2007.11.01 abin-pa infoline 215-699-2139 partners in rehabilitation …. after brain injury adapted...
TRANSCRIPT
![Page 1: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/1.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
PARTNERS IN PARTNERS IN REHABILITATIONREHABILITATION
…. After Brain Injury …. After Brain Injury
Adapted with permission Adapted with permission
from a presentation by the from a presentation by the
Brain Injury Association of New JerseyBrain Injury Association of New Jersey
![Page 2: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/2.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Acquired Brain Injury Network Acquired Brain Injury Network of Pennsylvaniaof Pennsylvania
Founded in 2007 by survivors and family Founded in 2007 by survivors and family members, ABIN-PA is a statewide members, ABIN-PA is a statewide
organization dedicated to raising public organization dedicated to raising public awareness about acquired brain injury and to awareness about acquired brain injury and to
providing support, education, information, providing support, education, information, advocacy and other services for individuals advocacy and other services for individuals with acquired brain injury and their families.with acquired brain injury and their families.
![Page 3: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/3.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
ABIN-PA Programs & ResourcesABIN-PA Programs & Resources
Staying in TouchStaying in Touch E-List:E-List: frequent emails on brain injury frequent emails on brain injury
and disability topics.and disability topics. Newsletter:Newsletter: free monthly snail-mail on free monthly snail-mail on
organization activities, features.organization activities, features. Website:Website: brochures, PowerPoints, brochures, PowerPoints,
resources, support groupsresources, support groups
![Page 4: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/4.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Acquired Brain InjuryAcquired Brain Injury
an injury to the brain, an injury to the brain, occurring after birth, occurring after birth, causing cognitive, behavioral or physical causing cognitive, behavioral or physical
changes,changes, But not inherited, congenital, or degenerative. But not inherited, congenital, or degenerative.
Causes include trauma, anoxia, aneurysm, brain Causes include trauma, anoxia, aneurysm, brain infection, stroke, drugs, and brain tumors.infection, stroke, drugs, and brain tumors.
![Page 5: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/5.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Traumatic Brain InjuryTraumatic Brain Injury an injury to the brain, an injury to the brain, occurring after birth,occurring after birth, due to an external force, due to an external force, causing cognitive, behavioral or physical causing cognitive, behavioral or physical
changes, changes, not inherited, congenital, or degenerative.not inherited, congenital, or degenerative.
Causes include motor vehicle crashes, falls, Causes include motor vehicle crashes, falls, sports injuries, assaults, and blast injuries. sports injuries, assaults, and blast injuries.
![Page 6: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/6.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
““The Silent Epidemic”The Silent Epidemic”
5.3 million5.3 million Americans Americans
PLUS 400,000 veterans PLUS 400,000 veterans returning home with brain injury from returning home with brain injury from
Afghanistan and Iraq.Afghanistan and Iraq.
![Page 7: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/7.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Each Year in PennsylvaniaEach Year in Pennsylvania
2,0002,000 TBI fatalities TBI fatalities 7,8007,800 hospitalized for TBI hospitalized for TBI 41,00041,000 TBI emergency room visits TBI emergency room visits
![Page 8: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/8.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Changes Over the YearsChanges Over the Years
30 years ago –30 years ago –
50% of those with a 50% of those with a TBI died as a result TBI died as a result
of the injury.of the injury.
Today –Today –
22% die as a result 22% die as a result of TBI of TBI..
![Page 9: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/9.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Brain Lobes & Functions Brain Lobes & Functions
![Page 10: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/10.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Frontal LobesFrontal Lobes
PlanningPlanning OrganizationOrganization Problem solvingProblem solving ReasoningReasoning Emotions Emotions Motor skills. Motor skills.
![Page 11: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/11.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Parietal LobesParietal Lobes
Process incoming information such as Process incoming information such as being touched, hearing, seeing being touched, hearing, seeing
![Page 12: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/12.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Temporal LobesTemporal Lobes
Manage auditory processing, attaching Manage auditory processing, attaching meaning to sounds that are heard. meaning to sounds that are heard.
![Page 13: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/13.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Occipital LobesOccipital Lobes
Provide meaning to what is seen. Provide meaning to what is seen.
![Page 14: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/14.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Brain StemBrain Stem
Regulates life-sustaining functions such as Regulates life-sustaining functions such as blood pressure, heart rate, breathing and blood pressure, heart rate, breathing and body temperature. body temperature.
Damage could result in an altered state of Damage could result in an altered state of consciousness, such as coma.consciousness, such as coma.
