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Traumatic Brain Injury: A Guide for Caregiversof Service Members and Veterans

Welcome

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Welcome

TBIFamilyCaregiverAdvisoryPanel

Acknowledgments

IntroductiontotheCaregiver’sGuide

IndextotheGuide

An electronic version of this Guide can be found at the following Web address: www.traumaticbraininjuryatoz.org

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Table of Contents

Acknowledgments

“There are only four kinds of people in the world – those who have been caregivers, those who currently are caregivers, those who will be caregivers, and those who will need caregivers.”

-FormerFirstLadyRosalynnCarter

Traumaticbraininjury(TBI)isamajorpublichealthproblemintheUnitedStates.In2006,theCentersforDiseaseControlandPreventionreportedthatTBIismoreprevalentthancasesofmultiplesclerosis,HIV/AIDS,andbreastcancercombined.DuetothepresentconflictsinIraqandAfghanistan,membersoftheUnitedStatesArmedForcesareoneofthelargestpopulationsatriskforTBI.Oftheservicemembersmedicallyevacuatedforbattle-relatedinjuriesfromIraqandAfghanistantoWalterReedArmyMedicalCenter,33percenthadtraumaticbraininjury(asofMarch2009).Duetomedicalandtechnologicaladvances,wehaveseenadecreaseinmortalityratesforthosewithsevereTBIfromthe50percentrangeinthe1970stothe30percentrangeatthistime.Asaresult,familymembersandlovedoneslikeyourselfareincreasinglybeingrecruitedtoenlistintheranksofcaregiverstoassistinthejourneytowardthegreatestlevelofrecoverypossibleforyourservicemember.Thisguidewaswrittentosupportandempoweryoualongthisjourney.

IndividualswhosustainaTBImayexperienceshort-andlong-termeffects,suchasalterationsinthinking,sensation,language,behavior,andemotions.WhethertheTBIismild,moderate,orsevere,persistentsymptomscanhaveaprofoundandpersistingimpact,notonlyontheinjuredsurvivorbutalsoonthosewhofunctionascaregivers.Itisyou,thecaregiver,whomustnotonlysurvivetheimmediateshockwhenaTBIoccurs,butmustalsolearntosupportandaidtheservicememberwhoexperiencesongoingeffectscausedbythisinjury.ATBIcanradicallychangethelivesoftheindividualswhoareclosesttothosewhoexperienceit.

InDecember2006,CongresstookactiontosupportcaregiversbypassingtheNationalDefenseAuthorizationActof2007.Section744ofthisactmandatedthedevelopmentof“…coordinated,uniform,andconsistenttrainingcurriculatobeusedintrainingfamilymembersintheprovisionofcareandassistancetomembersandformermembersoftheArmedForceswithtraumaticbraininjuries.”Thiscurriculum,Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans,istheproductofthismandate.

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Welcome

TheDefenseandVeteransBrainInjuryCenter(DVBIC)receivedthisCongressionalmandateon23April2007.DVBICwastaskedwithprovidingprogrammaticandlogisticalsupporttodevelopthecurriculumaccordingtotheCongressionalmandate,ensurecontentaccuracy,andbothimplementandmaintainthecurriculumintothefuture.DVBICwasselectedbecauseofitsnearly20yearsofservicetoactivedutymilitary,theirbeneficiaries,andveteranswithtraumaticbraininjuries.Wefulfillourmissionthroughongoingcollaborationwithmilitary,DepartmentofVeteransAffairs(VA),andcivilianhealthpartners,localcommunities,families,andindividualswithTBI,utilizingbestmedicalevidencetooptimizecarefromthebattlefieldtothecommunity.

Ms.EllenEmbrey,ActingPrincipalDeputyAssistantSecretaryofDefenseforHealthAffairs,commentedthat,“Weareabsolutelycommittedtoprovidingthebestinformationfoundinsoundscienceandbasedonmedicalevidence.WewanttheTraumaticBrainInjuryFamilyCaregivercurriculumtobetheauthoritativesourceofinformationandsupportforfamilycaregiversofservicememberswithTBI.Thisisanotherstepwearetakingtoensurethatthosewhoprotectourcountryandourfreedomsarealsoprotected.”Ms.Embreyalsoaddedthat,“Informationisapowerfultool.Wemustremainproactiveinprovidingdeployment-relatedhealthinformationtobettersafeguardourservicemembers.Mostpeoplefeartheunknown.Throughaccurate,timelyinformation,weareabletoensurethatourservicemembersarebetterequippedtopreparefor,copewith,andrecoverfromthemyriadhealthrisksfacedduringdeployments.”

ThisGuidewasdesignedtoempoweryoubyofferingauniformsourceofinformationwhileinstillinghopeasyounavigatelifeafterTBI.Wehavemadeeveryefforttomakethisanaccurateandinformativetoolthatisuser-friendlyandbasedontheneedsofreal-lifecaregiversandtheirexperiences.Ourgoalisnotonlytogiveyoutheinformationyouneed,butalsotoofferreassuranceandguidanceasyousetforthonthisjourney.Youhavebeenthrustintoanewrealitywhereyouareaskedtobethevoice,ears,andeyesofyourwoundedwarrior.Youmustall-at-onceactasanadvocate,counselor,andnurse,allthewhilestrivingtomaintainyourroleasmother,father,husband,wife,son,daughter,sister,brother,and/orfriend.Thosearoundyouwatchandmarvelasyouwillinglyconfrontthischallengewithcourage,integrity,andadefiantspirit.

Welcome2

“Therearetwowaysofspreadinglight--tobethecandleorthemirrorthatreflectsit.”

-EdithWharton

Iwanttothankyou,thecaregiver,foryourservicetoourcountry.Wewillalwaysbeindebtedtoyouandyourservicememberforyourcourageandsacrifice.

Col Michael S. Jaffee, MD

NationalDirectorDefenseandVeteransBrainInjuryCenter

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A Message from the Traumatic Brain Injury Family Caregiver Advisory Panel WelcometoTraumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans.Traumaticbraininjury(TBI)experts,survivors,andexperiencedcaregivers,alongwithrepresentativesfromtheDepartmentofDefense,theDepartmentofVeteransAffairs,andorganizationsthatsupportthemilitaryweremembersoftheTBIFamilyCaregiverAdvisoryPanel,whichoversawthedevelopmentofthisGuide.

ThepurposeofthisGuideistoprovideyou,thecaregiver,withtheinformationyouneedtocareandadvocateforyourinjuredlovedoneandtocareforyourselfintheprocess.

Justasnotwoindividualsarealike,notwobraininjuriesareidentical.ItisimpossibletodeterminethespeedandextentofrecoveryintheimmediateaftermathofTBI.Throughouttherecoveryprocess,therearelikelytobemanystepsforwardandperhapsafewstepsback.Timeandtreatmentwillleadtoanoptimallevelofrecovery.WehopethisGuidewillsustainyoualongthewayandallowyoutoidentifyandaccesstheinformationandsupportyouneedanddeserve.

