Community Integration
43 Community Integration James F. Malec GENERAL PRINCIPLES Throughout this chapter, the term “brain injury” (BI) refers to a variety of acquired brain injuries, most commonly, traumatic brain injury (TBI),…
Assessment of Decision-Making Capacity
42 Assessment of Decision-Making Capacity Eric S. Swirsky INTRODUCTION The shared decision-making paradigm reflects the importance of patient autonomy in clinical encounters. Respect for patient autonomy requires that individuals have…
Sexuality After Traumatic Brain Injury
41 Sexuality After Traumatic Brain Injury Angelle M. Sander GENERAL BACKGROUND A. A majority (greater than 75%) of persons with complicated mild-to-severe TBI describe themselves as sexually active (including self-stimulation and/or…
Assistive Technology in Traumatic Brain Injury
39 Assistive Technology in Traumatic Brain Injury Kurt L. Johnson and Mark Harniss GENERAL PRINCIPLES Assistive Technologies (AT) may serve important roles in rehabilitation, community living, education, and employment for…
The Role of Specialized Brain Injury Units in the Rehabilitation Process
29 The Role of Specialized Brain Injury Units in the Rehabilitation Process Billie Schultz and Allen W. Brown BACKGROUND: LONGITUDINAL CARE A. Consensus exists for providing a continuum of care to…
The Role of Neuroprotective Interventions in Traumatic Brain Injury
25 The Role of Neuroprotective Interventions in Traumatic Brain Injury David M. Panczykowski and David O. Okonkwo BACKGROUND Definitions A. Primary (1°) Injury: Neuronal death or dysfunction as a consequence of…
Confounding Factors in Postconcussive Disorders
17 Confounding Factors in Postconcussive Disorders Nathan D. Zasler INTRODUCTION The diagnosis of postconcussive disorders may be complicated by a number of confounding factors. The purpose of this chapter is…
Postconcussion Syndrome: Symptom Management
16 Postconcussion Syndrome: Symptom Management William C. Walker and Richard D. Kunz TREATMENT OF POSTCONCUSSION SYNDROME Introduction A “miserable minority” of patients who sustain mild traumatic brain injury (MTBI; concussion)…
Essential Concepts in TBI Biomechanics and Neuropathology
2 Essential Concepts in TBI Biomechanics and Neuropathology Michelle C. LaPlaca GENERAL PRINCIPLES Traumatic Brain Injury as a Continuum Traumatic brain injury (TBI) can be defined as transient or persistent…
Characterization of Traumatic Brain Injury Severity
3 Characterization of Traumatic Brain Injury Severity Lisa A. Lombard ISSUES IN CHARACTERIZATION OF TBI • No universally accepted classification system exists for all stages of traumatic brain injury (TBI) • Heterogeneity…
