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Traumatic Brain Injury Assessment and Rehabilitation: A Continuum of Care Presented at the Pennsylvania Psychological Association Annual Convention, Friday June 18, 2010.
Presenters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disclosures ,[object Object],[object Object]
 
Disclaimer ,[object Object]
[object Object],[object Object]
Definition of Traumatic Brain Injury ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Prevalence of TBI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rates of TBI hospitalization and death  by age group
 
 
 
Proportion of TBI related hospitalizations and deaths Transportation Falls Firearms Assaults Other
[object Object]
Mechanism of Brain Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Closed Head Injury ,[object Object],[object Object],[object Object],[object Object]
Open Head Injury ,[object Object],[object Object],[object Object],[object Object]
 
TBI: A  biological  event within the brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
TBI: Changes in  functioning ,[object Object],[object Object],[object Object]
Injured Brain ,[object Object],[object Object]
What Do We Mean by  Severity of Injury ,[object Object]
How to measure “severity”? ,[object Object],[object Object],[object Object],[object Object]
 
Mild injury 0-20 minute loss of consciousness GCS = 13-15 PTA < 24 hours Moderate injury 20 minutes to 6 hours LOC  GCS = 9-12 Severe injury > 6 hours LOC  GCS = 3-8
What Happens as the Person with Moderate or Severe Injury Begins to Recover After Injury?
Recovery and Plasticity ,[object Object],[object Object],[object Object]
Determining Recovery Potential ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cognitive Impairments after TBI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Comprehensive Rehabilitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Role of Neuropsychological Assessment:  Historical Perspective ,[object Object],[object Object],[object Object]
Technician / Artist ,[object Object],[object Object]
Technician / Artist ,[object Object],[object Object]
Holistic Neuropsychological Principles ,[object Object],[object Object],[object Object],[object Object]
Holistic Neuropsychological Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Entering the Unknown The Unknown
Existential Issues in TBI ,[object Object],[object Object],[object Object],[object Object],[object Object]
TBI Recovery Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“… But be that as it may, those of us who did make it have an obligation to build again. To teach to others what we know, and to try with what's left of our lives to find a goodness and a meaning to this life.”  (Quote from the movie “Platoon”, 1986)
How neuropsychological assessment addresses these challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How collaborative neuropsychological assessment addresses these challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Holistic Neuropsychological Principles ,[object Object],[object Object],[object Object],[object Object]
Holistic Neuropsychological Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of Collaborative Neuropsychology ,[object Object],[object Object],[object Object],[object Object]
Methods of Collaborative Neuropsychology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Applications In Brain Injury (BI) Rehabilitation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Applications In Brain Injury Rehabilitation ,[object Object],[object Object],[object Object],[object Object]
Strengths of CTNA in BI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Contact Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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TBI and Holistic Neuropsychology

  • 1. Traumatic Brain Injury Assessment and Rehabilitation: A Continuum of Care Presented at the Pennsylvania Psychological Association Annual Convention, Friday June 18, 2010.
  • 2.
  • 3.
  • 4.  
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Rates of TBI hospitalization and death by age group
  • 11.  
  • 12.  
  • 13.  
  • 14. Proportion of TBI related hospitalizations and deaths Transportation Falls Firearms Assaults Other
  • 15.
  • 16.
  • 17.  
  • 18.
  • 19.
  • 20.  
  • 21.
  • 22.  
  • 23.  
  • 24.  
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.  
  • 30. Mild injury 0-20 minute loss of consciousness GCS = 13-15 PTA < 24 hours Moderate injury 20 minutes to 6 hours LOC GCS = 9-12 Severe injury > 6 hours LOC GCS = 3-8
  • 31. What Happens as the Person with Moderate or Severe Injury Begins to Recover After Injury?
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Entering the Unknown The Unknown
  • 42.
  • 43.
  • 44. “… But be that as it may, those of us who did make it have an obligation to build again. To teach to others what we know, and to try with what's left of our lives to find a goodness and a meaning to this life.” (Quote from the movie “Platoon”, 1986)
  • 45.
  • 46.
  • 47.  
  • 48.  
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.