Beingacaregivercanbebothchallengingandrewarding.DuringthedevelopmentofthisGuide,caregiversrepeatedlysharedthatwhathelpedthemthemostwastakingeachdayoneatatime,learningtoaskforandaccepthelp,takingstepstoreducestress,andmaintaininghope.

Wearehonoredtohavetakenpartinthecreationofthisresourcedesignedspecificallyforyou,thecaregiver.Ourhopeisthatitwillprovideyouwithinformationwhenyouneeditandavoiceofsupportandencouragementforthejourneyahead.AsacaregiveryouhaveearnedtheenormousrespectoftheTBIFamilyCaregiverAdvisoryPanel.Wewouldliketoexpressoursincereappreciationandgratitudeforthemilitaryserviceofyourdistinguishedveteranorservicememberandforyourownuniquecontributiontoourcountry.

Wishingyoutheverybest.

Anne M. Moessner, MSN, RNPanelChair,onbehalfoftheTBIFamilyCaregiverAdvisoryPanel

Welcome4

Appointed Members

Sharon Benedict, PhDRehabilitationPlanningSpecialistOfficeofRehabilitationServicesDepartmentofVeteransAffairs

Liza BiggersFamilyCaregiver

Cheryl Lee Church, EdDIndependentLivingCoordinatorVocationalRehabilitation&EmploymentServiceDepartmentofVeteransAffairs

Barbara Cohoon, PhD, RNDeputyDirectorofGovernmentRelationsNationalMilitaryFamilyAssociation

Frederick Flynn, DO, FAANCOL(Ret)USArmyMedicalDirector,TBIProgramChief,NeurobehaviorMadiganArmyMedicalCenter

COL Nancy A. Fortuin, MPHNationalGuardLiaisonOfficeoftheAssistantSecretaryofDefense/HealthAffairs(FHP&R)

Kelly GourdinProgramManagerOptimalHealingEnvironments(OHE)ProgramSamueliResearchInstitute

CAPT Janie Martin Heppel, MPH, MEdDirector,FederalTBIProgramU.S.PublicHealthService

LCDR Pamela L. Herbig, PMHNP/CNS-BCDeputyDirector,PsychiatricMentalHealthNursePractitionerProgramUniformedServicesUniversityofHealthSciences

Shannon MaxwellHopeForTheWarriorsFamilyCaregiver

CDR Larry M. Miller, MPAS, PA-CUSMCRMedicalExtensionProgramBureauofMedicine&SurgeryWoundedWarriorRegiment

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TBI Family Caregiver Advisory Panel

TBIFamilyCaregiverAdvisoryPanel

Rose Mary Pries, DrPHOfficeofVeteransHealthEducation&InformationDepartmentofVeteransAffairs

Anne M. Moessner, MSN, RN, Panel ChairTBIClinicalNurseSpecialistMayoClinic

Carolyn RocchioBrainInjuryAssociationofAmericaFamilyCaregiver

Kelly SarmientoU.S.CentersforDiseaseControl&Prevention

Ex Officio Members

Elizabeth Moy Martin, RNC, MADefenseandVeteransBrainInjuryCenter

Gretchen Stephens, MPA, OTR/LNationalTBIandPolytraumaProgramCoordinatorDepartmentofVeteransAffairs

Consultants

Jonathan B. DodsonCOL(Ret)U.S.ArmyTBISurvivor,VietnamIndependentConsultant

Mike WelshSGM(Ret)JointIEDDefeatOrganizationBAESystemsITTBISurvivor,OEF

Contingency Members

Patricia Collins, BSN, MNSeniorAdvisorOfficeoftheChiefMedicalOfficerTRICAREManagementActivity

CDR Russell Shilling, PhD, MSC, USNScientificAdvisorforPsychologicalHealthDefenseCenterofExcellenceforPsychologicalHealthandTraumaticBrainInjury

Maj. Megumi M. Vogt, USAF, MCNeurologistDefenseCentersofExcellenceforPsychologicalHealthandTraumaticBrainInjury

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TheDefenseandVeteransBrainInjuryCenter(DVBIC)andtheTBIFamilyCaregiverAdvisoryPanelwishtoacknowledgethecontributionsofcaregiversaroundthecountrywhoseexperienceinformedthedevelopmentofthesemodules.Inparticular,wethankthefollowingindividualswhosharedtheirstoriesforpublication:

•NellieB.,ArmyNationalGuardparent,whosesonJosé(aformerMarine)experiencedasevereTBIinIraqwhenagrenadeexplodedbehindhim.

•LizaB.,TBIFamilyCaregiverPanelmemberandArmyfamilymember,whosebrotherEthansufferedasevereTBIfromsnipergunshot.

•LynnC-S.,Armywife,whosehusbandPatrickwasinjuredontwoseparateoccasionsbyimprovisedexplosivedevices(IEDs).

•CydD.,MarineCorpsparent,whosesonAdamsufferedthreeseparateblastsinIraq,thelastofwhichwaswhenarocket-propelledgrenade(RPG)hithismachinegunpost.

•AnnaE.,MarineCorpswife,whosehusbandTysustainedasnipergunshotwoundtotheheadwhileleadinganembeddedtrainingteaminAfghanistan.

•PamE.,Armyparent,whosesonJasonwasinjuredinBaghdadwhenanIEDexplodedintheHumveewherehewasgunner.

•DeniseG.,AirForcewife,whosehusbandFred,aColonel,isnowmedicallyretiredfollowingabraininjury.

•MeredithH.,MarineCorpswife,whosehusbandMikewasinjuredwhiletrainingwithhissquadron.

•PattyH.,Armywife,whosehusbandPatwasshotintheheadwhileonanightmissioninIraq.

•MeaghanL.,Armywife,whosehusbandDavesustainedabraininjuryduringamortarattackinIraq.

•ShannonM.,TBIFamilyCaregiverPanelmemberandMarinewife,whosehusbandTimtookshrapnelwoundstotheheadfromamortarattackinIraq.

•CarolineM.,ArmyReservewife,whosehusbandPattwasinjuredinAfghanistanwhenacellphone-detonatedcarbombexplodedunderthebumperofhisvehicle.

•SandyM.,Armywife,whosehusbandJasonwasshotbyasniperwhileonamissioninIraq.

•CindyP.,Armyparent,whosesonShanewashitbyanexplosively-formedprojectile(EFP)whiledrivingaHumveeinIraq.

•EmilyS.,Armywife,whosehusbandJoshwasdrivingaHumveeinIraqthatwashitbytwoEFPs.

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Acknowledgments

•KristenS.,MarineCorpswife,whosehusbandEgbertwasaturretgunnerinavehicleblownupbyanIED.

•AimeeW.,Armywife,whosehusbandAnthonysufferedapenetratingheadinjurywhileondutyinIraq.

