BRAIN INJURY AND PSYCHIATRY BRAIN INJURY BASICS (WHAT I WISH EVERYONE KNEW) TRAUMATIC BRAIN INJURY CONCUSSION POST CONCUSSIVE SYMPTOMS 2/27/2018
|
|
- Duane Wade
- 6 years ago
- Views:
Transcription
1 BRAIN INJURY AND PSYCHIATRY Kelly Collins MD Physical Medicine and Rehabilitation Brain Injury Medicine Board Certified WHAT DOES A PM&R DOCTOR DO? See handout Physical Medicine and Rehabilitation physician or Physiatrist, NOT psychiatrist or physical therapist Our Outpatient focus (not comprehensive for PM&R): brain injury/concussion, stroke, brain tumor, SCI, amputees, MSK, EMG, joint and trigger point injections, spasticity management (incl. Botox) What we do not currently see: pediatrics, burn, chronic pain (not including spine) Looking to expand, but Neuro is main focus right now Inpatient: 20 bed unit PM&R Team: Kelly Collins, MD, Jeff Derr, MD, Ann Summar APRN CNP, Becky Kastanek APRN CNP BRAIN INJURY BASICS (WHAT I WISH EVERYONE KNEW) TRAUMATIC BRAIN INJURY Are brain injury and concussion interchangeable? Radiologic evidence of trauma (10% of the brain injury world) Basilar skull fractures can be our friends?!? Radiologic recovery often before functional recovery Anticipate full recovery vs plateau at 2-3 years, but may be sooner Anoxia is a type of brain injury doesn t really have its own category CONCUSSION POST CONCUSSIVE SYMPTOMS 90% of brain injury world Often missed common incorrect diagnoses are bipolar disorder, anxiety, depression, fatigue, migraines, headaches, chronic pain Concussions do not require impact to the head (ie. Rotational forces leading to axonal injury) See handouts Most patients with concussions (80-90%) fully recover (compensate for deficits) in 4 weeks Patients with post concussive syndrome (10-20%): symptoms lasting longer than 4 weeks Persistent post concussive syndrome means symptoms still present after 3 months 1
2 RISK FACTORS FOR WORSE OUTCOME AFTER CONCUSSION VISION AND CONCUSSION Hx of previous concussion with prolonged recovery Family hx of previous concussion with prolonged recovery (genetics) Hx of anxiety, depression, migraines (other psychiatric diagnoses) (Developmental vision issues, poor social support, increased stress with cognitive dysfunction) Life is not like the movies! If you had problems before your concussion, they are not expected to get better afterwards 80% of the brain either assists with vision or uses visual information to function Visual tracts are long (from eyes to occiput and brainstem) and at high risk for injury Occipital lobe is often injured (falling backwards, coup-counter-coup) Autonomic dysfunction affects vision stuck in fight or flight (or lack of parasympathetic input) causing loss of ambient vision EYE DOCTORS ARE NOT ALL THE SAME COMMON VISUAL EFFICIENCY FINDINGS ON EXAM Ophthalmologists Neuro-ophthalmologists Optometrists Neuro-developmental Optometrists Glasses: tint, prism, more than one pair Syntonics light therapy not FDA approved. Very effective for more difficult cases (more to come on this ) OUTCOMES FOR PATIENTS ANOSOGNOSIA An inability or refusal to recognize a defect or disorder that is clinically evident Medial inferior frontal lobe damage Big challenge and why many of my patients get missed initially 2
