This document discusses traumatic brain injury (TBI) and the difficulties in discharging patients with TBI. It describes the various medical and non-medical treatments available for TBI and examines the newest evidence-based treatments. It also explains that due to shorter hospital stays, there are now multiple layers of post-acute care programs available including home care, day treatment programs, assisted living facilities, and independent living arrangements. However, choosing the appropriate next level of care can be challenging given differences in cost, availability of services, and levels of support across options. Family and medical input, insurance coverage, and individual needs must all be considered.
Traumatic brain injury (TBI) occurs when an external force causes brain damage. Primary injury is caused by the impact, while secondary injury involves swelling and reduced blood flow. TBI can be mild, moderate, or severe based on symptoms. Treatment focuses on preventing secondary injury by controlling swelling, blood pressure, and seizures. Patients require rehabilitation to regain abilities lost from brain damage. Long term issues may include headaches, depression, and cognitive impairments.
This document summarizes traumatic brain injury (TBI), including its causes, types, symptoms, treatment and outcomes. It discusses the epidemiology of TBI, noting it is a leading cause of death and disability worldwide. It describes the two main types of TBI - open and closed head injuries. It also summarizes the potential psychiatric issues after TBI like depression, mania, psychosis, OCD, PTSD and personality changes. Finally, it discusses factors that can influence outcomes, noting that 30-35% of severe brain injury cases result in death.
Traumatic Brain Injury occurs when sudden trauma damages the brain through bleeding, bruising or tearing of nerves. Common causes include car, motorcycle or bicycle accidents, falls, violence, explosions or abuse. Symptoms vary but may include unconsciousness, headaches, vomiting, dizziness, seizures, weakness or speech/memory problems. Doctors assess severity using scales like the Glascow Coma Scale and perform tests like CT/MRI scans and intracranial pressure monitors. Treatment focuses on reducing swelling through medications, therapy, and sometimes surgery while rehabilitation addresses physical, occupational and speech therapy which may continue for months or years. Prevention emphasizes seatbelt/helmet use and avoiding falls or substance abuse. TBI affects patients and
Traumatic brain injury (TBI) refers to brain damage caused by an external force such as an impact or blast. It is a major public health problem, with road accidents being the most common cause. The mechanisms of TBI include direct impact, rapid acceleration/deceleration, penetrating injuries, and blast injuries. In the acute phase, patients are often comatose and later develop delirium. Treatment focuses on stabilizing the patient in the ICU, reducing intracranial pressure, and treating delirium and its underlying medical causes. Outcomes range from full recovery to long-term cognitive and behavioral deficits.
Traumatic brain injury (TBI) occurs when an external force causes damage to the brain. TBI can be classified based on severity and mechanism of injury. Common causes include motor vehicle accidents, falls, assaults, and sports-related injuries. Symptoms vary depending on the location and severity of the injury but may include cognitive and language deficits, memory loss, seizures, and behavioral changes. Prevention focuses on reducing risk factors like not wearing a helmet during activities or a seatbelt during vehicle travel. Occupational therapists can help people with TBI regain independence through tasks and environmental modifications.
To define a traumatic brain injury is simply an injury to the brain due to trauma to the head. A brain bleed, fractured skull, or comas as a result of head injury are brain injuries that are easy to identify. To take help of Brain Injury Attorneys visit: http://alabama.attorney-group.com/brain-injury/
"You seem anxious. Let's use your cue cards."
Me: "Okay, I'll try the relaxation techniques on the cards."
The Techniques of Neuropsychotherapy
The Techniques of Neuropsychotherapy
Role Playing:
You: "I'm sorry, I forgot our appointment."
Therapist: "That's okay, I understand. Let's reschedule for next week and in the meantime try writing it down."
You: "Writing it down is a good idea. I'll put it in my calendar right now so I don't forget."
Therapist: "Great. See you next week then."
You: "Thanks for being understanding."
The Techniques
This document provides an overview of concussions, including:
- A 17-year-old male presented with a concussion after being hit in the head by a line drive during a baseball game with 1 minute loss of consciousness.
- The patient is experiencing a headache and has a hematoma on his forehead. Acute management, discharge instructions, and return to play guidelines are discussed.
- Concussions are a complex pathophysiological brain injury induced by traumatic forces that typically do not involve structural damage but can still cause functional impairment. Epidemiology, symptoms, diagnosis, treatment and prevention strategies are reviewed.
Traumatic brain injury (TBI) occurs when an external force causes brain damage. Primary injury is caused by the impact, while secondary injury involves swelling and reduced blood flow. TBI can be mild, moderate, or severe based on symptoms. Treatment focuses on preventing secondary injury by controlling swelling, blood pressure, and seizures. Patients require rehabilitation to regain abilities lost from brain damage. Long term issues may include headaches, depression, and cognitive impairments.
This document summarizes traumatic brain injury (TBI), including its causes, types, symptoms, treatment and outcomes. It discusses the epidemiology of TBI, noting it is a leading cause of death and disability worldwide. It describes the two main types of TBI - open and closed head injuries. It also summarizes the potential psychiatric issues after TBI like depression, mania, psychosis, OCD, PTSD and personality changes. Finally, it discusses factors that can influence outcomes, noting that 30-35% of severe brain injury cases result in death.
