 2002, when Hugh was hit by a car
while riding his bicycle.
Click on the link to one of Rosemary’s blog entries on
brainline.org to see how this family is a resource in
community integration.
http://www.brainline.org/content/2013/09/pebbles-
of-progress.html
Families as a Resource
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2014 West Virginia TBI Waiver Program direct care staff annual training
22. • Differs from traditional peer mentor programs
• Primary purpose is to EXPAND the social network
rather than to provide other types of assistance
(e.g., providing education about TBI resources,
support in adjustment to disability, etc.)
Social Peer Mentors
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2014 West Virginia TBI Waiver Program direct care staff annual training
23. • A friend
• A role model
• A resource
• Committed to making consistent, regular contact
NOT . . .
• A romantic partner
• Respite care or “sitter”
• A credit card or ATM
• A therapist
• Judge, moralist, or savior
A Social Peer Mentor is . . .
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2014 West Virginia TBI Waiver Program direct care staff annual training
24. • Community integration should
• be defined in a comprehensive way
• address all aspects that are important to the
person
• Partner with organizations in the community
• to increase integration
• develop meaning for persons with injury
• Focus on increasing sustainability beyond the
waiver program
• Train/support
• Family members
• Social peer mentors
Summary
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2014 West Virginia TBI Waiver Program direct care staff annual training
25. Additional Resources and Readings
YOU MAY WANT TO EXPLORE ADDITIONAL RESOURCES
TO EXPAND YOUR KNOWLEDGE BASE AND JOB SKILLS*
Here are just a few:
• brainline.org
• Brain Injury Association of America
• Centers for Disease Control and Prevention: TBI
• National Directory of Brain Injury Services
• National Resource Center for Traumatic Brain Injury
• TBI Services at Center for Excellence in Disabilities
1-877-724-8244 TBI@hsc.wvu.edu
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2014 West Virginia TBI Waiver Program direct care staff annual training
*If you are seeking formal training please check with your employer to make sure the internet training
provider has been approved by APS Healthcare before you take the training
26. Next Steps
• To receive your certificate of successful completion
you must first pass the test and complete an online
evaluation
• A score of 70% or higher is required
• Once you have successfully completed this training
module you will receive an email with your certificate
of completion
• Click this link to go to the
test:http://tbi.cedwvu.org/trainings/community-
integration.php
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2014 West Virginia TBI Waiver Program direct care staff annual training
27. Thank You for Your Thoughts
• Please click this link to go to the online evaluation
http://tbi.cedwvu.org/trainings/community-
integration.php
• Your thoughts and comments are very important to
us
THANK YOU!
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2014 West Virginia TBI Waiver Program direct care staff annual training