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Brookhaven, an inpatient psychiatric hospital, often has patients with TBI and a history of co-morbid issues like PTSD, depression, personality disorder, and severe behavioral problems.
Ron Broughton of Brookhaven Hospital talks about ways that healthcare providers can use flexibility to help their patients continue to make progress on a daily basis.
Ron Broughton of Brookhaven Hospital reflects on a success story and one that still pulls at his heart. He talks about the importance of always looking at what his team could do better.
The Elisabeth Kubler-Ross model of grieving shows stages from denial to bargaining to acceptance. For caregivers with a loved one with TBI, these stages are not so orderly.
Healthcare professionals often talk philosophically about the importance of the holistic approach to helping people with TBI, but do their actions match their words?
Ron Broughton of Brookhaven Hospital talks about moving away from standardized rehab treatments for people with TBI and focusing on a truly individualized model.
Ron Broughton of Brookhaven Hospital talks about measuring outcome, the importance of looking at the person as a whole and not as an injury, and erasing the stigma of TBI.
Dr. James Malec talks about the difficulties of measuring outcome in TBI since targeted outcomes can range from the patient opening his eyes to managing headaches to getting back to work.
Holistic rehab is the "whatever it takes" model. Balance issues may be treated by a PT and depression by a psychologist, but therapies overlap for the outcome of the whole person.
It is often difficult for insurance companies — and the families, themselves — to understand why one person with a TBI may recover fully while another person needs life-long care.
Cognitive rehab for people with TBI includes any intervention that addresses cognitive problems — from using a smartphone to help with memory to developing particular visual-spatial skills.
It is powerful — and important for recovery — for people with TBI to hear and share their stories and coping mechanisms with each other after brain injury. Retired Navy Commander Bernadette Semple shares her experiences.
Among other key strategies, Retired Navy Commander Bernadette Semple learned that making a detailed schedule each day and sticking to it is crucial for success after brain injury.
Retired Navy Commander Bernadette Semple had always been an intelligent and highly motivated person. She applied those qualities to the rehabilitation of her brain and her back.
Healthcare providers can help vets with TBI and combat stress find other ways than pharmaceuticals to help in recovery — from riding horses to kayaking with other vets.
Combat exposure can damage the brain physically and psychologically. Working to find the causes of these injuries will help with the nuances of treatment.
Traumatic — and joyful — experiences change who we are. We cannot "fix" soldiers coming home with combat stress, rather help them move on and become new versions of themselves.
The VA — along with the DoD — works with veterans and some active duty service members and their families to help them rebuild their lives after TBI and other polytrauma injuries.
Keeping a journal, taking videos, and looking back to mark progress can help families with a loved one with a severe TBI. But most importantly, families need to seek help.
It is easy for people with TBI and their families to become discouraged or depressed at what seems like a very slow rate of recovery. But a bruised brain needs time to heal.
Providers know a treatment plan works best when the patient and family are involved with the medical team; the group can set realistic and meaningful rehab goals for quality of life.
Helping improve function and mood for patients post-TBI involves getting the whole picture of a person, his symptoms, and how they are affecting his life.