3 INDICATIONS FOR SYNTONICS LIGHT THERAPY (ALTERNATIVE MEDICINE NOT FDA APPROVED) FIRST TEST Anxiety PTSD Traumatic Brain Injury Omni Vision in Monticello. Bright Eyes in Otsego. Vision Cents in Little Falls. Costs under $300 for four months of treatment and testing. Lion s Clubs have been open to helping with payment Most Neuro-developmental Optometrists know about this Side effects, non-responders MOST RECENT TEST COMMON PSYCHIATRIC DISORDERS IN TBI Acquired attention deficit most resolve Anxiety Depression PTSD Also: grief, adjustment disorder, pain syndrome, emotional dysregulation, frontal lobe syndromes MEDICATION PEARLS TREATMENT PEARLS Start low and go slow! No benzodiazepines (Ambien) No medical cannabis - at least not THC No EtOH Higher risk for side effects than non-brain injured patients Treat these three symptoms first: Sleep Headache/pain Depression Common initial medications: TCAs, gabapentin, Lyrica, mirtazapine, acetaminophen, NSAIDs, trazodone, triptans, SSRIs, melatonin, *Wellbutrin Common secondary meds Buspar, neurostimulants, Sonata, SNRIs *Wellbutrin increases energy, increases cognitive functioning, improve sexual functioning, reduces depression 3
4 THERAPIES FOR BRAIN INJURY OTHERS ON THE TREATMENT TEAM Physical therapy Vestibular eval and training/balance (BPPV) Vision screen Cognitive screen Speech and Language Pathology (aka Speech therapy) Identifies and educates on symptoms and symptom management Teaches cognitive strategies Teaches life skill strategies Occupational therapy (usually the longest) Visual efficiency testing and treatment Sensory dysfunction eval and treatment Therapeutic listening (vestibular and cognitive strategies) Usually begins after seen by Neurodevelopmental Optometrist Social worker (Gwen Feddema LSW) Counselor (Dr. Karen Freed s groups, Chris Gilyard LMFT, others) Psychiatry Neurology (headache) Family members WHEN TO CONSULT US MISSED BRAIN INJURY SURVIVORS Inpatient: consider consulting us if there is concern of possible TBI/concussion Consider a follow up appointment with us after discharge (Inpatient Rehab Referrals) Outpatient current strategy is to start with PCP. If patient has severe symptoms or does not improve within 4 weeks, then consider referral. refer to therapy(ies). Be careful not to overwhelm patient Abuse survivors battered women and children Political Trauma survivors refugees Veterans Elderly person who falls or has heart surgery Student athlete (compensate well) Early intervention is key PEOPLE DO RECOVER FROM TBI AND CONCUSSION OTHER TIDBITS If you don t ask, they don t tell Preventative measures: helmets, no ladders, keep floors clear, substance abuse, etc. Different levels of recovery usually they plateau the new normal 4
5 Brainsafemn.com Central MN collaborative Research Impact Testing at high schools Standards of Care/templates Community outreach Walk for Thought St. Cloud, Twin Cities, Duluth each year Patient, family and provider educational resources Call Wendy Hoffman with questions (her number is on the website) QUESTIONS VS. DISCUSS MORE ABOUT VISION VS. OTHER 5
Guideline for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms. Patient Version
Guideline for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms 3 rd Edition - for adults, +18 years of age Patient Version This guideline has been created to help with management of concussion/mild
More informationPlan for Today. Brain Injury: 8/4/2017. Effective Services for People Living with Brain Injury. What is it & what causes it?
Effective Services for People Living with Brain Injury Jean Capler, MSW, LSW Local Support Network Leader The Rehabilitation Hospital of Indiana Department of Resource Facilitation Plan for Today Brain
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationCasa Colina Centers for Rehabilitation: A unique physician-directed model of care that works
Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Emily R. Rosario, PhD Why is Casa Colina unique? Continuum of care offering medical and rehabilitation services
More informationIT S ALL IN YOUR HEAD!