Wealsoextendaspecialthankyoutothededicatedcaregiverswhoparticipatedinfocusgroupsheldthroughoutthecountry.Thefeedbackfromthesereal-lifecaregivershelpedmakethisGuidemoreuser-friendlyandresponsivetotheneedsofcaregiverslikeyou.

Advisory Panel Staff SupportMargaret Campbell-Kotler, MPH, RNManager,OfficeofEducationDefenseandVeteransBrainInjuryCenter

Sandy Kilada, MS, LPCFamilyCaregiverProjectCoordinatorDefenseandVeteransBrainInjuryCenter

Maraquita Hollman, MPHFamilyCaregiverProjectCoordinatorDefenseandVeteransBrainInjuryCenter

Selina Doncevic, MSN, RNClinicalStandardsCoordinatorDefenseandVeteransBrainInjuryCenter

Donna Lloyd-Kolkin, PhDCurriculumWriter/EditorCatalystHealthConcepts

Gloria Stables, PhD, RDCAPT(Ret)U.S.PublicHealthServiceCurriculumWriter/EditorCatalystHealthConcepts

Rick CritesArtDirectorGraphicProductionServicesHenryM.JacksonFoundationfortheAdvancementofMilitaryMedicine

Randy ThompsonDesignerGraphicProductionServicesHenryM.JacksonFoundationfortheAdvancementofMilitaryMedicine

Acknowledgments8

Youhavestartedoneofthemostimportantjobsinyourlife—becomingafamilycaregivertoaservicememberwhohasaserioustraumaticbraininjury(TBI).

TheinformationinthisGuidewillhelpyoucopewithyournewroleasacaregiver.Youwillfindlotsofhelpfulinformationhere,gleanedfrombothTBIexpertsandcaregiverslikeyourself.However,notalloftheinformationmayapplytoyoursituation.YoucanalsoreadthisGuideonlineatwww.traumaticbraininjuryatoz.org.

What’s in this Guide?ThisGuidehasinformationforcaregiversofservicemembers/veteranswhohaveamoderatetosevereTBI.Itcontainsfourmodules,plustheCaregiver’sCompanion:

Module 1:Introduction to Traumatic Brain Injury.Thismoduletellsyouaboutthebrainandwhathappenswhenitisinjured.

Module 2:Understanding the Effects of TBI and What You Can Do to Help.Thismoduleexplainsthephysical,thinking,communication,andemotionaleffectsofTBI.Italsotellsyouhowyoucanhelpyourfamilymemberdealwiththeseeffects.

Module 3:Becoming a Family Caregiver for a Service Member/Veteran with TBI.Thismoduleisallaboutyou,whetheryouareacaregiverathomeorsupportingyourfamilymemberatahealthcarefacility.Ithastipsonhowtoorganizeyourlifeasacaregiver.Itencouragesyoutotakecareofyourselfduringthisstressfultime.

Module 4:Navigating Services and Benefits.Thismoduletellsyouabouthowthedisabilityratingsystemworks.ItdescribeshowtogetservicesandbenefitsthatcanhelpyourfamilymemberwithTBI.

Introduction to the Caregiver’s Guide

“I so wish that at the beginning I had had someone like the people I’ve met here at Fisher House, who are already two years post-injury. I wish I would have had somebody like that come up to me and just put their arms around me and say, ‘You know what? Any question you need to ask, just ask it.’”

-MeredithH.

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Caregiver’s Companion:TheCompanionisabinderofinformationandformstohelpyouintheday-to-daymanagementofcaregiving.

PleaselearnaboutTBI—itwillhelpyoubeabettercaregiver.Takegoodcareofyourselfwhilecaringforyourservicemember/veteran.Keephopealiveduringyourjourneytowardrecovery.

How to Use This GuideThemainintentoftheGuideistoprovideinformationasyouneedit.Forexample:

•YoumaybemostinterestedinModule 1,Introduction to Traumatic Brain Injury (TBI),whenyouareintheinitialphasesofyourservicemember’sdiagnosisandtreatment.Module1explainsTBIwithgraphicstohelpyouunderstandtheinjuryandtheinitialtreatment.

•Astimegoeson,Module 2,Understanding the Effects of TBI and What You Can Do to Help,willhelpyouduringthetreatmentandrecoveryphasetounderstandthemanypossiblewaysaTBImayaffectyourservicemember.Itincludestipsonwhatyoucandotohelpinthetreatmentandrecoveryprocess.

•Module 3,Becoming a Family Caregiver for a Service Member/Veteran with TBI,willbehelpfulfromthebeginningofandthroughoutyourfamily’sjourneywithTBI.Ithassuggestionstohelpyouorganizealltheinformationyouaregatheringandguidelinesforhowtotakecareofyourself,alongwithtipsfortakingcareofyourservicemember/veteranwithTBI.

•Module 4,Navigating Services and Benefits,willbealong-termreferenceforyou.Ithasinformationontheservicesandbenefitsyouandyourservicemember/veteranareentitledto.YoucanusetheinformationinModule4toidentifyyourfamily’sneedsandtoraisequestionsaboutneededserviceswithyourservicemember/veteran’sPointofContact.

Thefourmodulesaretabbedandcolor-codedtohelpyoufindthemeasilyinthebinder:

•Module1isyellow.

•Module2isblue.

•Module3isgreen.

•Module4isred.

IntroductiontotheCaregiver’sGuide10

TheCaregiver’s Companionhasinformationandformsthatcanhelpyouinyourcaregivingjourney.Youmaywanttocarryitwithyoutokeeptrackofimportantinformation.Usethisbindertokeepyourselforganized.Youmayneedtostartanewbinderasthisonegetsfull.TheCompanionincludes:

•Masterformstowritedownkeyinformation.ThemasterformsintheCompanion,suchasthemedicationlogorcontactinformationformembersofthehealthcareteam,aremeanttobeduplicated.Makeseveralcopiesofeachtouseovertimeordownloadtheformsfromwww.traumaticbraininjuryatoz.org.

•Plasticsleevestokeepbusinesscardsofmedicalprofessionalsandothersyouwanttobeabletocontactlaterformoreinformation.Therearealsoplasticsleevesforcompactdisksofmedicalscansandtestsyouwillwanttokeep.Youmayneedtopurchasemoresleeves.

•Basicinformation,suchasaglossaryofterms,tableofmilitaryranks,listofacronyms,etc.

TheentireGuidemayalsobehelpfulforotherfamilymembersandfriendstoreadandunderstandtraumaticbraininjuryandtreatment.TheGuidemaybeinstructiveforgrownchildren,parents,mothers-andfathers-in-law,andextendedfamilyandfriends.SuggestionsforcreativeusesoftheGuidecouldinclude:

•Suggestafamilymemberreadasectiontounderstandthespecificinjuryyourservicemember/veteransustainedortounderstandphysical,cognitive,orbehavioraleffectsofTBI.

