Employer and Counselor Perceptions of Workplace Accommodations for Persons with Traumatic Brain Injury

1993 ◽  
Vol 24 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Craig A. Michaels ◽  
Donald A. Risucci
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Vocational Rehabilitation Counselors ◽  
Rehabilitation Services Administration ◽  
Counselor Perceptions ◽  
Workplace Accommodations ◽  
Definition Of ◽  
The Individual

This study compared employers' and vocational rehabilitation counselors' attitudes and willingness to consider various workplace accommodations for individuals with traumatic brain injury (TBI). In addition to comparing what types of accommodations might be considered reasonable, the study also investigated both employers' and counselors' lack of willingness to make various accommodations. Lack of willingness to make accommodations was addressed in terms of the three most commonly offered reasons for why an accommodation is potentially not reasonable: (a) not fair to co-workers, (b) too time consuming, and (c) too costly. Scenarios were developed to directly gather information on potential accommodations for workers who displayed functional limitations within the seven capacity areas mentioned by the Rehabilitation Services Administration in their definition of severe disability. While for the most part counselors' views tended to be similar to those of employers, in general counselors tended to rate accommodations as more problematic than employers. In addition, counselors tended to view functional limitations within the individual as most problematic while employers viewed limitations in actual job performance as most problematic.

Applying a Resiliency Model to Community Reintegration and Needs in Families with Traumatic Brain Injury: Implications for Rehabilitation Counselors

2014 ◽  
Vol 45 (1) ◽  
pp. 25-36 ◽  
Author(s):  
Christina Dillahunt -Aspillaga ◽  
Julianne Agonis-Frain ◽  
Ardis Hanson ◽  
Michael Frain ◽  
Melanie Sosinski ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Work And Family ◽  
Rehabilitation Counselors ◽  
Community Reintegration ◽  
Injury Rehabilitation ◽  
Family Reintegration ◽  
Related Stress ◽  
The Individual ◽  
And Function

Traumatic Brain Injury (TBl) is complex and unique, encompassing a myriad of challenges for the person with the injury, rehabilitation counselors, and the survivor's family and friends. The challenges can affect work and family reintegration. Sustaining a TBI can result in familial strain as it affects the role and function of the individual with TBI in the family. Manifestations can include financial, psychological, and caregiver-related stress. Since individual andfamily coping mechanisms interrelate, it is important for rehabilitation counselors to appreciate theoretical constructs offamily resiliency. This article explores the rehabilitation counselor's need to assess the connectedness of family resiliency and community reintegration outcomes in persons with TBl; it also underscores the importance of evaluating family-inclusive rehabilitative interventions.

Information for Rehabilitation Counselors on Guardianship and Alternatives to Guardianship for Persons with Traumatic Brain Injuries

2004 ◽  
Vol 35 (1) ◽  
pp. 3-9
Author(s):  
Michelle McGraw-Hunter
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Injuries ◽  
The United States ◽  
Traumatic Brain Injuries ◽  
Rehabilitation Counselors ◽  
Power Of Attorney ◽  
Injury Rehabilitation ◽  
The Individual

As the number of persons with traumatic brain injury has increased in the United States, the focus placed on whether or not guardianship is appropriate for such individuals has expanded. The purpose of this paper is to provide knowledge for rehabilitation counselors on the issues of guardianship and to explore other, less intrusive methods to meet the needs of individuals with traumatic brain injuries while maximizing their independence. Issues such as competency and independence need to be addressed in order to determine the necessity of guardianship. The level of restriction that guardianship imposes on the individual must also be considered in regards to what is most appropriate for the person with a traumatic brain injury, with consideration given to alternatives to guardianship that are less restrictive and invasive. Alternatives to guardianship include designating a representative payee, choosing a durable power of attorney, or creating a trust for the person with a traumatic brain injury. Rehabilitation counselors should be knowledgeable of the issues surrounding guardianship and alternatives to guardianship in order to have a strong knowledge base regarding issues that may affect their clients with traumatic brain injuries and to be able to provide the highest quality of services to their clients.