IT S ALL IN YOUR HEAD! CARING FOR CONCUSSIONS IN YOUR COMMUNITY Stephen K Stacey, DO CPT, MC, USA OUTLINE Definition Epidemiology Diagnosis Evaluation Recovery Sequelae Prevention Resources for providers
More informationTools that make a difference in mental health symptoms of autistic spectrum children Sumru Bilge-Johnson M.D. Program Director of Child Psychiatry
Tools that make a difference in mental health symptoms of autistic spectrum children Sumru Bilge-Johnson M.D. Program Director of Child Psychiatry Fellowship Associate Professor, Child Psychiatry NEOMED
More informationSt. Michael s Head Injury Clinic and Psychiatry Clinic. Community Head Injury Resource Services (CHIRS): Neuropsychology Clinic
Holland Bloorview Kids Rehabilitation Hospital: Concussion Clinic Sunnybrook Health Sciences TBI Clinic St. Michael s Head Injury Clinic and Psychiatry Clinic Community Head Injury Resource Services (CHIRS):
More informationLIFE-CHANGING CARE INPATIENT CARE
LIFE-CHANGING CARE INPATIENT CARE Helping Patients Get the Most out of Rehab When a stroke, accident or other traumatic incident turns a person s world upside down, there s a place in Indiana where he
More informationTherapy & Sports Medicine at the Berger Health and Wellness Center
Therapy & Sports Medicine at the Berger Health and Wellness Center The therapy and sports medicine team you ve come to know and trust is here for your therapeutic needs. 1280 North Court Street Circleville
More informationPsychiatric Treatment of the Concussed Athlete
Psychiatric Treatment of the Concussed Athlete Eastern Athletic Trainers Association January 11 th, 2015 Alexander S. Strauss, MD Centra, P.C. E-MAIL: DRSTRAUSS@ALEXSTRAUSSMD.COM Evidence Mounts Linking
More informationThe Role of School Personnel in Concussion Management
The Role of School Personnel in Concussion Management Carisa Raucci, PhD, ATC, CSCS (Athletic Trainer) Patricia Beldotti, PsyD, CBIS (Neuropsychologist) Tucson Concussion Center Objectives Define a concussion
More informationGeneral Medical Rehabilitation
General Medical Rehabilitation Outcomes Report 20 Rehabilitation Hospital is part of the Rehabilitation system of care, a post-acute provider of neuro-rehabilitation for over 45 years. Our 160-bed acute,
More informationReview of: NATA Position Statement Management of Sport Concussion.
Review of: NATA Position Statement Management of Sport Concussion www.csm-institute.com Topics: Education and Prevention Documentation and Legal Aspects Evaluation and RTP Other Considerations Strength
More informationConcussion Management. Michael Reardon, M.D. April 24,2016
Concussion Management Michael Reardon, M.D. April 24,2016 Objectives Understand what a concussion is Know how to recognize it Understand the differential diagnosis Know how to manage and treat symptoms
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More informationI tell my patients, If I can do it, you can do it. Lea Stewart
I tell my patients, If I can do it, you can do it. Lea Stewart Baylor Institute for Rehabilitation Lea Stewart A traffic accident threw Lea Stewart around the back of a pick-up truck, leaving the life-long
More informationVA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI
VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI Chief, Evidence-Based Practice US Army Medical Command Clinical Program Specialist Office of Performance and Quality Improvement
More informationThe Components of an Objective IME
The Components of an Objective IME Presented By: Lee H. Doppelt, PhD Brought to you by: Today s Topics Appropriate and ethical communication with IME providers IME providers standards of conduct requirement
More informationAntidepressant Medication Therapy in Primary Care July 25, 2013
New York State Collaborative Care Initiative Antidepressant Medication Therapy in Primary Care July 25, 2013 http://uwaims.org Presenter Building on 25 years of Research and Practice in Integrated Mental
More informationrestoring hope rebuilding lives
Spinal Cord Injury Brain Injury Stroke Neurologic Diseases Orthopedic Conditions Amputation Cancer Cardiac Recovery The patient experience: 2015 in review restoring hope rebuilding lives Advancing care
More informationI tell my patients, If I can do it, you can do it. Lea Stewart
I tell my patients, If I can do it, you can do it. Lea Stewart Baylor Institute for Rehabilitation Lea Stewart A traffic accident threw Lea Stewart around the back of a pick-up truck, leaving the life-long
More informationMild TBI (Concussion) Not Just Less Severe But Different
Mild TBI (Concussion) Not Just Less Severe But Different Disclosures Funded research: 1. NIH: RO1 Physiology of concussion 2016-2021, Co-PI, $2,000,000 2. American Medical Society of Sports Medicine: RCT
More information2017 Report Card. 62 acute inpatient rehabilitation beds 13 DAYS