![Page 15: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/15.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
CerebellumCerebellum
Responsible for muscle coordination Responsible for muscle coordination Responsible for balance Responsible for balance
![Page 16: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/16.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Mild Brain InjuryMild Brain Injury
Perhaps brief loss of consciousness, Perhaps brief loss of consciousness,
maybe a few seconds or minutes.maybe a few seconds or minutes. Survivor may be dazed or confused.Survivor may be dazed or confused. Permanent physical, cognitive, and/or Permanent physical, cognitive, and/or
behavioral impairments may or may not behavioral impairments may or may not occur. occur.
Testing or brain scans may appear Testing or brain scans may appear normal.normal.
![Page 17: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/17.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Moderate Brain InjuryModerate Brain Injury
Loss of consciousness from minutes to a day.Loss of consciousness from minutes to a day. Confusion lasts days, weeks or longer.Confusion lasts days, weeks or longer. Permanent physical, cognitive, and/or behavioral Permanent physical, cognitive, and/or behavioral
impairments may or may not occur. impairments may or may not occur. Testing or brain scans may appear normal.Testing or brain scans may appear normal.
![Page 18: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/18.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Severe Brain InjurySevere Brain Injury
Unconscious state or coma lasts days to Unconscious state or coma lasts days to months. months.
Survivors may improve greatly, but are often left Survivors may improve greatly, but are often left with permanent physical, cognitive, or behavioral with permanent physical, cognitive, or behavioral impairments.impairments.
![Page 19: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/19.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Severity vs. OutcomeSeverity vs. Outcome
Severity does not predict outcome. Severity does not predict outcome. A mild brain injury may cause difficulties A mild brain injury may cause difficulties
for years while a severe brain injury may for years while a severe brain injury may improve greatly over time. improve greatly over time.
![Page 20: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/20.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Effect on Survivor Effect on Survivor
I feel like a stranger on an alien planet with I feel like a stranger on an alien planet with unfamiliar language and customs. unfamiliar language and customs.
I feel that I am buried alive. I feel that I am buried alive. I don’t know who I am or who I was. I don’t know who I am or who I was. I feel totally alone because I don’t I feel totally alone because I don’t
recognize faces or remember my friends recognize faces or remember my friends or family. or family.
![Page 21: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/21.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Reaction of Survivors Reaction of Survivors
Nothing has happened. Nothing has happened. I don’t need or want help. I don’t need or want help. I will be back to my old life in a few days, I will be back to my old life in a few days,
weeks, or months. weeks, or months. No sense of time, day/night, weekday vs. No sense of time, day/night, weekday vs.
weekend, holidays, weather. weekend, holidays, weather. May misread situations and react too May misread situations and react too
slowly, too little or too strongly. slowly, too little or too strongly.
![Page 22: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/22.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Brain Injury & FamiliesBrain Injury & Families
ParentsParents SiblingsSiblings SpouseSpouse Child Child
Roles and responsibilities of family members Roles and responsibilities of family members may change. Changes in a loved one can may change. Changes in a loved one can
be so drastic that it seems a stranger be so drastic that it seems a stranger came home from the hospital. came home from the hospital.
![Page 23: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/23.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Grief & Loss Grief & Loss for the Survivorfor the Survivor
identity, self-esteemidentity, self-esteem self-control, independenceself-control, independence expression/communicationexpression/communication relationships, mobilityrelationships, mobility vocational/career, productivityvocational/career, productivity income and assets.income and assets.
![Page 24: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/24.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Grief & Loss Grief & Loss for the Familyfor the Family
RelationshipRelationship Future dreams for the loved oneFuture dreams for the loved one Responsibilities as caregiverResponsibilities as caregiver Personal freedomPersonal freedom Lifestyle, income and assets.Lifestyle, income and assets.
![Page 25: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/25.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Stages of Grief Stages of Grief
DenialDenial AngerAnger BargainingBargaining DepressionDepression AcceptanceAcceptance
![Page 26: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/26.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Cognitive ConsequencesCognitive Consequences
MemoryMemory
PersistencePersistence
Decision makingDecision making
OrganizationOrganization
PlanningPlanning
Self-perceptionSelf-perception
AttentionAttention
ThinkingThinking Problem solvingProblem solving SequencingSequencing PerceptionPerception JudgmentJudgment
InflexibilityInflexibility Processing speedProcessing speed ConcentrationConcentration
![Page 27: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/27.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Physical ConsequencesPhysical Consequences
SeizuresSeizures Muscle spasticityMuscle spasticity FatigueFatigue HeadachesHeadaches Balance problemsBalance problems Speech difficultiesSpeech difficulties
Visual difficultiesVisual difficulties Hemiparesis (paralysis)Hemiparesis (paralysis)
![Page 28: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/28.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Emotional/Behavioral Emotional/Behavioral ConsequencesConsequences
DepressionDepression AnxietyAnxiety Mood swingsMood swings ImpulsivityImpulsivity IrritabilityIrritability
Social withdrawalSocial withdrawal AggressionAggression Lack of motivationLack of motivation Egocentric behaviorsEgocentric behaviors Lack of self-awarenessLack of self-awareness Inappropriate behavior Inappropriate behavior
and/or languageand/or language Sexual dysfunctionSexual dysfunction Feelings of lonelinessFeelings of loneliness
![Page 29: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/29.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Strategy: StructureStrategy: Structure
Schedule.Schedule. Organized environment.Organized environment. Calendars, notebooks, wall charts, and visual Calendars, notebooks, wall charts, and visual
aids (but too much information will overwhelm).aids (but too much information will overwhelm).