Traumatic Brain Injury occurs when sudden trauma damages the brain through bleeding, bruising or tearing of nerves. Common causes include car, motorcycle or bicycle accidents, falls, violence, explosions or abuse. Symptoms vary but may include unconsciousness, headaches, vomiting, dizziness, seizures, weakness or speech/memory problems. Doctors assess severity using scales like the Glascow Coma Scale and perform tests like CT/MRI scans and intracranial pressure monitors. Treatment focuses on reducing swelling through medications, therapy, and sometimes surgery while rehabilitation addresses physical, occupational and speech therapy which may continue for months or years. Prevention emphasizes seatbelt/helmet use and avoiding falls or substance abuse. TBI affects patients and
Traumatic brain injury (TBI) refers to brain damage caused by an external force such as an impact or blast. It is a major public health problem, with road accidents being the most common cause. The mechanisms of TBI include direct impact, rapid acceleration/deceleration, penetrating injuries, and blast injuries. In the acute phase, patients are often comatose and later develop delirium. Treatment focuses on stabilizing the patient in the ICU, reducing intracranial pressure, and treating delirium and its underlying medical causes. Outcomes range from full recovery to long-term cognitive and behavioral deficits.
Traumatic brain injury (TBI) occurs when an external force causes damage to the brain. TBI can be classified based on severity and mechanism of injury. Common causes include motor vehicle accidents, falls, assaults, and sports-related injuries. Symptoms vary depending on the location and severity of the injury but may include cognitive and language deficits, memory loss, seizures, and behavioral changes. Prevention focuses on reducing risk factors like not wearing a helmet during activities or a seatbelt during vehicle travel. Occupational therapists can help people with TBI regain independence through tasks and environmental modifications.
To define a traumatic brain injury is simply an injury to the brain due to trauma to the head. A brain bleed, fractured skull, or comas as a result of head injury are brain injuries that are easy to identify. To take help of Brain Injury Attorneys visit: http://alabama.attorney-group.com/brain-injury/
"You seem anxious. Let's use your cue cards."
Me: "Okay, I'll try the relaxation techniques on the cards."
The Techniques of Neuropsychotherapy
The Techniques of Neuropsychotherapy
Role Playing:
You: "I'm sorry, I forgot our appointment."
Therapist: "That's okay, I understand. Let's reschedule for next week and in the meantime try writing it down."
You: "Writing it down is a good idea. I'll put it in my calendar right now so I don't forget."
Therapist: "Great. See you next week then."
You: "Thanks for being understanding."
The Techniques
This document provides an overview of concussions, including:
- A 17-year-old male presented with a concussion after being hit in the head by a line drive during a baseball game with 1 minute loss of consciousness.
- The patient is experiencing a headache and has a hematoma on his forehead. Acute management, discharge instructions, and return to play guidelines are discussed.
- Concussions are a complex pathophysiological brain injury induced by traumatic forces that typically do not involve structural damage but can still cause functional impairment. Epidemiology, symptoms, diagnosis, treatment and prevention strategies are reviewed.
The document summarizes research on traumatic brain injuries (TBIs), including their pathophysiology, treatment, and prevention. It discusses the Defense and Veterans Brain Injury Center (DVBIC) and its role in conducting TBI research and clinical care. It also outlines the mechanisms, types, symptoms, and natural history of TBIs, as well as treatments focused on education, rehabilitation, and medication management. While studies on pharmacologic treatments were limited, guidelines were established for using methylphenidate for attention deficits and beta-blockers for aggression reduction post-TBI.
This document provides information about concussions, including common terms, symptoms, effects on the brain, risks in various sports, and guidelines for treatment and return to play. It notes that an estimated 1.6 to 3.8 million concussions occur each year in the US, with football posing the highest risk for males and soccer for females. Common symptoms include headache, dizziness, and confusion. The document recommends immediate removal from play for any athlete showing concussion symptoms and a gradual return to school and sports activities.
Concussion Inservice - Oct. 2015 Final Copy Zachary Lynch
This document provides an overview of concussions, including their pathophysiology, symptoms, assessment tools, management, and risk reduction. It discusses that concussions are classified as mild traumatic brain injuries that result in functional changes rather than structural damage. While often considered mild, they still affect over 1 million people in the US each year. Proper evaluation involves assessing symptoms, cognitive functioning, and exertion during recovery to ensure full resolution before allowing a gradual return to play through stages to avoid reinjury. Strict protocols are necessary to prevent further injury like second impact syndrome.
Anatomy Of An Adolescent Concussion: It’s Not Child’s Play
A presentation at George Mason High School, Falls Church, VA by Vicki Galliher, ATC, VATL, ACSM on 2/22/2012
The document discusses understanding brain concussions, including:
- Definitions of concussion from various organizations emphasize transient symptoms rather than loss of consciousness.
- Common concussion symptoms include cognitive, emotional, and somatic complaints like headache and dizziness.
- Most individuals recover from an uncomplicated concussion within weeks, though a minority may have longer-lasting symptoms.
- Assessment and treatment focuses on the neurometabolic cascade following injury and managing recovery over time.
This document discusses concussions, including what they are, their causes and symptoms, treatment, and prevention. A concussion occurs when the brain collides with the skull, causing temporary loss of brain function but not being life-threatening. They are caused by hits to the head and affect thinking, physical, emotional, and sleep functions. High contact sports like football and hockey present greater risk. While not curable, concussions are treated with rest, and multiple concussions increase long term risks like CTE, which can cause depression, dementia and memory loss. Proper safety equipment and guidelines for return to play can help reduce risks.