Lovelace UNM Rehabilitation Hospital is dedicated helping each patient overcome the effects of illness and injury through our comprehensive inpatient and outpatient programs. Our highly specialized physicians
More informationBACKGROUND HISTORY QUESTIONNAIRE
BACKGROUND HISTORY QUESTIONNAIRE Name: Sex M F Address: Home Number: Work Number: Cell Number: Email: SSN: Name and Address of Employer: Date of Birth: Age: Ethnicity: Referred By: Referral Question or
More informationHeads Up: Concussion Management. Laurel Short, MSN, FNP-c
Heads Up: Concussion Management Laurel Short, MSN, FNP-c Diclosure I have no current affiliation or financial interest with any grantor or commercial interests that may have direct interest in the subject
More informationPsychosocial Impact of Concussions
Psychosocial Impact of Concussions Tammy Miller, COTA/L, MHS, CBIS, CCM Jillian Jones, DPT, CBIS, CCI Definition A concussion is an injury that affects the way the brain works or functions. It is also
More informationPediatric Traumatic Brain Injury. Seth Warschausky, PhD Department of Physical Medicine and Rehabilitation University of Michigan
Pediatric Traumatic Brain Injury Seth Warschausky, PhD Department of Physical Medicine and Rehabilitation University of Michigan Modules Module 1: Overview Module 2: Cognitive and Academic Needs Module
More informationMini Research Paper: Traumatic Brain Injury. Allison M McGee. Salt Lake Community College
Running Head: Mini Research Paper: Traumatic Brain Injury Mini Research Paper: Traumatic Brain Injury Allison M McGee Salt Lake Community College Abstract A Traumatic Brain Injury (also known as a TBI)
More informationOutline. A brief history of concussion 4/25/2018. Understanding the Impact of Concussions: From Injury through Recovery
Understanding the Impact of Concussions: From Injury through Recovery Luke C. Henry, PhD Clinical Neuropsychologist UPMC Department of Neurological Surgery 05.04.2018 Concussions Brief history Definition
More informationWOMEN VETERANS BOBBI SIMMS VETERANS HEALTH ADMINISTRATION
WOMEN VETERANS BOBBI SIMMS Background/Quick Facts 1.8 million living Veterans Fastest growing subpopulation of Veterans women Approximately 300,000 receive care in the Department of Veterans Affairs (VA)
More informationPsychiatric Consultant Role in Collaborative Care Sept 12, 2013
New York State Collaborative Care Initiative Psychiatric Consultant Role in Collaborative Care Sept 12, 2013 http://uwaims.org Presenter Building on 25 years of Research and Practice in Integrated Mental
More informationMild Traumatic Brain Injury (mtbi): An Occupational Dilemma
Mild Traumatic Brain Injury (mtbi): An Occupational Dilemma William H. Cann, MD MPH Occupational Medicine Trainee Occupational Medicine Trainee University of Washington Disclosures None This presentation
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Neurology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Neurology 1. GOAL: Understand the role of the pediatrician in preventing neurological diseases, and in counseling and screening
More informationConcussion: Pressure to Play in Sports: Can We Trust What the Athlete Tells Us? How I Manage Concussion: A Neuropsychologist s Perspective
How I Manage Concussion: A Neuropsychologist s Perspective Jamie Pardini, Ph.D. UPMC Concussion Program University of Pittsburgh Medical Center Department of Orthopaedic Surgery UPMC Sports Concussion
More informationHarborview Medical Center. Presenting: Celeste Sather Clinic Practice Manager
Harborview Medical Center Presenting: Celeste Sather Clinic Practice Manager Objectives Overview of Harborview Medical Center Division of Gerontology and Geriatric Medicine Long-Term Care Service Medicine
More informationPROLONGED CONCUSSIONS
PROLONGED CONCUSSIONS The Problem that Won t Go Away. Suzanne Hecht, MD, FACSM, CAQ University of Minnesota Team Physician: UM Athletics DISCLOSURES DJ Global: Primary Care Sports Medicine Advisory Board
More informationBrain Injury and Epilepsy
Slide 1 Brain Injury and Epilepsy Presented by: Paula St. John, MA Education and Community Outreach Manager Minnesota Brain injury Alliance www.braininjurymn.org l 612-378-2742 800-669-6442 Slide 2 Objectives:
More informationMild Traumatic Brain Injury in Sports, Daily Life, and Military Service
Mild Traumatic Brain Injury in Sports, Daily Life, and Military Service Grant L. Iverson, Ph.D. Professor, Department of Physical Medicine and Rehabilitation, Harvard Medical School; Director, MassGeneral
More informationPOST CONCUSSION SYMPTOM SCALE
CONCUSSION INITIAL VISIT FORM Demographics Patient Name: Date of Consultation: DOB: Sex: Age: Who referred you to our clinic? Primary Care Physician: Pharmacy Name/Address: Your E-mail Address: Preferred
More informationSurgery saved my life. Rehab is restoring my future.
