Click here to load reader

Tbi overview

  • View
    356

  • Download
    4

Embed Size (px)

Text of Tbi overview

  • 1. Successful completion of this training meets one hour of the four hour annual training requirement for Personal Attendant Services direct care staff as provided through the TBI Waiver Program

2. 2013Information included in this presentation was current at the time it was developed. Presentation materials are reviewed on an annual basis.West Virginia TBI Waiver Program direct care staff annual training2 3. Christopher J George, MSW, LGSW, CBIS Kaylynn Shepherd, LICSW, CBIS Jeanette Motsch, MS, CBIS Amanda M Wilson, M.A. Ashley Young, CBIS Traumatic Brain Injury Services at the Center for Excellence in DisabilitiesContact information: www.cedwvu.org/programs/tbi Toll Free: 1-877-724-82442013West Virginia TBI Waiver Program direct care staff annual training3 4. Upon completion of this training participants will be able to: Define Traumatic Brain Injury (TBI)Describe the basic anatomy of the brainIdentify three impairments as a result of Traumatic Brain Injury (TBI)2013West Virginia TBI Waiver Program direct care staff annual training4 5. Traumatic Brain Injury (TBI) isan insult to the brain not of a degenerative or congenital nature caused by an external physical force, that may produce a diminished or altered state of consciousness resulting in an impairment of cognitive abilities or physical functioning. It can also result in the disturbance of behavioral or emotional functioning, may be temporary or permanent and cause partial or total functional disability or psychosocial maladjustmentNational Head Injury Foundation (now the Brain Injury Association of America)2013West Virginia TBI Waiver Program direct care staff annual training5 6. A non-degenerative, non-congenital insult to the brain caused by an external physical force resulting in total or partial functional disability and/or psychosocial impairmentWV TBI Waiver Manual 512.7.2.C. page 19 2013West Virginia TBI Waiver Program direct care staff annual training6 7. Every 23 seconds, one person in the United States sustains a traumatic brain injury Each year, an estimated 1.7 million people sustain a TBI Centers for Disease Control and Prevention2013West Virginia TBI Waiver Program direct care staff annual training7 8. Centers for Disease Control and Prevention2013West Virginia TBI Waiver Program direct care staff annual training8 9. The following estimated averages are based annually for the United States from 2002-2006: 1.7 million people will sustain a TBI52,000 people will die resulting from a TBI80,000 people annually experience the onset of long-term disabilities following TBI1.365 million (80%) are treated and released from emergency departments2013West Virginia TBI Waiver Program direct care staff annual training9 10. TBI by Age Adults aged 75 years and older have the highest rates of TBI-related hospitalization and deathTBI by Gender In every age group, TBI rates are higher for males than for females Males aged 0 to 4 years have the highest rates of TBIrelated emergency department visits, hospitalizations, and deaths2013West Virginia TBI Waiver Program direct care staff annual training10 11. Traumatic Brain Injury (TBI) is often referred to as some of the following: The Silent Epidemic The Signature Wound of returning veterans Having your bell rung2013West Virginia TBI Waiver Program direct care staff annual training11 12. Watch the following video Relearning Everythinghttp://www.youtube.com/watch?v=-DXKS9uCIc02013West Virginia TBI Waiver Program direct care staff annual training12 13. The following are some injuries that may occur at the time of traumatic injury: Axonal Shearing (diffuse axonal injury): damage to individual nerve cells (neurons) oContusion: bruising of the brain tissue oOften caused by small blood vessel leaks as a result from a fall or car accidentCoup-Contrecoup: shaking of the brain back and forth within the confines of the skull oOften seen in car accidents as a result from the brain bouncing against the wall of the skullOften caused when the head slams into a dashboard then jerked back hitting the headrest during a car accidentSkull Fracture: break in one or more of the bones that make up the skull2013West Virginia TBI Waiver Program direct care staff annual training13 14. 2013West Virginia TBI Waiver Program direct care staff annual training14 15. 2013West Virginia TBI Waiver Program direct care staff annual training15 16. 