A concussion is a mild traumatic brain injury caused by the brain whipping inside the skull, which causes it to not function properly. Symptoms include headaches, dizziness, nausea, and behavioral changes. While usually temporary, concussions can have long-term effects if not properly diagnosed and treated. It is important to see a doctor after a concussion to rest the brain and prevent further injury that could lead to conditions like second impact syndrome or post-concussion syndrome.
Fixed tackling sports concussions head onSummit Health
Athletes (and non athletes as well) are increasingly reporting concussions to parents, coaches, and school nurses. How can you recognize a concussion? We will review the diagnosis and treatments for concussions, review dangers of multiple concussions and discuss the use of computerized neuropsychological testing prior to “return to play”.
This document provides an overview of sport concussions including:
- The purpose is to raise awareness of concussions, decrease their number, and provide information on management and prevention.
- It discusses common signs and symptoms, diagnostic tests, recovery models, return to play protocols, and neuropsychological testing.
- Key points emphasized are that concussions are serious injuries, athletes should be immediately removed from play if a concussion is suspected, and return to play decisions should not be made until cleared by a medical professional.
Concussions are a common and serious injury in contact sports. They can have both short-term and long-term effects on brain function. It is important to detect concussions quickly, assess their severity properly, and make cautious return to play recommendations. Multiple concussions may increase risks, so proper treatment and monitoring is needed to protect athletes' long-term brain health.
AET 545 Concussion Tutorial By J. Calhounjackcalhoun77
Each year, millions of students suffer a concussion from a high school sport injury. Many students are not even aware that they are injured. This tutorial was designed to help educate parents and teaches about concussions and the symptoms associated with them. The goal is that if more adults know what to look for, fewer students will suffer from an unreported concussion.
Traumatic Brain Injury (TBI) – Symptoms and TreatmentHealth Quest
Traumatic brain injury (TBI) occurs when an external force disrupts normal brain function, usually from a blow or jolt to the head. Common causes include falls, car accidents, blunt trauma, and assaults. Symptoms vary from physical issues like headaches to cognitive problems with memory or mood changes. Treatment depends on severity but may include rest, medications, physical therapy, and surgery for severe injuries.
Ted Farrar, M.D., presents "Concussion Testing & Treatment" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
A concussion is a type of traumatic brain injury caused by a blow or hit to the head that causes the brain to move rapidly within the skull. This results in chemical changes in the brain, and symptoms may include headache, dizziness, fatigue, and difficulty concentrating. While often called "mild" injuries, concussions are serious and cannot be seen on x-rays or CT scans. Athletes who have previously sustained a concussion are at greater risk for future concussions. Proper diagnosis and a gradual return to activity under medical supervision are important for recovery.
This document summarizes the neurometabolic cascade that occurs following a concussion. It describes the initial events such as neurotransmitter release and ion influx that lead to hyperactivity and then depressed metabolism. Functional MRI studies have shown increased brain activation and axonal damage in concussed athletes. There is also evidence that concussions can lead to long term neurological disorders like chronic traumatic encephalopathy and increased risk of conditions like Alzheimer's disease and Parkinson's disease. The document concludes that repeated concussions are definitely linked to early onset neurological disorders and that concussion protocols and education need to be improved.
The document summarizes long-term problematic alcohol use in older persons and its effects, including alcohol-related brain injury (ARBI). It describes common types of challenging behaviors seen in ARBI, such as aggression, and approaches to managing these behaviors through specialized care models like Wintringham's Wicking Project, which implemented a psychosocial model and saw reduced incidents of challenging behaviors and improved quality of life outcomes for participants.
The document discusses major signs and symptoms of traumatic brain injury (TBI), including sensory issues like blurred vision, hearing issues like tinnitus, speech problems, nausea/vomiting, headaches, fatigue/drowsiness, difficulty sleeping, dizziness/loss of balance, memory/concentration problems, mood swings, and depression/anxiety. It emphasizes that any sign of head trauma or loss of consciousness requires immediate medical attention.
Concussions in Sports discusses concussions, which are mild traumatic brain injuries caused by impacts that cause bruising or swelling of the brain. The document outlines common concussion symptoms like headaches and memory loss. It also discusses how organizations like the NFL and NCAA are researching the short and long term effects of concussions on athletes. New equipment and rules changes have aimed to reduce concussions, like football helmets with more padding and a NCAA rule banning targeting with the crown of the helmet. Rest is very important to properly treat concussions, which usually take 7-10 days to heal in athletes.
Presentation during IFNR 2016.
Brief description with available evidence on various coma arousal therapy with an illustrative study for each therapy and recommendation for future.
Traumatic brain injury (TBI) rehabilitation aims to restore function and minimize disability through a comprehensive, team-based approach. The rehabilitation process varies based on injury severity but generally involves early intervention to prevent complications, followed by therapy to improve mobility, activities of daily living, cognition, and communication. Outcomes depend on the nature and severity of injury, though most improvement occurs within the first year through coordinated acute and post-acute rehabilitation.
The document summarizes research on traumatic brain injuries (TBIs), including their pathophysiology, treatment, and prevention. It discusses the Defense and Veterans Brain Injury Center (DVBIC) and its role in conducting TBI research and clinical care. It also outlines the mechanisms, types, symptoms, and natural history of TBIs, as well as treatments focused on education, rehabilitation, and medication management. While studies on pharmacologic treatments were limited, guidelines were established for using methylphenidate for attention deficits and beta-blockers for aggression reduction post-TBI.
This document provides information about concussions, including common terms, symptoms, effects on the brain, risks in various sports, and guidelines for treatment and return to play. It notes that an estimated 1.6 to 3.8 million concussions occur each year in the US, with football posing the highest risk for males and soccer for females. Common symptoms include headache, dizziness, and confusion. The document recommends immediate removal from play for any athlete showing concussion symptoms and a gradual return to school and sports activities.