![Page 30: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/30.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Strategy: Consistency & RepetitionStrategy: Consistency & Repetition
Be consistent in what you do Be consistent in what you do Be consistent in what you expect Be consistent in what you expect Model the behavior you expect Model the behavior you expect Promote calm through predictability. Promote calm through predictability. Use frequent repetition for new tasks. Use frequent repetition for new tasks.
![Page 31: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/31.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Strategy: Break Down TasksStrategy: Break Down Tasks
For every task, small steps with frequent For every task, small steps with frequent breaks. breaks.
Expecting large projects to be completed all Expecting large projects to be completed all at once is a prescription for failure.at once is a prescription for failure.
![Page 32: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/32.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Strategy: Minimize DistractionsStrategy: Minimize Distractions
Remove distractions to minimize Remove distractions to minimize overstimulation and cognitive overload.overstimulation and cognitive overload.
![Page 33: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/33.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Strategy: Proactive PlanningStrategy: Proactive Planning
FEELINGS: hungry, tired, ill, confusedFEELINGS: hungry, tired, ill, confused EVENTS: changes in routine, dealing with EVENTS: changes in routine, dealing with
difficult tasks or individualsdifficult tasks or individuals SIGNALS: facial expressions, body language, SIGNALS: facial expressions, body language,
choice of words, sighingchoice of words, sighing
![Page 34: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/34.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Possible Stress RelieversPossible Stress Relievers
eatingeating closing your eyesclosing your eyes
resting resting taking deep breathstaking deep breaths
getting a huggetting a hug readingreading
TVTV taking a walktaking a walk
playing solitaireplaying solitaire taking a showertaking a shower
YESYES SometimesSometimes
NONO Don’t Don’t know!know!
![Page 35: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/35.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Make An Action Plan Make An Action Plan
Plan together to minimize stress – an advance Plan together to minimize stress – an advance plan will help everyone to remain calm.plan will help everyone to remain calm.
Seek suggestions from others when needed. Seek suggestions from others when needed.
![Page 36: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/36.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Build ResilienceBuild Resilience
Activities prevent boredomActivities prevent boredom Social connections prevent social isolationSocial connections prevent social isolation Independence creates self-esteemIndependence creates self-esteem Positive coaching builds successPositive coaching builds success Rewards emphasize achievementsRewards emphasize achievements Understand that everyone may be doing their Understand that everyone may be doing their
best very in difficult circumstancesbest very in difficult circumstances
![Page 37: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/37.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Emphasize IndependenceEmphasize Independence
““Family members or caregivers should let Family members or caregivers should let the recovering TBI survivor burn dinner the recovering TBI survivor burn dinner
every night if necessary but step in if the every night if necessary but step in if the house is burning down.” – Claudia Osbornhouse is burning down.” – Claudia Osborn
Encourage responsibility with help. Encourage responsibility with help.
![Page 38: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/38.jpg)
2007.11.012007.11.01ABIN-PA InfoLine 215-699-2139 ABIN-PA InfoLine 215-699-2139
Planning for SuccessPlanning for Success
Every individual is different, every injury is Every individual is different, every injury is unique, and improvement is gradual. unique, and improvement is gradual.
Work with current abilities and limitations.Work with current abilities and limitations. Focus on helping with goals. Focus on helping with goals. Model calm behaviors. Model calm behaviors. Help with reasoning. Help with reasoning.
![Page 39: 2007.11.01 ABIN-PA InfoLine 215-699-2139 PARTNERS IN REHABILITATION …. After Brain Injury Adapted with permission from a presentation by the Brain Injury](https://reader035.vdocuments.net/reader035/viewer/2022062321/56649e615503460f94b5c47c/html5/thumbnails/39.jpg)
Acquired Brain Injury Acquired Brain Injury Network of Network of
Pennsylvania, Inc.Pennsylvania, Inc. InfoLine 215-699-2139InfoLine 215-699-2139
www.abin-pa.orgwww.abin-pa.org
[email protected]@abin-pa.org