2013West Virginia TBI Waiver Program direct care staff annual training16 17. The following are some injuries that may occur after the trauma: Hematomas: Accumulation of blood or a collection of blood trapped in the tissue of the brain.Increased Intracranial Pressure: Pressure inside the skull that builds as the brain swells.Seizure Disorder: Disorderly discharge or electrical activity in the nerve cells of the brain.2013West Virginia TBI Waiver Program direct care staff annual training17 18. The Brain is comprised of nerve cells o Consistency similar to spaghettiThe Brain fits tightly within the skull o Surrounded by fluid called cerebrospinalThe Brain is divided into four lobes o Frontal o Occipital o Parietal o Temporal2013West Virginia TBI Waiver Program direct care staff annual training18 19. The following link will explain the four lobes of the brain and their functions Please take a minute and review each lobe provided on the link below Brain Basics - 3D Model of Brain Injury | BrainLine.org2013West Virginia TBI Waiver Program direct care staff annual training19 20. Frontal o o o ooImpaired social behavior Decrease in problem solving abilities Difficulty controlling emotions Decision making: Often can not see long-term consequences of actions MemoryOccipital o oDouble Vision Vision field cut -Part of what a person may see might be cut off Example: When looking at a flower a person may only see the bottom half of the flower20113West Virginia TBI Waiver Program direct care staff annual training20 21. Parietal o o o oImpaired body sensation on affected body parts Decreased awareness of a persons own body parts Problems judging distances and depth Trouble controlling eye movementsTemporal oooImpaired sensory information -Hearing Can cause problems with communication, comprehension, and memory Difficulty with speech2013West Virginia TBI Waiver Program direct care staff annual training21 22. The Brain Stem is located deep inside the brain and leads to the Spinal Cord2013West Virginia TBI Waiver Program direct care staff annual training22 23. The Brain Stem controls many arousal and basic life functions like the following: Respiratory and Cardiac Centers o o oBreathing Heart Rate SwallowingAutonomic Nervous System oo o oSweating Blood Pressure Digestion Body TemperatureReflexes to Seeing and HearingAbility to Sleep2013West Virginia TBI Waiver Program direct care staff annual training23 24. When someone has experienced damage to the brain stem they may experience some of the following: Dizziness and Nausea oMay also be known as VertigoInsomniaDifficulty swallowing oMay also be known as DysphagiaDifficulty with organization/perception of the environment2013West Virginia TBI Waiver Program direct care staff annual training24 25. Located towards the back of the brain, underneath the occipital and temporal lobes2013West Virginia TBI Waiver Program direct care staff annual training25 26. The Cerebellum is also known as little brain because it controls many of the following: Movement o o o oDirection Rate Force SteadinessMuscle TonePostureHand/Eye Movement2013West Virginia TBI Waiver Program direct care staff annual training26 27. When someone has experienced damage to the cerebellum they may experience trouble with some of the following: Walking o May appear drunk when walkingBalanceFine Motor MovementCoordination2013West Virginia TBI Waiver Program direct care staff annual training27 28. Learning to work with those who have a Traumatic Brain Injury (TBI) takes timeRecovery time will vary from person to personChange and improvement can continue for many yearsContinued communication and consistency will assist with the recovery process2013West Virginia TBI Waiver Program direct care staff annual training28 29. U.S. Department of Health and Human Services Centers for Disease Control and Prevention,http://www.cdc.gov/TraumaticBrainInjury/ Brain Injury Association of America: The Essential Brain Injury Guide 4.0. Academy of Certified Brain Injury Specialist (2009) BrainLinehttp://www.brainline.org2013West Virginia TBI Waiver Program direct care staff annual training29 30. Here are some additional resources that you may want to explore: TBI Survivors View Centers for Disease Control and Prevention: TBI Center for Excellence in Disabilities at West Virginia UniversityCDC Injury and Violence Prevention and Control http://www.cdc.gov/injury/index.html Shepherd Center Learning Connections http://myvitalconnections.org/webmanuals.nsf/3478d43e5c5c8dcb 85256ae60061f897/1B910B089562F1EB85257164006D34A72013West Virginia TBI Waiver Program direct care staff annual training30 31. To receive your certificate of successful completion you must first pass the test and complete an online evaluation A score of 80% or higher is required Once you have successfully completed this training module you will receive an email with your certificate of completion2013West Virginia TBI Waiver Program direct care staff annual training31 32. Please scroll down and take the test below.Your thoughts and comments are very important to us. You may submit by clicking the survey link below.Thank You! 2013West Virginia TBI Waiver Program direct care staff annual training32

Search related