Concussion Inservice - Oct. 2015 Final Copy Zachary Lynch
This document provides an overview of concussions, including their pathophysiology, symptoms, assessment tools, management, and risk reduction. It discusses that concussions are classified as mild traumatic brain injuries that result in functional changes rather than structural damage. While often considered mild, they still affect over 1 million people in the US each year. Proper evaluation involves assessing symptoms, cognitive functioning, and exertion during recovery to ensure full resolution before allowing a gradual return to play through stages to avoid reinjury. Strict protocols are necessary to prevent further injury like second impact syndrome.
Anatomy Of An Adolescent Concussion: It’s Not Child’s Play
A presentation at George Mason High School, Falls Church, VA by Vicki Galliher, ATC, VATL, ACSM on 2/22/2012
The document discusses understanding brain concussions, including:
- Definitions of concussion from various organizations emphasize transient symptoms rather than loss of consciousness.
- Common concussion symptoms include cognitive, emotional, and somatic complaints like headache and dizziness.
- Most individuals recover from an uncomplicated concussion within weeks, though a minority may have longer-lasting symptoms.
- Assessment and treatment focuses on the neurometabolic cascade following injury and managing recovery over time.
This document discusses concussions, including what they are, their causes and symptoms, treatment, and prevention. A concussion occurs when the brain collides with the skull, causing temporary loss of brain function but not being life-threatening. They are caused by hits to the head and affect thinking, physical, emotional, and sleep functions. High contact sports like football and hockey present greater risk. While not curable, concussions are treated with rest, and multiple concussions increase long term risks like CTE, which can cause depression, dementia and memory loss. Proper safety equipment and guidelines for return to play can help reduce risks.
A concussion is a mild traumatic brain injury caused by the brain whipping inside the skull, which causes it to not function properly. Symptoms include headaches, dizziness, nausea, and behavioral changes. While usually temporary, concussions can have long-term effects if not properly diagnosed and treated. It is important to see a doctor after a concussion to rest the brain and prevent further injury that could lead to conditions like second impact syndrome or post-concussion syndrome.
Fixed tackling sports concussions head onSummit Health
Athletes (and non athletes as well) are increasingly reporting concussions to parents, coaches, and school nurses. How can you recognize a concussion? We will review the diagnosis and treatments for concussions, review dangers of multiple concussions and discuss the use of computerized neuropsychological testing prior to “return to play”.
This document provides an overview of sport concussions including:
- The purpose is to raise awareness of concussions, decrease their number, and provide information on management and prevention.
- It discusses common signs and symptoms, diagnostic tests, recovery models, return to play protocols, and neuropsychological testing.
- Key points emphasized are that concussions are serious injuries, athletes should be immediately removed from play if a concussion is suspected, and return to play decisions should not be made until cleared by a medical professional.
Concussions are a common and serious injury in contact sports. They can have both short-term and long-term effects on brain function. It is important to detect concussions quickly, assess their severity properly, and make cautious return to play recommendations. Multiple concussions may increase risks, so proper treatment and monitoring is needed to protect athletes' long-term brain health.
AET 545 Concussion Tutorial By J. Calhounjackcalhoun77
Each year, millions of students suffer a concussion from a high school sport injury. Many students are not even aware that they are injured. This tutorial was designed to help educate parents and teaches about concussions and the symptoms associated with them. The goal is that if more adults know what to look for, fewer students will suffer from an unreported concussion.
Traumatic Brain Injury (TBI) – Symptoms and TreatmentHealth Quest
Traumatic brain injury (TBI) occurs when an external force disrupts normal brain function, usually from a blow or jolt to the head. Common causes include falls, car accidents, blunt trauma, and assaults. Symptoms vary from physical issues like headaches to cognitive problems with memory or mood changes. Treatment depends on severity but may include rest, medications, physical therapy, and surgery for severe injuries.
Ted Farrar, M.D., presents "Concussion Testing & Treatment" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
A concussion is a type of traumatic brain injury caused by a blow or hit to the head that causes the brain to move rapidly within the skull. This results in chemical changes in the brain, and symptoms may include headache, dizziness, fatigue, and difficulty concentrating. While often called "mild" injuries, concussions are serious and cannot be seen on x-rays or CT scans. Athletes who have previously sustained a concussion are at greater risk for future concussions. Proper diagnosis and a gradual return to activity under medical supervision are important for recovery.
This document summarizes the neurometabolic cascade that occurs following a concussion. It describes the initial events such as neurotransmitter release and ion influx that lead to hyperactivity and then depressed metabolism. Functional MRI studies have shown increased brain activation and axonal damage in concussed athletes. There is also evidence that concussions can lead to long term neurological disorders like chronic traumatic encephalopathy and increased risk of conditions like Alzheimer's disease and Parkinson's disease. The document concludes that repeated concussions are definitely linked to early onset neurological disorders and that concussion protocols and education need to be improved.
The document summarizes long-term problematic alcohol use in older persons and its effects, including alcohol-related brain injury (ARBI). It describes common types of challenging behaviors seen in ARBI, such as aggression, and approaches to managing these behaviors through specialized care models like Wintringham's Wicking Project, which implemented a psychosocial model and saw reduced incidents of challenging behaviors and improved quality of life outcomes for participants.