Functional Limitations and Depression After Traumatic Brain Injury: Examination of the Temporal Relationship

2008 ◽  
Vol 89 (10) ◽  
pp. 1887-1892 ◽  
Author(s):  
Kathleen Farrell Pagulayan ◽  
Jeanne M. Hoffman ◽  
Nancy R. Temkin ◽  
Joan E. Machamer ◽  
Sureyya S. Dikmen
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Temporal Relationship ◽  
Functional Limitations

scholarly journals Interrupted time Series Design to Evaluate ICD-9-CM to ICD-10-CM Coding Changes on Trends in Colorado Emergency Department visits Related to Traumatic Brain Injury

2020 ◽  
Author(s):  
Lauren Alexis De Crescenzo ◽  
Barbara Alison Gabella ◽  
Jewell Johnson
Keyword(s):  
Public Health ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Interrupted Time Series ◽  
Emergency Department Visits ◽  
P Value ◽  
Icd 10 ◽  
The Usa ◽  
Definition Of

Abstract Background. The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the USA led public health professionals to propose a surveillance definition of traumatic brain injury (TBI) that uses ICD-10-CM codes. The proposed definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI definition. The purpose of this study was to evaluate this change in surveillance methods on monthly rates of TBI-related emergency department visits in Colorado from 2012 to 2017.Results. The monthly rate of TBI-related emergency department visits in the transition month to ICD-10-CM (October 2015) decreased 41 visits per 100,000 population (p-value <0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition. Conclusion. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates over time. The findings inform estimation of TBI magnitude based on ICD coded data and decisions about allocating TBI resources based on an estimated TBI magnitude.

A humanização à vítima de traumatismo crânioencefálico: uma revisão narrativa

2021 ◽  
Vol 5 (9) ◽  
pp. 20-26
Author(s):  
Nithya Deyelly Batista Neves Guidão ◽  
Danielle Galdino de Souza
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Prehospital Care ◽  
Sample Selection ◽  
Cranial Trauma ◽  
Integration Of Services ◽  
Care Practices ◽  
Definition Of ◽  
Definition Of Information

O estudo objetivou a compreender a influência da humanização durante a assistência de enfermagem ao paciente com Traumatismo Crânioencefálico. Trata-se de revisão narrativa, percorridas em seis etapas: (1) estabelecimento da hipótese e objetivos da revisão; (2) estabelecimento de critérios de inclusão e exclusão de artigos (seleção da amostra); (3) definição das informações a serem extraídas dos artigos selecionados (4) avaliação dos resultados (5) interpretação dos resultados (6) apresentação da revisão. Foram analisadas 7 artigos, os enfermeiros devem atuar demonstrando sempre o anseio pela busca de aperfeiçoamento em suas práticas assistenciais, e uma estratégia que beneficia a equipe, bem como também, promover a humanização, e a estruturação de um protocolo com base científica que auxilia nas atividades seguras e eficazes ao vínculo profissional-paciente. Conclui-se que a humanização tem influência direta na qualidade assistencial dos pacientes com TCE por meio de um ambiente confortável, com gestão de recursos, maior atividade de profissionais de várias especialidades capacitados para avaliar, diagnosticar e iniciar o tratamento de forma imediata, gerando a organização e integração dos serviços que atendam a demanda de usuários nos setores de urgência e emergência.Descritores: Humanização, Urgência e Emergência, Atendimento Pré-Hospitalar, Traumatismo Craniano. Humanization to the victim of traumatic brain injury: a narrative reviewAbstract: The study aimed to understand the influence of humanization during nursing care for patients with traumatic brain injury. It is a narrative review, carried out in six stages: (1) establishment of the hypothesis and objectives of the review; (2) establishment of inclusion and exclusion criteria for articles (sample selection); (3) definition of information to be extracted from selected articles (4) evaluation of results (5) interpretation of results (6) presentation of the review. Seven articles were analyzed, nurses should always demonstrate their desire to seek improvement in their care practices, and a strategy that benefits the team, as well as promoting humanization, and the structuring of a scientifically based protocol that helps in safe and effective activities to the professional-patient bond. It is concluded that humanization has a direct influence on the quality of care for patients with TBI through a comfortable environment, with resource management, greater activity of professionals from various specialties trained to evaluate, diagnose and start treatment immediately, generating the organization and integration of services that meet the demand of users in the urgency and emergency sectors.Descriptors: Humanization, Urgency and Emergency, Prehospital Care, Cranial Trauma. Humanización a la víctima de traumatismo craneoencefálico: una revisión narrativaResumen: El estudio tuvo como objetivo comprender la influencia de la humanización durante el cuidado de enfermería para pacientes con traumatismo craneoencefálico. Se trata de una revisión narrativa, realizada en seis etapas: (1) establecimiento de las hipótesis y objetivos de la revisión; (2) establecimiento de criterios de inclusión y exclusión de artículos (selección de muestra); (3) definición de la información que se extraerá de los artículos seleccionados (4) evaluación de los resultados (5) interpretación de los resultados (6) presentación de la revisión. Se analizaron siete artículos, los enfermeros siempre deben demostrar su deseo de buscar la mejora en sus prácticas de cuidado, y una estrategia que beneficie al equipo, además de promover la humanización, y la estructuración de un protocolo de base científica que ayude en actividades seguras y eficaces para el vínculo profesional-paciente. Se concluye que la humanización tiene una influencia directa en la calidad de la atención al paciente con TCE a través de un ambiente confortable, con manejo de recursos, mayor actividad de profesionales de diversas especialidades capacitados para evaluar, diagnosticar e iniciar tratamiento de manera inmediata, generando la organización e integración de servicios que satisfagan la demanda de los usuarios en los sectores de urgencia y emergencia.Descriptores: Humanización, Urgencia y Emergencia, Atención Prehospitalaria, Trauma Craneal.

