8 PATHOPHARMACOLOGICAL ISSUES OF TRAUMATIC BRAIN INJURY (Humphreys, Wood, Phillips, & Macey, 2013). This may be virtually impossible to afford for those of certain socioeconomic statuses as well the uninsured. Effects of TBI Traumatic Brain Injury is among the leading causes of deaths among young people in the world today. A follow up study conducted by Inzaghi, De Tanti and Sozzi, at the Centro Riabillitativo Villa Beretta at Valduce Hospital in Como, Italy noted a strong correlation between those suffering from TBI and isolation from the community (2005). This study involved a sample of 16 individuals who suffered a severe traumatic brain injury between 5 to 10 years prior. The goal of this study was to track the social outcomes of the patients and their caregivers. More than 70% of the families that were considered caregivers reported a steady feeling of worry but had devised effective compensatory strategies over the course of the study period to deal with depression (Inzaghi, De Tanti, & Sozzi, 2005, p. 270). Severe TBI disinhibits the patients from planning for the future due to cognitive issues directly affecting their happiness and quality of life. This study sought to identify any consequences in the familial nucleus. The study indicated that only 50% of the patients returned to work, most of them finding work on a lower level. Due to the nature of TBI, its effects extend beyond the patients themselves. In fact, it is a communal aliment that has a huge impact on the patient’s familial caregivers. Community involvement is integral to ensure optimal quality of life when returning home. In the author’s state of residence, Virginia, the Inpatient Rehabilitation Center at Virginia Hospital Center implements a program dependent upon rehabilitation of motor skills that places a strong emphasis on community involvement and home preparedness before discharge from the facility (Virginia Department of Health, 2017). The goal of the program is to help patients
9 PATHOPHARMACOLOGICAL ISSUES OF TRAUMATIC BRAIN INJURY recover physical and neurological function, improve speech and swallowing and recover the skills needed to perform daily activities. Periodically, the facility may deem it necessary to schedule community outings and evaluations to best prepare the readiness to reenter the community. Returning to work can be both intimidating and dauting for these patients. The work community must take into consideration the effects on cognition, memory, attention and coordination as this will enable the patient to perform their job effectively (Brain Injury Association of America, 2019). The author’s state, like many others, offers Vocational Rehabilitation programs. The Consumer Vocational Rehabilitation Program prepares people with disabilities find, train and maintain employment (Virginia Department of Health, 2017). The state of Virginia is dependent on community involvement and awareness to understand that brain trauma can have detrimental effects on the patient’s ability to perform their job safely. TBI is the
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- Fall '18
- Traumatic brain injury, brain injury , Nclex Traumatic Brain Injury