The document discusses major signs and symptoms of traumatic brain injury (TBI), including sensory issues like blurred vision, hearing issues like tinnitus, speech problems, nausea/vomiting, headaches, fatigue/drowsiness, difficulty sleeping, dizziness/loss of balance, memory/concentration problems, mood swings, and depression/anxiety. It emphasizes that any sign of head trauma or loss of consciousness requires immediate medical attention.
Concussions in Sports discusses concussions, which are mild traumatic brain injuries caused by impacts that cause bruising or swelling of the brain. The document outlines common concussion symptoms like headaches and memory loss. It also discusses how organizations like the NFL and NCAA are researching the short and long term effects of concussions on athletes. New equipment and rules changes have aimed to reduce concussions, like football helmets with more padding and a NCAA rule banning targeting with the crown of the helmet. Rest is very important to properly treat concussions, which usually take 7-10 days to heal in athletes.
Presentation during IFNR 2016.
Brief description with available evidence on various coma arousal therapy with an illustrative study for each therapy and recommendation for future.
Traumatic brain injury (TBI) rehabilitation aims to restore function and minimize disability through a comprehensive, team-based approach. The rehabilitation process varies based on injury severity but generally involves early intervention to prevent complications, followed by therapy to improve mobility, activities of daily living, cognition, and communication. Outcomes depend on the nature and severity of injury, though most improvement occurs within the first year through coordinated acute and post-acute rehabilitation.
This document is a collection of photo credits from various photographers used in a Haiku Deck presentation on SlideShare. It lists the names of 10 different photographers who contributed images but does not provide any additional context around the presentation or photos.
The document discusses modernizing the role of business analysis and transitioning to more agile practices. It advocates for taking a more collaborative, discovery-based approach to requirements gathering using techniques like modeling, prototyping and user stories. The document suggests business analysts focus on facilitating discussions rather than document production alone, embrace ambiguity, and ensure requirements are traced to organizational strategy and value. The call to action is for business analysts to keep learning new techniques and start making small changes to how they work.
This document contains photos from various photographers and suggests creating a Haiku Deck presentation on SlideShare. It features 12 photos from photographers including Daniel Y. Go, 3dom, uconnlibrariesmagic, SEDACMaps, jdnx, Mediatejack, chauromano, wili_hybrid, Kamoteus (A New Beginning), mendhak, bortescristian, and peterjaena. The document encourages the reader to get started making their own Haiku Deck presentation.
This document summarizes factors that contribute to hospital readmissions and strategies to reduce readmission rates. It identifies that patients are at higher risk of readmission if they have multiple chronic conditions, lack social support, or have issues with following discharge plans. High nursing workload is also linked to higher readmission rates for certain conditions. Successful interventions discussed include implementing transition plans, increasing education for patients using "teach back" methods, designating nurse discharge advocates, enhancing post-discharge follow-up including remote monitoring, and improving communication between inpatient and outpatient providers.
Roger Ramos has over 20 years of experience leading operational optimization across various industries. He is recognized for developing strategic plans and providing vision to guide organizations towards growth and maximizing profits. The document outlines his work history and leadership roles at several companies where he transformed strategic plans into actions, improved financial performance, and motivated teams.
El documento resume los principales eventos históricos del siglo XX en Europa y el mundo. Describe cómo los países europeos colonizaron gran parte de África y Asia en 1900 y cómo las guerras mundiales surgieron de las luchas por territorio y los nuevos gobiernos dictatoriales. También habla sobre el reinado de Alfonso XIII en España desde 1902 hasta 1931 y el establecimiento de la Segunda República luego de su abdicación, incluyendo algunas de sus reformas sociales y políticas.
This document discusses research into developing cellphone cameras that can detect cancer and see through walls. It outlines potential applications such as detecting tumors, diagnosing disease through breath analysis, and performing low-cost cancer screening. Currently, PET scans used for cancer screening are very expensive, costing an average of $4,900 per scan. The document proposes using cameras in hospitals that could detect cancer while also serving surveillance purposes, providing benefits like reduced costs, time savings, and lower radiation exposure compared to current screening methods. It includes research on potential user personas for such a product: a compassionate doctor seeking more efficient cancer detection and less patient stress, and a homemaker worried about cancer but unable to afford existing screening options.
The document is a manual for Virginia's Refugee Resettlement Program that provides an overview of the program and outlines eligibility requirements. It describes the program's legal basis, goals of assisting refugees' social integration and economic self-sufficiency. It also outlines the federal and state agencies involved in funding and administering refugee benefits and services, including cash and medical assistance, employment services, and a foster care program for unaccompanied refugee minors. Finally, it defines the various refugee populations that are eligible for resettlement services in Virginia, including refugees, asylees, Cuban/Haitian entrants, and others with special immigrant visas.
This document discusses diagnosis and treatment of traumatic brain injury (TBI). It begins by providing background on TBI, including that it is a serious public health problem and the leading cause of death and disability worldwide. The document then discusses diagnosis of TBI through methods such as assessing loss of consciousness, imaging scans, and neuropsychological evaluation. It also covers treatment of TBI, which involves multidisciplinary rehabilitation and a wide range of emerging treatments. The goal is improving quality of life and community integration for individuals with TBI.