scholarly journals A 3D Tissue Model of Traumatic Brain Injury with Excitotoxicity That Is Inhibited by Chronic Exposure to Gabapentinoids

Biomolecules ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 1196
Author(s):  
Nicolas Rouleau ◽  
Mattia Bonzanni ◽  
Joshua D. Erndt-Marino ◽  
Katja Sievert ◽  
Camila G. Ramirez ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glutamate Release ◽  
Cell Types ◽  
Screening Tools ◽  
Secondary Brain Injury ◽  
High Concentration ◽  
Drug Induced ◽  
The Individual ◽  
Injury Progression

Injury progression associated with cerebral laceration is insidious. Following the initial trauma, brain tissues become hyperexcitable, begetting further damage that compounds the initial impact over time. Clinicians have adopted several strategies to mitigate the effects of secondary brain injury; however, higher throughput screening tools with modular flexibility are needed to expedite mechanistic studies and drug discovery that will contribute to the enhanced protection, repair, and even the regeneration of neural tissues. Here we present a novel bioengineered cortical brain model of traumatic brain injury (TBI) that displays characteristics of primary and secondary injury, including an outwardly radiating cell death phenotype and increased glutamate release with excitotoxic features. DNA content and tissue function were normalized by high-concentration, chronic administrations of gabapentinoids. Additional experiments suggested that the treatment effects were likely neuroprotective rather than regenerative, as evidenced by the drug-mediated decreases in cell excitability and an absence of drug-induced proliferation. We conclude that the present model of traumatic brain injury demonstrates validity and can serve as a customizable experimental platform to assess the individual contribution of cell types on TBI progression, as well as to screen anti-excitotoxic and pro-regenerative compounds.

Serendipity and the Subdural Hematoma

Biofeedback ◽  
2009 ◽  
Vol 37 (3) ◽  
pp. 108-111
Author(s):  
Jay Gunkelman
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Subdural Hematoma ◽  
Imaging Studies ◽  
Word Finding ◽  
Life Threatening ◽  
The Individual ◽  
The Brain ◽  
Effect Of Age

Abstract Mild traumatic brain injury is often missed in the course of treating other injuries. This failure to identify the brain injury can be critically important, even life threatening. This report shows one such case in which the brain injury was overlooked, possibly because of the differential effect of age on the severity of the damage incurred from what appeared to be a mild trauma. Distant to the time of the injury, deficits in speech fluency and word finding led the individual to seek further evaluation, and imaging studies revealed a large subdural hematoma. CT scan images are included.

Understanding Traumatic Brain Injury From a Gestalt Approach

2019 ◽  
Vol 50 (4) ◽  
pp. 252-267 ◽  
Author(s):  
Charles Edmund Degeneffe
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Conceptual Framework ◽  
Family Caregivers ◽  
Service System ◽  
Gestalt Therapy ◽  
Rehabilitation Counselors ◽  
Self Awareness ◽  
Unfinished Business ◽  
Rehabilitation Counselor

This article proposes ways in which the theories, philosophies, and techniques of Gestalt therapy can assist rehabilitation counselors to better understand traumatic brain injury (TBI). The article describes the central tenets of Gestalt therapy and its unique fit to TBI. Discussion focuses on how an appreciation of Gestalt therapy can assist rehabilitation counselors to understand and address the psychological, familial, and service system implications of TBI. A conceptual framework is presented on the pathways of maladjustment and adjustment to living with TBI from a Gestalt perspective. A central assumption of this model is that without intervention, the onset of TBI activates a process of maladjustment for many persons with TBI and their family caregivers expressed by fragmentation, unfinished business, and lack of self-awareness. The model underscores the importance of rehabilitation counselor attention on both individual and contextual levels.

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