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Reporting the Evidence
Two panels of experts worked with the research team to identify key questions in the rehabilitation and survivor phases for adults with TBI. The first panel was composed of two physiatrists, a survivor of TBI, the wife of a survivor of TBI, a State vocational rehabilitation counselor, a neuropsychologist, a psychologist, a clinical coordinator of an outpatient TBI rehabilitation program, and a rehabilitation clinical nurse specialist, all from the Portland, OR, area. The second panel was composed of nationally recognized experts in rehabilitation.
The panels formulated five questions pertaining to the phases of recovery described above. These questions addressed the effectiveness of (1) early rehabilitation in the acute care setting (timing), (2) intensity of rehabilitation, (3) cognitive rehabilitation, (4) supported employment, and (5) care coordination (case management). For each of these questions, members of the research team worked with panelists to write a brief rationale for the question, define key terms, and specify the relevant patient populations, interventions, and outcome measures to be examined in the literature review. The questions were:
Should interdisciplinary rehabilitation begin during the acute hospitalization for traumatic brain injury? Does the intensity of inpatient interdisciplinary rehabilitation affect long-term outcomes? Does the application of cognitive rehabilitation enhance outcomes for people who sustain TBI? Does the application of supported employment enhance outcomes for people with TBI? Does the provision of long-term care coordination enhance the general functional status of people with TBI?
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Did You Know?
Brain damage has many causes.
Brain damage may be caused by external physical force, insufficient blood supply, toxic substances, malignancy, disease-producing organisms, congenital disorders, birth trauma or degenerative processes.
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Impact of Traumatic Brain Injury
Injury is the leading cause of mortality among Americans under 45 years of age; TBI is responsible for the majority of these deaths. An estimated 5... Read more >
Definition:
Type of illness or injury that ordinarily lasts less than 3 months, was first noticed less than 3 months before the reference data of the interview, and was serious enough to have had an impact on behavior.
Spinal Cord Injury
Definition:
Injury of the nerves contained within the spinal canal often associated with trauma to the spinal column (spine),Complete: Nerve damage obstructing all signals between the brain and body.Incomplete: Nerve damage obstructing some of the signals between the brain and body.
Compensation
Definition:
Compensation is defined as a recompense for loss. If you suffer an injury, either physical or psychological as the result of an accident that was not your fault, then you may be able to claim a financial award to cover any loss of income, the cost of medical bills, or any other costs that you have incurred as a result of the injury or accident that you would not normally have incurred.
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