Autism rates are increasing dramatically in the US and California. One in 91 children have autism in the US, with a new case diagnosed every 20 minutes. The economic cost of autism in the US is over $90 billion annually and expected to double in the next decade. While genes are involved, environmental factors like toxins, nutrition and stress are also implicated in autism through their effects on epigenetics. Autism may involve disconnection between the left and right hemispheres of the brain, leading to impairments in communication, social skills, attention and other areas. Early intervention with a multi-modal approach addressing inflammation, nutrition, toxins and neuroplasticity can help stimulate brain development and improve symptoms of autism
Neuropsychological Assessment Following Pediatric TBIcedwvugraphics
A neuropsychological evaluation comprehensively assesses cognitive, behavioral, and emotional functioning following a traumatic brain injury (TBI) through tests and interviews. It is recommended for children with moderate to severe TBI to document recovery, assist with return to activities, and identify needs. The evaluation takes 6-8 hours and provides diagnoses and recommendations to guide support and interventions. While recovery varies, many children show improvement over 12-30 months as brain plasticity facilitates compensatory function.
The document discusses diagnosis and treatment of traumatic brain injury (TBI). It begins by introducing the presenters, who are experts in acquired brain injury. They then discuss goals of the session, which include prevalence of TBI among the homeless population, clinical manifestations, screening tools, treating TBI and co-morbidities, and communicating with someone with TBI. The document provides information on defining and classifying TBI, diagnosing TBI through various methods, and treating TBI through multidisciplinary rehabilitation and a range of evidence-based approaches.
This document discusses the assessment and management of geriatric patients in emergency settings. It covers the demographics of the elderly population, the aging process, common medical problems in the elderly, trauma considerations, and approaches to assessing and managing elderly patients. Special attention is needed due to physiological changes, multiple illnesses, sensory impairments, and other age-related factors that can impact care.
The document discusses fitness-for-duty evaluations, which determine if an employee can safely perform their job duties. It outlines standards of basic work functions and describes tools used in neuropsychological evaluations. Risk factors are assessed like substance abuse, mental health history, and coping skills. The document provides guidance on accommodating disabilities to help employees return to work.
This document provides an overview of developmental disabilities and defines key terms. It describes developmental disabilities as severe chronic conditions appearing before age 22 that cause substantial limitations in major life activities. The causes can be genetic, prenatal, perinatal, or postnatal factors. Common developmental disabilities include intellectual disabilities, cerebral palsy, genetic syndromes, autism, and epilepsy. People with developmental disabilities may require lifelong support across multiple domains.
The document summarizes a presentation on traumatic brain injury (TBI) assessment and rehabilitation. It defines TBI and outlines the continuum of care, including initial assessment, treatment of primary and secondary injuries, and comprehensive rehabilitation involving multiple disciplines. It emphasizes a holistic neuropsychological approach that empowers patients, conveys understanding of deficits and recovery, and helps patients find meaning through collaborative assessment and goal-setting.
A look at how mental health treatment and research have evolved over the last 10 years and about future possibilities for more effective, personalized treatment approaches.
with Dr. Zul Merali, President and CEO, The Royal's Institute of Mental Health Research
The document discusses the evolution of mental health services from the 20th to 21st century. It describes how quality of care, community-based services, and clinical governance were prioritized in restructuring an Irish mental health service based on a mission of independent, human rights-based and recovery-focused care. Key metrics like length of stay, readmission rates, and user satisfaction improved under this new model.
During middle age, women experience biological and psychological changes that can impact their health and well-being. Menopause is a major biological factor, leading to hormone deficiencies and increased risks of conditions like depression, osteoporosis, and heart disease. Symptoms of menopause vary between ethnic groups. While women experience more non-life threatening illnesses, men face more serious health issues. Stress can also weaken the immune system and increase health risks. Cognitive abilities evolve in middle adulthood, with fluid intelligence declining but crystallized intelligence and practical problem-solving improving through experience and education. Many people also develop more complex, relativistic thinking or strengthen their spiritual beliefs during this stage of life.
Senior Healthcare Consultant (Geriatric) class at Piedmont Hospitalsnomadicnurse
The first of a 2-day class on Geriatric issues for nursing staff at all 4 Piedmont hospitals funded by a HRSA Comprehensive Geriatric Education Grant 2009-2012.
This program is part of a comprehensive School Mental Health and High School Curriculum Guide.
Find out more about the guide by visiting:
teenmentalhealth.org
Geriatric assessment for mental illnessramkumar g s
The document provides details on assessing the mental health of elderly patients. It discusses the adaptive tasks of aging, the purpose of geriatric psychiatric assessment, and outlines the domains to assess including mental health, physical health, functioning, and social situation. It then describes specific aspects of the assessment including the interview process, tools to evaluate cognition, and scales to measure depression, daily functioning, and physical health.
This document summarizes the physical, cognitive, social, emotional and academic challenges faced by childhood cancer survivors after treatment. It discusses the types of cancers affecting children, common treatments and their short and long-term side effects. It identifies educational plans and accommodations to help meet survivors' needs. Critical transition periods are highlighted and the importance of support systems, educational planning and networking are emphasized to help survivors achieve normalcy and reach their full potential.
This is a worshop presentation I made at the 5th Annual Thomas Geriatric Health Symposium at Idaho State University on October 19, 2012 in Pocatello, Idaho. I explain Alzheimer's disease and dementias, behavioral issues, caregiver stress and the impact of the boomer population.
Michelle Peck | Legal Nurse | Nurse Practitioner | Health Care | Geriatric | Consultant | Speaker | Educator | Researcher
During your journey through this slide deck of the geriatric populations 3 D’s, you will experience: the difference between geriatric dementia, geriatric delirium and geriatric depression; the global impact of dementia and the importance of a quality diagnosis; and the dementia assessment, management and treatment options.
