Head & Brain Injuries

Two Million Brain Injuries Each Year
Modern science and medicine are still learning about the functioning of the brain. Brain injury is a common and complex injury for which there is no current cure. Each year, two million Americans suffer a brain injury, nearly 400,000 are hospitalized, over 100,000 persons are permanently disabled, and 50,000 do not survive their injury. Head injury is the No. 1 killer and disabler of persons under the age of 44. Brain injury is the leading cause of death and disability among children in America.

Impact of Brain Injury
The death toll from head injury is a major problem but the even greater issue is surviving a severe brain injury. Brain injuries may cause physical, emotional, intellectual, social, occupation and other difficulties. Regrettably, the problems presented by brain injury impact nearly all aspects of life and the injured person sometimes has difficulty returning to the "same" life, functioning, and personality. Many people survive brain injuries which would have previously been fatal because of improvements in cardiopulmonary resuscitation, and increasingly sophisticated life support treatment in intensive care units, many people now survive.

The majority of those who are brain injured are young adults. They typically have normal life expectancy but will require special care. Most head injuries are very mild and require little medical attention and may require a short period of time to recover. Regrettably, recovery from a major head injury may be long and difficult. These factors can frustrate patients and families.

The brain takes time to heal. Recovery can take weeks, months, or years. Many injured parties spend a significant part of their lives trying to fully recover. Brain damage is sometimes irreversible.

Brain injuries are difficult to predict in terms of the extent and type of damage, and with regard to the possible outcome. Nearly all brain injuries produce a unique set of brain injuries and unique problems and concerns.

Types of Brain Injury
Most brain injuries are viewed as "open head injury" or "closed head injury." Open head injury typically occurs when an object penetrates the skull, such as a bullet or other object. Closed Head Injury is the most common head injury and occurs when the head suffered rapid movement and the brain bounces or has movement within the skull. The most common causes of close head injuries are vehicle accident and falls. In addition to open and closed head injuries, additional complications related to brain injury may occur such as anoxia. Anoxia, for example, is when the brain does not have sufficient oxygen, which may be caused by heart attack, stoke, or choking.

Common Problems

The Thinking Problems
  • Memory problems
  • Attention problems
  • Concentration problems
  • Communication problems
  • Reasoning problems
  • Impaired judgment

The Body Problems

  • Speech problems
  • Vision problems
  • Hearing problems
  • Headaches
  • Feeling problems
  • Loss of coordination
  • Muscle problems
  • Seizures
  • Sleeping problems

The Social Problems

  • Fatigue
  • Anxiety
  • Depression
  • Emotional instability


What is Rehabilitation?

Rehabilitation is the procedural road to recovery. And, the primary focus for injured persons and families is to maximize the scope and reach of recovery.

Traditional rehabilitation is typically viewed as medical attention in a medical facility where doctors, nurses and other medical professionals provide medical services. However, recent treatment methods have observed a shift toward what many term community-based rehabilitation. Most medical professionals in the field believe that persons with brain injury benefit from specialized rehabilitation. A growing number of services are available such as acute and post-acute rehabilitation, transitional living, assisted living, home assistance, vocational training, occupation and social integration, and educational programs. Brain injury rehabilitation is personal and the specific rehabilitation for a specific person will depend on many factors and the individual composition of the specific person and the scope of injuries suffered.

As an increasing number of people are pursuing rehabilitation through multiple methods, treatment options are more of an a la carte approach based on the needs and profile of the injured person rather than a standardized or fixed treatment and rehabilitation plan. Methods, technology, and treatment can and will vary depending on the composition of the injured person's unique needs, characteristics. Regardless of the methods or approach, the goal is uniform - help the brain injured person move toward the highest possible level of independent functioning.

Items to consider in finding rehabilitative assistance:

Medical Centers
Outpatient facilities offering cognitive rehabilitation, occupational therapy, speech pathology and the like.

Home-Based Treatment.
Vocational Training.

Some of these programs assist the person in improving motor and cognitive skills with the goal of preparing the person for reentry into the social and working community.

Living Programs.
Living programs vary based upon the composition for the person and the needs they may present concerning ability to independently function. Some living programs provide physical, vocational, speech and other therapies.

Rehabilitation Organizations
http://www.rehabpro.org/iarpindex_msie.html

Harvard Brain Atlas
(encyclopedic definitions and medical explanations)
http://www.med.harvard.edu/AANLIB/home.html


Helpful Resources
International Brain Association
Brain Injury Association of America
Brain Injury Society

National Resource Center for Traumatic Brain Injury
Traumatic Brain Injury (TBI) Resource Guide
Traumatic Brain Injury Survival Guide
Perspectives Network, Inc.
MEDLINEplus: Head and Brain Injuries
The Traumatic Brain Injury Network
Life With TBI
National Database of Educational Resources
on Traumatic Brain Injury

Recovery Awareness Foundation
Brain Injury Recovery Network
Project ReEntry - Brain Injury Rehabilitation (Texas)
Mary Lee Foundation (Texas)
Brain Injury Association (NY)

Head Injury Rehabilitation Services (HIRS) (So. Cal)
Rehabilitation Institute of Chicago (Brain Injury)
TBI SOCIAL NETWORK HAVEN

The Whole Brain Atlas

 

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