•UsetheGuideasaconversationstarteroratoolintalkingwithyourservicemember/veteran.

•UsetheGuidetoprovideanorientationformedicalprofessionalswhoarenotspecialistsinTBI.

WebsitesandtelephonenumberslistedintheGuidearecurrentasofthedateofpublication.Theychangefrequently;youmayneedtouseasearchenginetofindthecurrentaddressforsomeWebsites.

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There are moments when wellness escapes us,Moments when pain and suffering

Are not dim possibilitiesBut all too agonizing realities.

At such moments we must open ourselves to healing.

Much we can do for ourselves;And what we can do

We must do—Healing,

No less than illness,Is participatory.

But even when we do all we can doThere is,Often,

Much left to be done.And so as well we turn to our healers

Seeking their skill to aid in our struggle for wellness.

But even when they do all they can doThere is,Often,

Still much left to be done.And so we turn to Life,

To the vast Power of Being that animates the universeAs the ocean animates the wave,

Seeking to let go of that which blocks our healing.

May thoseWhose lives are gripped in the palm of suffering

Open Even now

To the Wonder of Life.May they let go of the hurt

And meet the True Self beyond pain,The Uncarved Block

That is our joyous Unity with Holiness.

May they discover through pain and tormentThe strength to live with grace and humor.

May they discover through doubt and anguishThe strength to live with dignity and holiness.May they discover through suffering and fear

The strength to move toward healing.

- RabbiRamiM.Shapiro

ExcerptedfromPrayers for Healing©1997byMaggieOman,reprintedcourtesyofConariPress.

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Index to the Guide

Thisindexisdesignedtohelpyoufindinformationquicklyandeasily.TheindexcoverswordsorphrasesfoundthroughouttheGuideinModules1,2,3,and4,andintheCaregiver’sCompanion(listedasCompanion).AnotherwaytofindinformationistoreadthroughtheTableofContentsofeachmodule.

Youwillfindmanyacronyms(abbreviationofaphrase)intheindex.ThemostcommonacronymsareTBI(traumaticbraininjury),DoD(DepartmentofDefense),andVA(DepartmentofVeteransAffairs).

AAbsence Seizures-Companion,page2

Abstract Thinking-Companion,page2

Acceleration-Companion,page2

Acute Care-Module2,page3

Advanced Medical Directive-Module3,page87See living will

Advocate-Module3,pages9-15;Module4,page7

Advocacy-Module3,pages9-15;Module4,pages7,101,105

Agitated State (Rancho Level IV)-Module1,page33

Air Force Wounded Warrior (AFW2) Program-Module4,page20

Alcohol and/or Drug Use-Module3,pages24,74-76

Amnesia-Companion,page2

Angiogram-Companion,page2

Anorexia-Companion,page2

Anosmia-Companion,page2

Anoxic Brain Injury-Companion,page2

Anxiety-Module2,pages2,48,65,75,78;Module3,pages19,23

Aphasia (Expressive)-Companion,page5

Aphasia (Receptive)-Companion,page8

Appetite Loss (Anorexia)-Companion,page2;Module2,page26

Apraxia-Companion,page2;Module2,pages28-29

Army Wounded Warrior Program (AW2)-Module4,pages20,125

Arthralgia-Companion,page2

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Assistive Devices-Module3,pages51,53,73

Ataxia-Companion,page2

Attention Problems-Module2,page38

Audiologist-Module2,page8

Avoiding Future TBIs-Module3,page77

Axons-Companion,page2

BBalance Problems-Module2,page20

Balancing Work and Caregiving-Module3,page84

Basal Ganglia-Companion,page2

Basic Allowance for Subsistence (BAS)-Module4,page78

Bedsores-Module1,page26

Behavioral Effects of TBI-Module2,pages65-75

Frustration, Increased Anger/Aggressiveness-pages66-68,75

Impulsivity or Difficulties in Self-Control-page68

Poor Judgment-pages53,65,69

Reduced or Lack of Initiation-pages70,75

Repetitive Behaviors (Perseveration)-pages60-61,65,71

Less Effective Social Skills-pages53,65,71

Changes in Sexual Behaviors-pages65,72

Lack of Self-Awareness-pages53,65,73

Bladder Changes-Module2,pages13,24

Blast Injuries-Companion,page2;Module2,page1

Bleeding-Module1,pages15-16

Blood Clots-Module1,pages21-22,26

Bowel Changes-Module2,pages13,24

Brain-Companion,page3

Brain Anatomy-Module1,pages6-11

Brain Infection-Module1,page26

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Brain Lobes-Module1,pages8-11

Brain Plasticity-Module1,page27

Brainstem-Companion,page3;Module1,pages10-11

Bruising-Module1,pages4,14,17

Burr Hole-Module1,page22

CCaregiver-Module1,page29;Module3,page1

Advocacy-Module3,pages9-15;Module4,pages7,101,105

Burnout-Module3,page19

Challenges-Module3,pages22-23,41,60,93

Definition-Module3,page1

Self-Assessment-Module3,pages28-29

Strategies for Self-Care-Module3,page26

Importance of Caregiving-Module3,page1

Importance of Taking Care of Yourself-Module3,pages17-26

Support Resources-Module4,pages135-137

Caregiver and Family Support Resources-Module4,pages135-137

Caregiver Support Worksheet-Companion,pages23-24;Module3,pages66-67

Caregiving

Alternatives-Module3,page45

Finding Meaning in-Module3,pages93-94

Case Management-Module2,pages5-6

Case Manager/Care Coordinator-Module2,pages6,8;Module4,pages2-3

Cerebellum-Companion,page3

Cerebral Hemispheres-Module1,page7

Cerebral Hypoxia-Companion,page3

Cerebrospinal Fluid (CSF) -Companion,page3;Module1,pages6,15,22,25

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Cerebrum-Companion,page3;Module1,pages6,8,11

CHAMPVA-Module4,page36See Civilian Health and Medical Program of the Department of Veterans Affairs

Chaplain-Module2,page8

Children and TBI

Communicating with Children about TBI-Module3,pages34-35

Helping Children Cope-Module3,pages31-33,page36

Building Family Ties-Module3,pages37-38

Chronic Subdural Hematoma-Companion,page3

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)-Module4,page36See CHAMPVA

Closed Head Injury-Companion,page3;Module1,pages13-14,19

Cognition-Module2,page35

Coma-Companion,page3;Module1,pages17,19,28,30-31

Combat-Related Special Compensation (CRSC)-Module4,pages80,84

Combat Zone Injuries – Active Duty Pay Issues-Module4,pages81-83

Communication Effects of TBI-Module2,pages2,11,53-61

Does Not Speak Clearly-page54

Problems Starting a Conversation-page55

Word Finding Problems-page56

Problems Following a Conversation-page56

Reading Comprehension Problems-page57

Dysarthria-page59

Interrupting or Having a Hard Time Taking Turns in Conversation-page59

Topic Selection Problems-page60

Writing Problems-page61

Nonverbal Communication Issues-page61

Community-Based Managed Care-Module4,pages14-15

TRICARE: Health Net Federal Services (North Region)