The links in this slide deck lead you to expert geriatric teaching tools and videos that you will value and love.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. 1. Describe the different medical and non-
medical treatments available to diagnose and
treatTBI
2. Examine the newest evidence-based
treatments forTBI
3. Explain the difficulty of discharging
patients withTBI
4. Predictability is fair at best
Ten stages/patients for one diagnosis
Limitless personality outcomes
All organ systems involved
Late problems
Physical, mental, and emotional
disabilities
Most behavioral problems are not the
patient’s fault
Discharge complications at every level
5.
6.
7.
8. Occurs every 15 seconds with 500,000 requiring hospitalization
It is the leading killer and cause of disability in children and young adults
Motor vehicle crashes are a leading cause of death in the U.S. More than
2.5 million drivers and passengers were treated in emergency
departments as the result of being injured in motor vehicle crashes in
2012.The economic impact is also notable: in a one-year period, the cost
of medical care and productivity losses associated with injuries from
motor vehicle crashes exceeded $80 billion.
http://www.cdc.gov/injury/wisqars, 2010
An estimated 2.4 million children and adults in the U.S. sustain a
traumatic brain injury (TBI) and another 795,000 individuals sustain an
acquired brain injury (ABI) from non-traumatic causes each year.
Currently more than 5.3 million children and adults in the U.S. live with
a lifelong disability as a result ofTBI and an estimated 1.1 million have a
disability due to stroke.
(Statistics courtesy of the Centers for Disease Control and the Stroke Fact
Sheet
9.
10. Few professionals in Medicine outside of Neurology,
Rehabilitation, Neurosurgery are knowledgeable aboutTBI
Phases of recovery can be confusing (and permanent)
Medicines used are frequently off-label and paradoxical
Cause and effect from the environment plays a key role
Behavioral and Cognitive issues predominate at all levels of
recovery
Patients often look better than they are
11. If a disability exists, all problems are somehow connected
with that disability
‘Not in my backyard’
Basis for knowledge
Readings
Internet
TV medical reporters
TV and Movies
Friends
Sports (‘getting his bell rung’)
12. Cognitive Difficulties
Behavioral Difficulties
Emotional complexities
If you cannot see it, it doesn’t exist
Head injury versus Brain injury
Prior exposure toTBI
“I (or someone else ) had an injury, and I
have no problems”
13. Primary Injury
Direct brain injury
Acceleration, deceleration, rotational
components
Shearing forces between tissue planes of different
densities
Structural damage, disruptions in membrane
stability
Intra-axonal cytoskeletal function changes
Axonal transport mechanism change
17. Any location
Usually anterior and inferior surfaces of
frontal and temporal lobes
Frequently acceleration/deceleration
Sagittal plane of injury if after movement
Occipital areas usually not involved unless a
direct blow
18.
19.
20. The major type of diffuse traumatic cerebral
injury
Shearing axotomy
Lateral and oblique directional movements
Coma lasts 6 hours or more
21.
22. Worst prognosis
Seen with other types ofTBI
Oxygen sensitive areas include the
hippocampus, basal ganglia and cerebellum
Seen in about 1/3 of severeTBI
Arterial hypotension in 15% of severeTBI
(<90mmHg)
23.
24. Diffuse perivascular damage and focal
disruption
No axonal injury
Diffusion of energy and formation of a cavity
which opens a and closes in milliseconds
Changes in intracranial pressure
26. No specific treatment or medicine shown effective
On going monitoring to prevent primary and
secondary changes
Many with normal BAER’s, with changes in heart
rate, ICP with auditory stimulation
Talking to comatose patients
Not time consuming and humane
Not doing, may promote inappropriate care
Those awakening from coma-comments
27. Intermediate and developing medical and surgical
concerns
Behavioral and medicine adjustments
Ward/Rehab treatment goals
PhysicalTherapy
OccupationalTherapy
Speech and language pathology
Psychology
Family Education
Some Recreational and Cognitive remediation
28. Rehabilitation treatment goals
Independent living skills
Cognitive therapies
Recreational therapies
Community skills
Family education
Behavioral and medicine adjustments
29. Rehabilitation treatment goals
Community independence
Vocational services
Cognitive retraining
Transportation independence
Behavioral and medicine adjustments
Social reintegration
Respite care
30. Each level of injury and recovery has its own
idiosyncrasies and needs
Tremendous variation in treatment styles and
approaches
Important to differentiate PTSD from brain
injury
Exaggeration and malingering are rare but
easier and easier to detect
Lifetime disabilities.
The majority of disabilities after brain injury are
cognitive and behavioral, not physical
31. Vegetative versus minimally conscious
Voluntary versus involuntary activity
Role of psychiatry and neuropsychology
Dependency issues and residential concerns
Power of attorney
Conclusive proof of injury
Legal implications
32. The goal is to systematically identify qualitative
and quantitative predictors of functional
outcome
Although not the majority of injury, most
mapping studies look at the sensory and motor
regions
Cognitive, behavioral, and language skills are
less precise in the their localization and more
diffusely distributed to various parts of the brain
Structural and functional relationships are more
difficult to identify
33. Which determines a “lesion” depends on the
imaging technique
Most injuries are not seen with today’s
instruments
Combining different techniques has potential
The neuropsychological evaluation, history,
and those close to the patient are usually the
most helpful to corroborate story
34. Glasgow Coma Scale with PostTraumatic
Amnesia Scale and the Disability Rating Scale
probably the most sensitive combination
CTs performed commonly in the emergency
room grossly underestimates the injury
MRIs correlate reasonably well with
neuropsychological evaluations.