The Best Way Back Baylor Institute for Rehabilitation offers care for the most challenging and medically complex patients, including those with traumatic brain injury, traumatic spinal cord injury and
More informationConcussion Management
Concussion Management Jennifer Gray, DO Medical Co-Director, ThinkSMART! Concussion Management Program Department of Physical Medicine and Rehabilitation St. Charles Hospital Residency Program Director,
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1820/13
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1820/13 BEFORE: J. P. Moore: Vice-Chair HEARING: September 18, 2013 at Kitchener Oral Post-hearing activity completed on March 20, 2014 DATE
More informationBeyond the Basics, Bringing Concussion Out of the Dark
Beyond the Basics, Bringing Concussion Out of the Dark Objectives Recognize different types of concussion based on symptomatology Identify risk factors for prolonged recovery after a concussion Predict
More informationSport Related Concussion Update 2017
Sport Related Concussion Update 2017 HAYLEY QUELLER, MD ST. CHARLES ORTHOPEDICS, SPORTS MEDICINE DIRECTOR THINKSMART! CONCUSSION MANAGEMENT, CO-DIRECTOR Consensus Statement: 5 th Annual Meeting, Berlin
More information2014 Report Card. 62 acute inpatient rehabilitation beds days
Lovelace Rehabilitation Hospital is dedicated helping each patient overcome the effects of illness and injury through our comprehensive inpatient and outpatient programs. Our highly specialized physicians
More informationHelping Children Cope After A Disaster
Helping Children Cope After A Disaster Penn State Milton S. Hershey Medical Center 2001 This booklet may be reproduced for educational purposes. Penn State Children s Hospital Pediatric Trauma Program
More informationVisit for conference updates!
Course Introduction 12th Annual Brain Injury Rehabilitation Conference March 10-11, 2017 Hilton San Diego Resort & Spa Visit www.scripps.org/braininjurycme for conference updates! Course Overview The 12th
More informationThe road to recovery. The support available to help you with your recovery after stroke
The road to recovery The road to recovery The support available to help you with your recovery after stroke We re for life after stroke Need to talk? Call our confidential Stroke Helpline on 0303 3033
More informationTraumatic Brain Injury. By Laura Gomez, LCSW
Traumatic Brain Injury By Laura Gomez, LCSW Objectives Briefly describe TBI, and its incidence, severity, and treatments Describe the VHA system of specialized TBI care for active duty and veterans Describe
More informationConcussion Information
What is a Concussion? Concussion Information Information taken from the Sports Concussion Institute http://www.concussiontreatment.com A concussion is defined as a complex pathophysiological process that
More informationINTERCOLLEGIATE ATHLETICS CONCUSSION ACKNOWLEDGEMENT AND STATEMENT
ACKNOWLEDGEMENT AND STATEMENT A FACT SHEET FOR STUDENT-ATHLETES WHAT IS A? A concussion is a brain injury that: Is caused by a blow to the head or body -From contact with another player, hitting a hard
More informationSubspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level
Subspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level Prerequisites: Any prior pediatric rotations and experience Primary Goals for this
More informationAcute Rehabilitation. Giving Courage l Creating Hope l Building Strength
Acute Rehabilitation Giving Courage l Creating Hope l Building Strength What is Acute Rehabilitation? Rehabilitation is a team of healthcare professionals working together to help people regain function
More informationREHABILITATION SERVICES
REHABILITATION SERVICES Rehabilitation is provided in a variety of ways, including inpatient services, physical therapy, occupational therapy, and other outpatient treatments. The resources listed in this
More informationApril 28, Katie Barnes Wood, PT, DPT Orthotennessee Therapy. Concussion Therapy. How and Why Physical Therapy Can Help Concussions
April 28, 2018 Katie Barnes Wood, PT, DPT Orthotennessee Therapy Concussion Therapy How and Why Physical Therapy Can Help Concussions Background Concussion Rehab at KOC Our Care Team Athletic Trainers
More informationCopyright 2009 ACNN 1
1 The focus of this information is children who have previously been evaluated and have an established diagnosis of concussion. The information contained herein is not intended for acute concussion management.