TRICARE: Humana Military Healthcare Services (South Region)

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TRICARE: TriWest Healthcare Alliance (West Region)

Community-Based Warrior Transition Unit (CBWTU) – Army National Guard or Army Reserve

Community-Based Warrior Transition Unit (CBWTU) (Army National Guard or Army Reserve)-Module4,pages15-16

Complications-Module1,pages25-26

Compassion Fatigue-Module3,page19

Compensation Strategies-Module2,page44

Computed Tomography (CT) (formerly Computerized Axial Tomography [CAT])-Companion,page3;Module1,pages4,20

Concurrent Retirement and Disability Payments (CRDP) -Module4,page84

Concussion (mTBI)-Companion,page4;Module1,pages3,14See mild traumatic brain injury

Confabulation-Module1,page37;Module2,page43

Confused State (Rancho Levels V and VI)-Module1,page35

Confusion-Module1,pages4,19,31,33-35;Module2,pages2,17,27,36-37,53

Consciousness-Companion,page4

Continued Health Care Benefit Program (CHCBP)-Module4,pages30,150

Contusion -Companion,page4;Module1,pages14,17

Conversation Problems-Module2,pages55-60

Coordination of Movement (Decreased) -Module2,pages13,28-29

Counseling/Behavioral Health Options-Module4,pages39-44

Coup-Contrecoup-Companion,page4;Module1,page13

Craniectomy-Module1,page22

Cranioplasty-Module1,page22

Craniotomy-Module1,page22

Cranium (Skull)-Companion,page4

Cueing-Module1,page36;Module2,pages45-46

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DDES (Disability Evaluation System)-Module4,pages99-111

Deceleration-Companion,page4

Decision Making and Problem Solving-Module2,pages42-43,69,76

Department of Defense (DoD) System of Care-Module2,page4

Depression-Module2,pages2,26,65,74-76,78,80;Module3,page22

Diagnostic Tests-Module1,page20

Dietitian-Module2,page8

Difficulty with

Attention Problems-Module2,pages35,38-39,53,56

Conversation-Module2,pages55-56,59-60

Decision Making and Problem Solving -Module2,pages42-43,69,76

Expressing Oneself-Module2,pages53-57

Frustration, Increased Anger/Aggressiveness -Module2,pages66-68,75

Impulsivity or Self-Control-Module2,page68

Initiation-Module2,pages70,75

Memory -Module2,pages2,24,26,35-36,38-40,42-44,47,53,71

Nonverbal Communication-Module2,page61

Organization and Planning-Module2,pages40-42

Problem Solving-Module2,pages36,42-43,48-49

Reading Comprehension-Module2,page57

Repetitive Behaviors (Perseveration)-Module2,pages65,71

Self-Awareness-Module2,pages53,65,73

Sexual Behaviors-Module2,pages65,72-73

Social Skills-Module2,pages53,65,71

Speaking-Module2,pages54,59,70

Thinking Quickly-Module2,page36

Understanding the Spoken Word-Module2,pages53,56

IndextotheGuide

IND

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19

Word Finding-Module2,page56

Writing-Module2,page61

Diffuse Axonal Injury (DAI)-Companion,page4;Module1,page17

Diffuse Brain Injury-Companion,page4

Diplopia (Double Vision)-Companion,page4;Module2,page21

Disability

Concurrent Retirement and Disability Payments (CRDP) -Module4,page84

Disability Evaluation System (DES)-Module4,pages99-111

Military Disability System-Module4,page106

Permanent Disability Retired List (PDRL) -Module4,pages18,78-80,109

Temporary Disability Retirement List (TDRL) -Module4,pages18,78-79,106,110

VA Disability System-Module4,pages106,111

VA Schedule for Rating Disabilities (VASRD) -Module4,pages105-107,111,141

Disability Evaluation System (DES)-Module4,pages99-101,111,140,143

Disabled Transition Assistance Program (DTAP) -Module4,pages115-116

Discharge with Severance Pay-Module4,pages78,84

Dizziness-Module2,pages18-20

Double Vision(Diplopia) -Companion,page4;Module2,page21

Driving a Vehicle-Module3,pages72-74

Dura-Module1,pages6,15-16,26

Dura Mater-Companion,page4;Module1,page6

Dysarthria-Companion,page4;Module2,page59

Dyskinesia-Companion,page4

EEdema-Module1,page25

Electroencephalograph, or EEG-Companion,page4;Module1,page20

IND

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IndextotheGuide20

Eligibility Status-Module4,pages10,33

Emergence from Coma (Rancho Levels II and III)-Module1,page30

Emergency Help-Module4,page92

Emotional Effects of TBI-Module2,pages74-80

Depression-pages2,26,65,74-76,78,80

Increased Anxiety-page78

Mood Swings-page79

Changes in Self-Esteem-page80

Educational Assistance

Education Benefits for Family Members-Module4,page67

Education Benefits for Caregivers-Module4,page67

Education Benefits for Service Members and Veterans -Module4,pages57-65,157-158

Survivors’ and Dependents’ Educational Assistance -Module4,page66

Vocation and Education Counseling for Veterans -Module4,page66

Employment Assistance

Employment Benefits for Caregivers-Module3,pages82-84 See job benefits

Employment Opportunities for Service Members/Veterans -Module4,pages53-54See job opportunities for service members/veterans

Employment-Related Services-Module4,pages49-52 See job-related services

Employment Resources for Caregivers-Module4,page55 See job resources for caregivers

Endotracheal Tube-Module1,page23

Epidural Hematoma-Companion,page4;Module1,page16

Estate Planning-Module3,page87See trust

Euphoria-Companion,page4

Executive Functions-Companion,page5

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21

Expressive Aphasia-Companion,page5

Eyeballs, rapid movement (nystagmus)-Companion,page7

FFamily Assistance Centers-Module4,page19

Family and Medical Leave Act (FMLA)-Module3,page81

Family Strengths-Module3,pages41-42

Family Ties-Module3,pages37-38

Fatigue-Module1,pages4,32,34;Module2,pages2,13-14,17-18,39,66,75

Federal Recovery Coordinator (FRC)-Module4,page5

Feedback-Module2,pages44,47,54,62

Fever-Module1,page25

Fisher Houses-Module4,page71

Fluid Restriction-Module1,pages21,25

Focal Brain Injury-Companion,page5

Fracture-Module1,pages2,15,22,26

Frontal Lobe-Companion,page5;Module1,pages8-9

Frustration, Increased Anger/Aggressiveness-Module2,pages66-68,75

GGI Bill

Post-9/11 GI Bill-Module4,pages57-58

Montgomery GI Bill – Active Duty (MGIB) -Module4,pages60-62

Montgomery GI Bill – Selected Reserve (MGIB-SR) -Module4,pages59-60

Generalized Tonic-Clonic Seizures-Companion,page5

Glasgow Coma Scale (GCS) -Companion,page5;Module1,pages4,19,43

Guardianship-Module3,pages5,85

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HHeadache-Module2,pages8,14-17,76

