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Traumatic Brain Injury: A Guide for Caregiversof Service Members and Veterans
Welcome
i
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
IndextotheGuide
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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)
IndextotheGuide
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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
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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
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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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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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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
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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
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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
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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
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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
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37
Notes
3838 Notes
www.traumaticbraininjuryatoz.orgVersion:1-2010
Thisguidewasproducedincollaborationwith
TheDefenseHealthBoard
TheDefenseandVeteransBrainInjuryCenter
and
TheHenryM.JacksonFoundationfortheAdvancementofMilitaryMedicine