More informationManaging Medical Complications of Brain Injury. Katie Turpin, NP-C
Managing Medical Complications of Brain Injury Katie Turpin, NP-C Objectives: 1. Describe the role of the medical team in a setting focused on therapy/rehabilitation. 2. Identify common disabilities or
More informationTRAUMATIC BRAIN INJURY: CHRONIC TRAUMATIC ENCEPHALOPATHY
TRAUMATIC BRAIN INJURY: CHRONIC TRAUMATIC ENCEPHALOPATHY Lasting Impacts of mtbi Global EOD Symposium and Exposition 2018 Alexandra M Bradley, MALS, MCHES, ATC Client Informatics Consultant Veterans CRG
More informationBryan Andresen MD Advances in Clinical Neuroscience Practice /2/11
Bryan Andresen MD Advances in Clinical Neuroscience Practice 2011 5/2/11 Intro/History Definition Differential Diagnosis Clinical Characteristics Exam Findings Treatment Outcomes 46 yo female admitted
More informationConcussion Assessment, Management, and Return to Play Guidelines
Concussion Assessment, Management, and Return to Play Guidelines The following policy and procedures on neurocognitive baseline testing and subsequent assessment and management of concussions as well as
More informationPatient Sticky Label. A Resource Guide for Stroke Survivors and their Caregivers
A Resource Guide for Stroke Survivors and their Caregivers Patient Sticky Label An initiative of the Stroke Services Improvement (SSI) team in collaboration with all public hospitals in Singapore. Learning
More informationWorkforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system
Workforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system This questionnaire is aimed at any member of the workforce supporting the mental health and wellbeing for children
More informationBasics of Benzodiazepine Use Disorder. DATE: June 12, 2018 PRESENTED BY: Melissa B. Weimer, DO, MCR
Basics of Benzodiazepine Use Disorder DATE: June 12, 2018 PRESENTED BY: Melissa B. Weimer, DO, MCR Disclosures Speaker: Melissa Weimer, DO, MCR, has nothing to disclose. Planning Committee: The members
More informationKristine Burkman, Ph.D. Staff Psychologist San Francisco VA Medical Center
Kristine Burkman, Ph.D. Staff Psychologist San Francisco VA Medical Center ASAM Disclosure of Relevant Financial Relationships Content of Activity: ASAM Medical Scientific Conference 2013 Name Commercial
More informationBasics of Benzodiazepine Use Disorder. DATE: March 20, 2018 PRESENTED BY: Melissa B. Weimer, DO, MCR
Basics of Benzodiazepine Use Disorder DATE: March 20, 2018 PRESENTED BY: Melissa B. Weimer, DO, MCR Disclosures Speaker: Melissa Weimer, DO, MCR, has nothing to disclose. Planning Committee: The members
More information1. Injury Description
ACUTE CONCUSSION EVALUATION (ACE) Physician/Clinician Office Version Gerard Gioia, PhD 1 & Micky Collins, PhD 2 1 Children's National Medical Center 2 University of Pittsburgh Medical Center Patient Name
More informationCognitive Rehabilitation with Current Research and Transition of Care
Cognitive Rehabilitation with Current Research and Transition of Care Mike Dichiaro, MD Pediatric Rehabilitation Medicine Carin Rowan, MPT Pediatric Physical Therapy Financial Disclosures No relevant financial
More informationFrequently Asked Questions: Riverview Rehabilitation Center
Frequently Asked Questions: Riverview Rehabilitation Center WHAT SERVICES ARE PROVIDED? Riverview Rehabilitation Center provides a comprehensive, interdisciplinary and functionally based treatment program
More informationWe Have a Great Story to Tell
We Have a Great Story to Tell Inpatient Outpatient Day Neuro Baylor Scott & White Institute for Rehabilitation Frisco is dedicated to helping patients find their way back from all types of injuries, illnesses,
More informationMai 2017 INDICATORS EXAMPLES
Mai 2017 INDICATORS EXAMPLES SECTIONS INDICATORS A. Key Components of TBI Rehabilitation Proportion of individuals with TBI who required and received rehabilitation services within two working days of
More informationSports Related Concussion. Joshua T. Williams, PT, DPT, OCS, SCS, CSCS
Sports Related Concussion Joshua T. Williams, PT, DPT, OCS, SCS, CSCS Concussion & Traumatic Brain Injury Glasgow Coma Scale Minimal Mild Mod Severe? Sports concussion Severe GCS 8 Moderate GCS 9-12 Mild
More informationComprehensive Acute. Rehabilitation Unit
Comprehensive Acute Rehabilitation Unit The Comprehensive Acute Rehabilitation Unit at Thomas Jefferson University Hospital has provided excellence in patient-focused acute rehabilitative care since 1963.