Health Care Providers-Module1,pages19,36-37;Module2,pages1,8-10,24-25

Health Care Team Member Information Form-Companion,pages18-20;Module3,pages64-65

Hematoma-Companion,page5;Module1,pages6,14-16

Hemiparesis-Module2,page23

Hemiplegia-Module2,page23

Hemorrhage-Module1,pages6,14-16

Herniation/Herniated-Companion,page5

Heterotrophic Ossification-Module2,page32

High Functional Level (Rancho Levels VII and VIII)-Module1,page38

Home Care Team-Module3,pages54-59

Home Care Team Volunteer Form-Companion,page25;Module3,page63

Home Health Care-Module3,page62

Home Loan Program (VA)-Module4,page74

Home Modification-Module3,page54;Module4,page72

Home Safety-Module3,pages72,77

Home Safety Checklist-Module3,pages78-79

Homes for Our Troops-Module4,page73

Housing Benefits-Module4,pages71-76

Housing (Temporary) for Caregivers-Module4,page71 Malone House Navy Lodges Fisher Houses

Hydrocephalus-Module1,page25

Hypothalamus-Module1,page10

Hypoxia-Companion,page5

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23

IImpaired Initiation-Companion,page5

Improvised Explosive Devices, or IEDs-Companion,page5

Impulsivity or Difficulties in Self-Control-Module2,page68

Initiation (Reduced or Lack of)-Module2,pages70,75

Inpatient Care/Treatment-Module2,pages3,5-6,44;Module4,page14

Insurance Assistance

Insurance for Veterans-Module4,pages90-91

Traumatic Servicemembers’ Group Life Insurance (TSGLI) -Module4,page85

Intensive Care Unit (ICU)-Module1,page31

Intimacy-Module3,page43

Intracerebral Hemorrhage-Companion,page6

Intracranial Pressure, or ICP -Companion,page6;Module1,pages20,25

Intracranial Pressure (ICP) Monitor-Companion,page6

Intravenous Tubes (IVs)-Module1,page23

Intraventricular Hemorrhage-Module1,page16

JJob Assistance

Job Benefits for Caregivers-Module3,pages82-84 See employment benefits for caregivers

Job-Related Services-Module4,pages49-52 See employment-related services

Job Opportunities for Service Members/Veterans -Module4,pages53-54See employment opportunities for service members/veterans

Job Resources for Caregivers-Module4,page55 See employment resources for caregivers

Joint Pain, Stiffness (Arthralgia)-Companion,page2

Judgment (Poor)-Module2,pages53,65,69

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24 IndextotheGuide

LLegal Services-Module4,page93

Limbic System-Companion,page6;Module1,page10

Living Will-Module3,pages85,87See advanced medical directive

Lobe-Companion,page6

Lobes of the Brain-Module1,pages8-10

Low Blood Pressure-Module1,page25

MMEB (Medical Evaluation Board)-Module4,pages101-104

Magnetic Resonance Imaging, or MRI -Companion,page6;Module1,page20

Malone House-Module4,page71

Marine Corps Wounded Warrior Regiment (WWR)-Module4,pages23-24,126

Marriage or Relationship Issues-Module3,pages43-44

Medical Evaluation Board (MEB)-Module4,pages101-104

Medical Evaluation Board (MEB) Resources-Module4,pages139-141

Medical Power of Attorney-Module3,page87

Medical Retirement-Module4,page17

Disability Payments-Module4,page84

Medication Log-Companion,pages21-22;Module3,page7

Medication Management-Module3,pages52-53

Memory

Memory Difficulty-Module2,pages2,24,26-27,36,39,43,53

Memory Compensation -Module2,pages18,29,38-40,42,44,47,71,74

Meninges-Companion,page6;Module1,page6

Mild Traumatic Brain Injury, or mTBI -Companion,page6;Module1,pages3-4See concussion

mTBI (Mild Traumatic Brain Injury) -Companion,page6;Module1,pages3-4See concussionIN

DEX

25

Military Acute Concussion Evaluation, or MACE-Companion,page6

Military Disability System-Module4,page106

Military Liaison (Department of Defense)-Module2,page6,8

Military Medical Centers-Module2,page89

Military Terms Related to Injuries and Treatment -Companion,page14

BI–BattlefieldInjury

CASEVAC–CasualtyEvacuation

MTF–MedicalTreatmentFacility;forexample:

NNMC–NationalNavalMedicalCenter, commonlycalled“Bethesda”

NMCSD–NavalMedicalCenterSanDiego, commonlycalled“Balboa”

BAMC–BrookeArmyMedicalCenter

WRAMC–WalterReedArmyMedicalCenter

OT–OccupationalTherapy

PT–PhysicalTherapy

PTSD–Post-TraumaticStressDisorder

SCI–SpinalCordInjury

TBI–TraumaticBrainInjury

VSI, SI, SPECAT–VerySeriouslyInjured,SeriouslyInjured, SpecialCategory

WII–Wounded,Ill,andInjured

Military Terms Related to Medical Review Boards -Companion,page14

COAD–ContinuationonActiveDuty

COAR–ContinuationonActiveReserve

DES–DisabilityEvaluationSystem

EPTE–ExistedPriortoEntry

HAO–HomeAwaitingOrders

MEB–MedicalEvaluationBoard

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26 IndextotheGuide

MMRB–MOSMedicalRetentionBoard

MOS–MedicalOccupationalSpecialty

PEB–PhysicalEvaluationBoard

PDRL–PermanentDisabilityRetirementList

PLD–PermanentLimitedDuty

TDRL–TemporaryDisabilityRetirementList

VASRD–VeteransAffairsScheduleforRatingDisabilities

Military Terms (Other)-Companion,page15

AW2–U.S.ArmyWoundedWarriorProgram, formerlycalledDS3

BAH–BasicAllowanceforHousing

BAS–BasicAllowanceforSubsistance

CACO–CasualtyAssistanceCallOfficer

CONUS–ContinentalU.S. (OCONUSisOutsidetheContinentalU.S.)

