lunes, 11 de julio de 2016 - DCoE Webinar Rewind: Cognitive Rehabilitation for Mild TBI - DCoE Webinar Rewind: Cognitive Rehabilitation for Mild TBI

DCoE Webinar Rewind: Cognitive Rehabilitation for Mild TBI

Lt. Cmdr. Mary Rhodes, a psychiatrist, talks with a patient. (U.S. Army photo by Spc. Lance Hartung)

Lt. Cmdr. Mary Rhodes, a psychiatrist, talks with a patient. (U.S. Army photo by Spc. Lance Hartung)

ACcording to the Defense Medical Surveillance System, mild traumatic brain injury (TBI), also known as concussion, accounts for more than 82 percent of TBI cases throughout the Defense Department worldwide.
“Service members and veterans who have sustained a concussion may experience cognitive symptoms that keep them from normal activity,” said Linda M. Picon, the Department of Veterans Affairs liaison for TBI at the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE).
“These symptoms may be related to a history of mild TBI and to deployment-related complaints such as chronic pain, headaches, post-traumatic stress disorder, depression, anxiety, sleep difficulties, substance use disorders and life stressors following return from deployment,” said Picon during a recent webinar hosted by DCoE.
Six Guiding Principles of Cognitive Rehabilitation
Douglas B. Cooper, research director for the Defense and Veterans Brain Injury Center (DVBIC), and Micaela Cornis-Pop, national program manager of the Veterans Affairs Polytrauma System of Care, outlined best practices for providers who treat concussed patients.
In order to create an evidence-based practice, providers need to combine research evidence, clinical experience, and knowledge of patients’ values and preferences, said Cooper. He explained how health care professionals can apply six guiding principles when working with service members and veterans:
  • Recruit resilience. Help patients develop ways to bounce back from difficult experiences and adapt to overcome adversity.
  • Cultivate therapeutic alliances. Build a foundation for the therapeutic process by developing strong relationships with patients.
  • Acknowledge complexities. Help patients identify factors that may have contributed to their challenges and affect their ability to overcome them.  
  • Build a team. Interdisciplinary teams of specialists can reduce the risk of missing problems that might affect treatment.
  • Focus on function. Aim to help patients reduce limitations on daily activities and participate more fully in life.
  • Promote realistic expectations for recovery. Promoting realistic expectations will help individuals develop self-confidence and take charge of their lives, improving treatment outcomes.
Making Cognitive Rehab Work
“Right at the beginning of the clinical interaction with the patient, it is important to build the trust and the collaborative relationship that will lead to this establishment of the therapeutic alliance between the clinician and the service member or veteran,” said Cornis-Pop.
She shared four stages of therapy health care professionals should follow to ensure that cognitive rehabilitation treatment works for their patients:
  1. Get started. Establish a therapeutic alliance that acknowledges the many factors that may affect a patient’s situation and ongoing symptoms.  
  2. Set the stage for functional changes. Identify and explore problems to set functional goals early in the process.
  3. Help the patient implement changes. Guide patients in a collaborative process as they incorporate the techniques into their daily activities.
  4. Move toward self-management. Help patients reach the point where they are able to implement these techniques on their own and effectively solve their problems.
Providers should motivate patients to change rather than telling them why they should change, Cornis-Pop emphasized. It’s also important to respect patients’ autonomy by letting them decide for themselves what changes they want to make.
Visit the DCoE webinar archives to download a PDF PowerPoint presentation for the webinar, “Cognitive Rehabilitation in Mild Traumatic Brain Injury: Applications in Military Members and Veterans,” along with an PDF overview of TBI resources for providersPDF webinar transcript and webinar podcast.
Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

Army partners with MIT Lincoln Lab on voice analysis program to detect brain injury

Service members are at higher risk for TBI because their jobs are physically demanding and potentially dangerous, both in combat and training environments. However, not all blows or jolts to the head result in TBI. (U.S. Army photo by Sgt. Paige Behringer)
Researchers with the Massachusetts Institute of Technology Lincoln Laboratory are developing a computer algorithm to identify vocal indicators that could help diagnose mild traumatic brain injury or concussion
Related Topics: Traumatic Brain Injury | Innovation

Technician Discusses TBI Research

Technician Discusses TBI Research
Richard Benjamin, lead physical science technician at the Army Research Laboratory at Aberdeen Proving Ground, Md., discusses using technology to better understand traumatic brain injuries.
Related Topics: Traumatic Brain Injury