More informationPM&R A DAY IN THE LIFE
PM&R A DAY IN THE LIFE What is PM&R? Medical specialty focusing on the prevention, diagnosis, treatment, and rehabilitation of disorders that produce temporary or permanent functional impairment Unique
More informationImpact on our Mental Health. Biological Changes Psychological Changes Social Changes Professional Services Coping Skills
Impact on our Mental Health Biological Changes Psychological Changes Social Changes Professional Services Coping Skills Biological Changes After a brain injury, biological impacts may affect mental health
More informationTRAUMATIC BRAIN INJURY
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences TRAUMATIC BRAIN INJURY GARY STOBBE, MD UNIVERSITY OF WASHINGTON GENERAL DISCLOSURES The University of Washington
More informationProvide specific counseling to parents and patients with neurological disorders, addressing:
Neurology Description: The Pediatric Neurology elective will give the resident the opportunity to learn how to obtain an appropriate history and perform a complete neurologic exam. Four to five half days
More informationPrepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D.
Prepared by: Elizabeth Vicens-Fernandez, LMHC, Ph.D. Sources: National Institute of Mental Health (NIMH), the National Alliance on Mental Illness (NAMI), and from the American Psychological Association
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationWalking Into the Eye of the Storm: Somatic Symptom Disorders in Primary Care Derek Enns, DPT, Cameron Froude, PhD, Perry Dickinson, MD
Walking Into the Eye of the Storm: Somatic Symptom Disorders in Primary Care Derek Enns, DPT, Cameron Froude, PhD, Perry Dickinson, MD Objectives Describe pathophysiology of somatization and frustrating
More informationPTSD and Brain Injury- The Perfect Storm Part I
PTSD and Brain Injury- The Perfect Storm Part I Lori Wardlow, LMSW VA Nebraska Western Iowa Health Care System Peggy Reisher, MSW Brain Injury Alliance of Nebraska 2016 Invisible Wounds of War 19% of personnel
More informationBest Practices for Anxious Children and Teens. Christina Kirsch, MS Sharon Shorak, LSW
Best Practices for Anxious Children and Teens Christina Kirsch, MS Sharon Shorak, LSW The Anxious Child What we see Behavioral changes Emotional dysregulation Changes in academic performance Peer and social
More informationService Provider Department Phone Number
Service Provider Department Phone Number A Activities of Daily Living Occupational Therapy Rehabilitation Services 734-593-5620 Adaptive Equipment - home Occupational Therapy Rehabilitation Services 734-593-5620
More informationOutpatient management of chronic severe TBI in children
Outpatient management of chronic severe TBI in children Nathan K. Evanson, MD PhD Assistant Professor of Pediatrics Division of Pediatric Rehabilitation Medicine Disclosures Research funding from NIH No
More informationThe UW Medicine Neurosciences Institute
The UW Medicine Neurosciences Institute is a multi-disciplinary team that diagnoses and treats disorders of the nervous system. Our physicians conduct world class research, and combine the latest technology
More informationAssessing and Treating Cooccurring
Assessing and Treating Cooccurring Mental Illness and SUD Joshua Boverman M.D. Medical Director, Wallowa Valley Center for Wellness Consulting Psychiatrist, Winding Waters Clinic Affiliate Assistant Professor
More informationMulti-disciplinary TBI evaluation
Multi-disciplinary TBI evaluation Date: September 16, 2017 Ryan Rockwood, ATC Jennifer Wilhelm, PT, DPT, NCS Kyla Laraway, OT, DOT Haley Landau, M.S., CCC- SLP Adapted from Collins MW et al; Knee Surg
More informationIntroduction To Mild TBI. Not Just Less Severe But Different