DoD–DepartmentofDefense

FMLA–FamilyandMedicalLeaveAct

IED–ImprovisedExplosiveDevice

ITOs–InvitationalTravelOrders

M4L–MarineForLife

MLO–MarineLiaisonOffice

NMA–Non-MedicalAttendant

OEF–OperationEnduringFreedom

OIF–OperationIraqiFreedom

PNOK–PrimaryNextofKin

SSN–SocialSecurityNumber

TSGLI–TraumaticServicemembers’GroupLifeInsurance

VA–DepartmentofVeteransAffairs (formerlycalledVeteransAdministration)

VBA–VeteransBenefitsAdministration

VSO–VeteranServiceOfficerIND

EX

27

Military Ranks-Companion,pages10-13

Military Treatment Facility (MTF)-Module2,page3

Minimally Conscious State-Module1,page30

Moderate to Severe TBI-Module1,pages4,27-28

Montgomery GI Bill – Active Duty (MGIB)-Module4,pages60-62

Montgomery GI Bill – Selected Reserve (MGIB-SR)-Module4,pages59-60

Mood Swings-Module2,page79

Movement, Involuntary (Dyskinesia)-Module2,page30

Muscle Pain (Myalgia)-Companion,page6

My Healthevet – VA Personal Health Record-Module4,page36

Myalgia-Companion,page6

NNasogastric Tube (NG tube)-Module1,page23

National Resource Directory-Module4,page71

Navy Lodges-Module4,page71

Navy Safe Harbor Program-Module4,pages22-23

Neurochemistry-Module1,pages1,18

Neurocognitive-Companion,page6

Neurological Exam-Module1,page19

Neurologist-Module2,page8

Neuron-Companion,page7

Neuro-opthalmologist-Module2,page9

Neuropsychological Evaluation-Module2,page35

Neuropsychologist-Module2,pages9,35

Neuropsychology-Companion,page7

Neuroradiological Tests-Companion,page7

Neurosurgeon-Module1,page15;Module2,page9

Neurotransmitters-Companion,page7;Module1,page18

IND

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28 IndextotheGuide

Nonverbal Communication Issues-Module2,page61

Nystagmus-Companion,page7

OOccipital Lobe-Companion,page7;Module1,pages8,10-11

Occupational Therapist (OT)-Module2,pages9,23,25,36,44

Ocular-Companion,page7

Open Head Injury-Companion,page7

Operation IMPACT-Module4,page55

Organization and Planning Problems-Module2,pages40-42

Organization Needs of Caregivers

Organizing Medical Records-Module3,pages3-5

Organizing Military Records-Module3,pages3-5

Outpatient Care/Treatment-Module2,page3;Module4,page14

PPay, Types of

For Active Duty Service Members-Module4,pages77-78

Specific to Combat Zone Injuries-Module4,pages81-83

For Medically Retired-Module4,pages78-84

PEB (Physical Evaluation Board)-Module4,pages78,104-105,108,109

PEB Resources-Module4,pages143-148

Right to Appeal PEB Decision-Module4,pages139-141

PEG Tube (Per Cutaneous Gastronomy Tube) -Module1,page23

PRC (VA Polytrauma Rehabilitation Centers) -Module2,pages5,6,7

Parietal Lobe-Companion,page7,Module1,page9

Penetrating Head Injury-Companion,page7;Module1,page13

Per Cutaneous Gastronomy Tube (PEG tube) -Module1,page23

Peripheral Fatigue -Module2,page17

IND

EX

29

Permanent Disability Retired List (PDRL)-Module4,pages80,109

Perseveration-Companion,page7;Module2,pages60-61,65,71

Photophobia-Companion,page7

Physiatrist-Module2,page9

Physical Evaluation Board (PEB)-Module4,pages78,104-105,108,109

Physical Therapist (PT)-Module2,pages10,18,20,22-23

Pneumonia-Module1,pages25-26,32

Point of Contact (POC)-Module3,page49;Module4,pages1-6See Case Manager/Care Coordinator, Federal Recovery Coordinator, Recovery Care Coordinator, VA Liaison, Military Liaison

Polytrauma-Module2,pages3-7,89

Positron Emission Tomography, or PET Scan-Companion,page7

Post-9/11 GI Bill-Module4,pages57-58

Post-Deployment Health Assessment, or PDHA-Companion,page8

Post-Deployment Health Reassessment, or PDHRA-Companion,page8

Post-Traumatic Amnesia (PTA) -Companion,page8;Module1,pages19,31,34

Post-Traumatic Stress (PTS)-Companion,page8;Module2,page2;Module4,pages41-42

Post-Traumatic Stress Disorder (PTSD)-Module2,page2

Power of Attorney (POA)-Module3,pages85-87

Primary Care Provider-Module2,page10

Problem Solving-Module2,pages36,42-43,48-49

Pulmonary Embolus (PE)-Module1,page26

RRancho Los Amigos Levels of Cognitive Functioning -Companion,page8;Module1,pages29,45-51

Emergence from Coma (Rancho Levels II and III) -Module1,page30

Agitated State (Rancho Level IV)-Module1,page33

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30 IndextotheGuide

Confused State (Rancho Levels V and VI)-Module1,page35

High Functional Level (Rancho Levels VII and VIII) -Module1,page38

Reading Comprehension Problems-Module2,page57

Receptive Aphasia-Companion,page8

Recovery

Course of-Module1,page2;Module3,page1

Process-Module1,pages3,25,27-29

Stages of-Module1,pages29-39

Recovery Care Coordinator (RCC)-Module4,page6

Recreational Therapist (RT)-Module2,page10

Rehabilitation-Module1,page2,28;Module3,page3

Rehabilitation Nurse-Module2,page10

Rehabilitation Psychologist-Module2,page10

Rehabilitation Medical Support Resources-Module4,pages149-155

Repetitive Behaviors (Perseveration)-Module2,pages60-61,65,71

Residential Care-Module3,pages45-46

Respite Care -Module3,pages60-62

Ringing in the Ears (Tinnitus)-Companion,page9;Module2,pages8,21

SSafety-Module3,pages72,77 See Home Safety

Seizure-Companion,page8;Module2,pages29-31

Self-Awareness (Lack of)-Module2,pages53,65,73

Self-Esteem-Module2,pages65,80

Sensitivity to Light (Photophobia)-Companion,page7;Module2,pages15,21

Sensory Changes-Module2,page21

Sexuality-Module2,pages65,72;Module3,pages43-44

Single-Photon Emission Computed Tomography, or SPECT Scan -Companion,page9IN

DEX

31

Skin Breakdown-Module1,page26

Skull-Module1,pages6,9,13-16,20,22,25,27

Skull Fracture-Companion,page9;Module1,pages14-15,22,26

Simple Fracture-Module1,page15

Compound Fracture-Module1,page15

Depressed Skull Fracture-Module1,page15

Basal Skull Fracture-Module1,page15

Sleep Changes-Module2,pages2,15-16,75

Slowed Speed of Processing-Module2,page37

Smell, Loss or Decrease (Anosmia) -Companion,page2;Module2,pages13,21-22,26,30

Social Skills (Less Effective)-Module2,pages53,65,71

Social Worker-Module2,pages8,10

Social Security Benefits-Module4,page88

Spasticity-Module2,pages13,22-23

Speech Problems-Module2,pages18,53-54,59

Speech Language Pathologist (SLP)-Module2,page10

State Benefits-Module4,pages117-123

Stimulation Techniques-Module1,page31

Stress-Module3,pages22,26-27

Subarachnoid Hemorrhage-Module1,pages6,16

Subdural Hematoma-Companion,page9;Module1,pages6,16

Suicide Prevention-Module4,pages42-43

Support Programs, Air Force-Module4,pages19-20

Patient Squadron Program

Reserve Component Airmen

Air Force Wounded Warrior (AFW2) Program

Assistance for Air Force Families

Support Programs, Army-Module4,pages20-22

Army Wounded Warrior Program (AW2)