PET scans one third more sensitive than MRIs
Brainstem lesions very predictive of a negative
outcome
35. DiffusionTensor Imaging
Detecting diffusion of water molecules in the tissue
Software using using magnetic resonance imaging
Tractography (an extension of DTI)
▪ Directional pattern of diffusion with colors representing
direction of white matter connectivitiy
▪ Green is anterior posterior
▪ Red represents left and right
▪ Blue represents head to foot or dorsal–ventral
Potential for mild and moderate traumatic brain
injury, along with other disorders
36.
37.
38. Unlimited causes for behavioral disturbances
At all levels, behavioral concerns more disabling
than physical ones
Difficulty predicting behaviors
Right and left sided syndromes
Frontal lobe syndromes rarely specific
Neuroanatomy and psychology partly help
Cortical/subcortical connections
41. No test can accurately depict the mental
state at a specific past action or crime, only
provide the substrate that may have
contributed
Present studies involve simple tasks and are
done in isolation and in sterile, stress-free
environments. Study numbers are also small
It is likely that the neurosciences will
supplement not replace moral and legal
domains (Baskin, 2007)
42. With the PPS system, and the growth of managed care, there has been a
steady outflow of the acute inpatient population and growth of the
outpatient, residential, subacute levels of care
Continuation for inpatient care has changed because of
High costs
Few long-term effectiveness studies
Few standards of performance among similar providers
Industry influenced by negative press
Few models of care and service
43. Other factors
Lack of education by the consumers in interpreting
marketing and advertising material
Not knowing what to ask
Limited sources of information for social workers, even
treaters
Dependence on word of mouth
Use of Internet to observe legal entanglements by
facilities
44. Opinions of the primary treaters on present needs
▪ Medical stability
▪ Cognitive concerns
▪ Behavioral problems
▪ Anticipated problems requiring close follow-up care or emergency
attention
▪ Botox
▪ Baclofen fills
▪ Frequent adjustments of meds
▪ Seizures
▪ Specialty follow up
45. Family concerns
Distances
Visits
Personal involvement
Sleeping arrangements
Transportation
Conferencing
Staffing numbers
Gyms, smells, roommates
Restraint use, medications employed commonly
Types of patients (numbers treated of each category)
46. Financial concerns
Type of insurance dictates much
▪ Services
▪ Duration
▪ After skilled services (i.e. after PT monies are used)
▪ Next level of care
▪ Follow-up visits
▪ Emergency visits or hospitalizations
▪ Surgical options
▪ ‘Experimental’ trials (ITB pumps)
47. Usually with 3x a week of
▪ SP, PT, OT
Nursing frequency depends on the needs
Advantages
▪ Familiarity of surroundings
▪ Orientation assistance for many
▪ Own bed
▪ RehabWithoutWalls
▪ Local services or hospitals
▪ Insurance frequently covers
48. Disadvantages
▪ Frequency of therapeutic visits
▪ Duration of visits
▪ Disruption of family life
▪ Dependency on family/caregiver to be around
▪ Experience of the caregivers, therapists withTBI
▪ Behavioral correction
▪ Supervision of therapists/nurses
49. Advantages
▪ Level of medical acuity can be higher
▪ Insurance coverage
▪ Therapeutic coverage frequently adequate but
with 0.6-2.2 hours per day
▪ Rehabilitative milieu
▪ 24 hour care
50. Disadvantages
▪ Nursing ratios can be as high as 14:1 for CNA:RN
▪ Number of beds per room
▪ Mixing of populations and ages
▪ Experience of facility forTBI
▪ May not accept patients with any behavioral problems
▪ Frequency of medical visits
▪ Interaction with a non-treater can be problematic
▪ Follow-up in the specialist’s office
▪ Programmatic limitations (possible)
51. Advantages
▪ Less acute dollars spent due to earlier discharge
▪ Picks the patient up from home
▪ Allows the family ‘down time’
▪ Intensity of services
▪ 3-6 hours per day with routine set
▪ Frequently involves all services
▪ Nursing services usually available
▪ Can be daily, not on weekends
▪ Possibilities of therapeutic outings
▪ Facilities usually specialize
52. Disadvantages
▪ Cost
▪ Sites may not be close and the ride to the facility long
▪ Duration of services over time
▪ Numbers involved in the program
▪ May be too strenuous
▪ Milieu is reduced or minimized
▪ Privacy considerations
53. Advantages
▪ 24 hour care
▪ Personal choices
▪ Room decor
▪ Roommate or not
▪ Home like
▪ Longer stays
▪ Focused on certain diagnoses
▪ Community events
▪ Outings
▪ Shopping
▪ Consistent orientation in facility
54. Advantages
▪ Seven day a week structure (or not)
▪ Variable supervision
▪ Variable sizes of the house, apartment
▪ Vocational training
▪ Taking public transportation
▪ Socialization opportunities
55. Disadvantages
▪ Cost
▪ Availability
▪ Openings in the facility
▪ Paucity of programs
▪ Distance
▪ Medical acuity issues
▪ Appointments
56. Due to shorter lengths of stay in the acute
rehab setting, multiple layers of post-acute
programs are now available
Significant differences regarding
Cost
Availability
Support and professional help
57. Prior to considering any of the options
Visit the facilities
Ask the treaters
MSW
Insurance agents
Research
▪ Brain Injury Association
▪ CARF
Family groups have significant data
A true understanding which level of care is best for what type of
injury, at what point in the injury, and service outcomes is yet
unknown