Introduction To Mild TBI Not Just Less Severe But Different Purpose Provide a discussion of issues related to diagnostic criteria for mild brain injury and concussion To present incidence data on MTBI
More informationCONCUSSIONS. Recognition, Assessment, Management, and Return to Play
CONCUSSIONS Recognition, Assessment, Management, and Return to Play What is a concussion? A concussion is a traumatic injury to the soft tissue of the brain as a result of a violent blow. The brain tissue
More informationArizona Department of Health Services Division of Behavioral Health Services (ADHS/DBHS) Traumatic Brain Injuries
Arizona Department of Health Services Division of Behavioral Health Services (ADHS/DBHS) Traumatic Brain Injuries May 2011 Anatomy of the Brain Introduction The Department of Health decided to increase
More informationJust Clear Them The Approach to Medical Clearance
Just Clear Them The Approach to Medical Clearance Dr. Nalin Ahluwalia MD CCFP(EM) Associate Chief of Staff Emergency Physician Oakville Trafalgar Memorial Hospital My Disclosures None! Exemplary patient
More informationSPRINGFIELD CLINIC S
SPRINGFIELD CLINIC S HEAD INJURY MANAGEMENT GUIDE FOR PARENTS Given the complexities of concussion management, Springfield Clinic recognizes the importance of managing concussions on an individualized
More informationCancer Survivorship NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN. Resources and Tools for the Multidisciplinary Team
NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN Cancer Survivorship Resources and Tools for the Multidisciplinary Team Your survivorship care plan is a summary of your tumor treatments and recommendations for
More informationInitial Substance Use Assessment
Date of Assessment: Source of Referral: Choose an item. Persons Present: Client and Provider only Transportation Assistance Needed: Yes No Member has a Primary Care Physician (PCP)? Yes No If yes PCP,
More informationBasic Standards for Residency/Fellowship Training in Geriatric Psychiatry
Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry American Osteopathic Association and American College of Osteopathic Neurologists and Psychiatrists Approved 2/2005 Revised 2/2008,
More informationCenter for. Our Mission. Autism and Related Disorders. Helping children with autism through patient care, research, and education.
707 North Broadway Baltimore, Maryland 21205 www.kennedykrieger.org Our Mission We at the Kennedy Krieger Institute dedicate ourselves to helping children and adolescents with disorders of the brain, spinal
More informationDavidson College Sports Medicine Concussion Management Policy
Davidson College Sports Medicine Concussion Management Policy Davidson College practices concussion management care based on the most current research and consensus statements from noted concussion experts.
More informationUCSD DEPARTMENT OF ANESTHESIOLOGY
UCSD DEPARTMENT OF ANESTHESIOLOGY LEARNING OBJECTIVES FOR ADVANCED PAIN MEDICINE ROTATION, UCSD MEDICAL CENTER Competencies Objective Learning Environment Instructional Method Assessment Tool Patient Care:
More informationPamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona
Neuropsychology Pamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona Top Ten Ways to Understand and Cope with a Brain Tumor
More informationConcussion Management
Concussion Management Significant changes towards more individualized, specific management. Increased knowledge has lead to State and Local legislation. Jeff Anthony DO, FAAFP, FAOASM San Diego Sports
More informationEmerson Hospital Outpatient Services
Emerson Hospital Outpatient Services A Growing Demand initiative to expand sports rehabilitation and specialty services 310 baker avenue, concord, massachusetts Our pediatric occupational therapy specialists
More information