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32 IndextotheGuide

Warrior Transition Unit (WTU)

Community-Based Warrior Transition Unit (CBWTU)

Assistance for Army Families

Support Programs, Marine Corps-Module4,pages23-24

Marine Corps Wounded Warrior Regiment (WWR)

Assistance for Marine Families

Support Programs, Navy-Module4,pages22-23

Navy Safe Harbor Program

Assistance for Navy Families

Surgery, Types of-Module1,page22

Survivors’ and Dependents’ Educational Assistance-Module4,page66

Swallowing Changes-Module2,pages13,25

Swelling (Edema)-Module1,page25

TTBI Classification-Module1,pages3-4

TBI Definition-Companion,page9;Module2,page2

TBI Continuum of Care-Module4,page13

Inpatient Medical Care (Continental U.S.)

DoD Military Treatment Facility (MTF) -Module2,pages4,89

VA Polytrauma System of Care (PSC) -Module2,page5;Module4,page5

Outpatient Rehabilitation

DoD Military Treatment Facility (MTF) -Module2,pages4,89

VA Polytrauma System of Care (PSC) -Module2,page5;Module4,page5

VA Polytrauma Network Sites (PNS)-Module2,page5

VA Polytrauma Rehabilitation Centers (PRC) -Module2,pages5,6,89

IND

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33

TRICARE Network Community-based Managed Care -Module4,pages14,15

TBI Model Systems Centers-Module2,pages90-92

TBI Prevalence-Module1,page3

TBI Types-Module1,pages13-14

TSGLI (Traumatic Servicemembers’ Group Life Insurance)-Module4,page85

Temporal Lobe-Companion,page9;Module1,pages8-9

Temporary Disability Retirement List (TRDL)-Module4,pages79,110

Thalamus-Companion,page9;Module1,pages10-11

Thinking Skills

Confusion-Module2,page36

Slowed Speed of Processing-Module2,page37

Attention Problems-Module2,pages35,38-39,53,56

Memory Difficulty -Module2,pages2,24,26,35-36,38-44,47,53,71

Memory Compensation -Module2,pages18,29,38-44,47,71,74

Organization and Planning Problems-Module2,pages40-42

Decision Making and Problem Solving -Module2,pages42-43,69,76

Confabulation-Module1,page37;Module2,page43

Compensation Strategies-Module2,page44

Cueing-Module1,page36;Module2,pages27,40,45-46

5W Strategy-Module2,page47

Feedback-Module2,pages47-48,54,62

Problem Solving-Module2,pages36,42-43,48-49

Tinnitus-Companion,page9;Module2,pages8,21

Tracheostomy Tube-Module1,page23

Transition Assistance Program (TAP)-Module4,pages113-115

Transitional Assistance Management Program (TAMP)-Module4,page29

IND

EX

Transitioning to Home-Module3,pages49-51,70-71

Traumatic Brain Injury, or TBI-Companion,page9;Module2,page2

Mild Traumatic Brain Injury, or mTBI -Companion,page6;Module1,pages3-4See Concussion

Moderate to Severe TBI-Module1,pages4,16,27-28

Traumatic Servicemembers’ Group Life Insurance (TSGLI)-Module4,page85

Travel Benefits

Travel Benefits for Service Members/Veterans -Module4,pages81,95-96

Travel Benefits for Caregivers-Module4,pages82,97

Treatment, Phases of-Module2,page3

TRICARE

TRICARE for Life-Module4,page89

TRICARE Dental Program (TDP)-Module4,page30

TRICARE Military Medical Support Office (MMSO) -Module4,page32

TRICARE Network Community-Based Managed Care -Module4,pages14,15

TRICARE Reserve Select (TRS)-Module4,page28

TRICARE Retiree Dental Program-Module4,page31

TRICARE Services and Benefits-Module4,pages25-27

Trust-Module3,page88See estate planning

Tubes, Types of-Module1,page23

UUnemployment Compensation-Module4,page118

Urinary Catheter-Module1,page23

34 IndextotheGuide

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35

VVA Disability System-Module4,pages106,111

VA Health Care System

Eligibility, Enrollment, Services-Module4,pages33-35

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)-Module4,page36

VA Personal Health Record – My Healthevet-Module4,page36

VA Polytrauma Network Sites (PNS)-Module2,page5

VA Polytrauma Rehabilitation Centers (PRC) -Module2,pages5,6,89

VA Polytrauma System of Care (PSC) -Module2,page5;Module4,page5

VA Liaison-Module4,pages2,3,24

VA Polytrauma Network Sites (PNS)-Module2,page5

VA Polytrauma Rehabilitation Centers (PRC) - Module2,pages5,6,89

VA Polytrauma System of Care (PSC) -Module2,pages5-6;Module4,page5

VA Schedule for Rating Disabilities (VASRD)-Module4,pages105-107,141

VA State Offices-Module4,pages119-123

Vegetative State-Module1,page30

Ventilator-Module1,pages22-23

Ventricles-Module1,pages6,16,22,25

Ventricular Drain or Ventriculostomy-Module1,page22

Veterans Benefits Administration (VBA) -Module2,page6

Veterans Educational Assistance Program (VEAP)-Module4,pages60,62-63

Veterans Service Organizations (VSOs)-Module4,pages129-131

Veterans Upward Bound (VUB) Program-Module4,pages63-64

Vision Problems-Module2,pages13,19,21,27-28,54 IND

EX

Visual Spatial Problems-Module2,pages27-28

Vocational Rehabilitation and Employment Program (VR&E)-Module4,page65

Vocational Rehabilitation Counselor-Module2,page10

W5W Strategy (Who, What, Where, When, Why) -Module2,page47

Warrior Transition Unit (WTU)-Module4,pages21-22

Water on the Brain (Hydrocephalus)-Module1,page25

Web Page/Site, Personalized-Module3,page59

Weight Loss or Gain-Module2,pages25-26

Whiplash-Companion,page9

Word Finding Problems-Module2,page56

Writing Problems-Module2,page61

36 IndextotheGuide

IND

EX

37

Notes

3838 Notes

www.traumaticbraininjuryatoz.orgVersion:1-2010

Thisguidewasproducedincollaborationwith

TheDefenseHealthBoard

TheDefenseandVeteransBrainInjuryCenter

and

TheHenryM.JacksonFoundationfortheAdvancementofMilitaryMedicine