Scientists probe Traumatic Brain Injury effects at research lab

Sensors attached to a translucent model skull are used to measure explosive shock velocity and pressure at the Army Research Laboratory Weapons and Materials Research Directorate at Aberdeen Proving Ground in Aberdeen, Maryland. Data captured by the sensors are used to assist studies in traumatic brain injuries. (DoD photo by EJ Hersom)
The Army Research Laboratory’s specialized experiments offer repeatable parameters to attain more reliable data and to complement strides made by the Department of Veterans Affairs and the medical and academic communities
Related Topics: Traumatic Brain Injury | Research and Innovation | Medical Research and Development | Innovation | Technology

TBI patient recovers with help from a canine friend

Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury staff members admire Lundy, a service dog, as his owner Jake Young (far right), a former Navy SEAL, looks on.
When Jake Young, a former Navy SEAL, was asked to train a service dog as a form of therapy, he wasn’t exactly sold on the idea
Related Topics: Warrior Care | Posttraumatic Stress Disorder | Traumatic Brain Injury

Research key to progress in PTSD, TBI care, DoD experts say

Depressed soldier
Doctors updated a Senate Armed Services Committee panel on the Defense Department’s research, diagnosis and treatment for PTSD and TBI
Related Topics: Conditions and Treatments | Posttraumatic Stress Disorder | Traumatic Brain Injury

Support program assists service members with traumatic brain injuries

The Recovery Support Program offers resources and personalized assistance to service members, veterans and the families of those affected by traumatic brain injuries. The program employs specialists who work one on one with clients to help arrange appointments, offer support and advocate on their behalf.
The Traumatic Brain Injury Recovery Support Program’s specialists help guide service members and their caregivers through the recovery process
Related Topics: Traumatic Brain Injury

Vision assessment important to TBI Care

Service member getting eyes checked
Vision experts stress that eye exams should be part of the diagnosis and treatment of mild traumatic brain injury.
Related Topics: Traumatic Brain Injury | Vision Loss

A Head for the Future: Randy Gross

A Head for the Future: Randy Gross
When he was 23, Randy Gross was riding in a car with his seat belt off. The former Army staff sergeant sustained a TBI when the vehicle crashed. He sought help immediately, making a full recovery from his TBI and continuing to serve in the Army until 2006. Now, Gross helps those in the military with TBI as a regional education coordinator for DVBIC.
Related Topics: Traumatic Brain Injury

Preventing TBI for all ages

Airmen from the 227th Air Support Operations Squadron carry a simulated casualty to an Army Dustoff helicopter.
Summer activities can sometimes lead to serious injuries – like a traumatic brain injury
Related Topics: Traumatic Brain Injury

Military brain injury expert: Everyone’s ability to recover is different

Air Force Maj. Michael Matchette, 332nd Expeditionary Medical Support Squadron radiologist, reviews CT scans from a trauma patient to determine the severity of the injuries at the Air Force Theater Hospital.
Dr. Heechin Chae explains how everyone is different when it comes to recovering from traumatic brain injuries.
Related Topics: Conditions and Treatments | Traumatic Brain Injury

New Intrepid Spirit Center marks milestone in TBI treatment at Fort Hood

Dr. Scot Engel, Army Col. Mark Thompson, Army Brig. Gen. Rodney Fogg, Arthur Fisher, former Texas governor Rick Perry and U.S. Representative John Carter, cut the ribbon to open the newest Intrepid Spirit Center at Fort Hood, Texas.
The grand opening of the Intrepid Spirit Center means that Soldiers have a one-site, integrated center that allows them to receive state-of-the-art care in a state-of-the-art facility
Related Topics: Warrior Care | Traumatic Brain Injury

DoD center of excellence for TBI welcomes new national director

Graphic logo for the Defense and Veterans Brain Injury Center
DVBIC welcomes new leadership
Related Topics: Traumatic Brain Injury | Warrior Care

Traumatic brain injury is an all-ages threat

Educating your children about head injuries and making sure they use safety equipment properly can help reduce concussions and other forms of brain injuries. (U.S. Air Force photo by Staff Sgt. Jim Araos)
Children who participate in recreational activities or play sports are at increased risk of mild TBIs, but proper education and precautions help reduce those risks.
Related Topics: Traumatic Brain Injury | Children's Health | Preventive Health | Physical Activity

Head for the future

Head for the future
In 2005, a car struck Marine reservist Maj. Eve Baker head-on while she was biking to work in Honolulu. She flew face-first into the windshield, shattering her helmet — which likely saved her life.
Related Topics: Traumatic Brain Injury

Medical career that started with dreams of wealth now focuses on healing the brain

Dr. Heechin Chae heads the National Intrepid Center of Excellence satellite office at Fort Belvoir, Virginia, one of nine special centers within the Military Health System to treat those suffering from TBI.
Dr. Heechin Chae, an expert on traumatic brain injury, describes his life journey from immigrant to head of the National Intrepid Center of Excellence satellite office at Fort Belvoir, Virginia.
Related Topics: Traumatic Brain Injury

No hay comentarios:

Publicar un comentario