The construction of identity during group therapy among adults with traumatic brain injury

2007 ◽  
Vol 4 (1) ◽  
Author(s):  
Dana Kovarsky ◽  
Allan Shaw ◽  
Maureen Adingono-Smith
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Group Therapy ◽  
Hospital Setting ◽  
Institutional Setting ◽  
Construction Of Identity ◽  
Speech Language Pathologist ◽  
Communicative Functions ◽  
Interpretive Practices ◽  
Therapy Sessions

AbstractThis investigation examined how the interpretive practices of a speech–language pathologist (SLP) contributed to the construction of identity among adults with traumatic brain injury (TBI) during group therapy in a hospital setting. Six group therapy sessions were video-recorded and transcribed (yielding a total of 8,056 utterances). Attention was paid to patient expressions of identity and ability, the communicative functions of these expressions, and the manner in which these expressions were evaluated by the SLP. The SLP was also interviewed regarding the nature of therapy practice. Analysis revealed that the interpretive voice of the SLP dominated in ascribing a patient identity of self as damaged goods. Implications are discussed in terms of how the institutional setting, the perceived nature of TBI, the agenda of the SLP, and the interactional substrate combined to motivate such interpretive practices on the part of the SLP.

Role of quetiapine in protection of neurodegeneration after traumatic brain injury

2019 ◽  
Vol 55 (2) ◽  
pp. 67-73 ◽  
Author(s):  
Joseph A Morra ◽  
Adekola O Alao
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Negative Symptoms ◽  
Memory Loss ◽  
Hospital Setting ◽  
Small Animal ◽  
Rehabilitation Unit ◽  
Neuroprotective Effects ◽  
Neurologic Deficits ◽  
Patients Experience

Objective Schizophrenia is a chronic psychotic disorder in which patients experience positive and negative symptoms for over six months. Schizophrenia is associated with early mortality, with 40% of this excess mortality due to suicide. This is a case of patient with schizophrenia who was treated with quetiapine after suffering a traumatic brain injury and recovered enough to be discharged to a rehabilitation unit. This case illustrates the neuroprotective effects of quetiapine in treating neurologic deficits in a patient who recently suffered a traumatic brain injury. Method This is a case report of a patient with schizophrenia treated in the hospital setting. He was placed on quetiapine after suffering a traumatic brain injury due to a suicide attempt in which he shot himself with a nail gun. Results The patient initially presented with neurologic deficits suggestive of traumatic brain injury (inattention, memory loss, muscle weakness) and psychosis from schizophrenia. He was treated with quetiapine and recovered enough to be discharged to a rehabilitation unit. Conclusion Quetiapine, a second-generation antipsychotic, has been shown to significantly decrease blood–brain barrier hyperpermeability by preserving tight junction integrity in small animal models. This anti-inflammatory effect may also help to preserve neurogenesis in patients with traumatic brain injury, as shown in this case. This case may help elucidate the nature of quetiapine’s neuroprotective effects in patients who have suffered traumatic brain injury and also highlights the need to further investigate other atypical antipsychotics and their potential neuroprotective role in treating traumatic brain injury.

Outcomes of a Nontransfer Protocol for Mild Traumatic Brain Injury with Abnormal Head Computed Tomography in a Rural Hospital Setting

2014 ◽  
Vol 82 (1-2) ◽  
pp. e319-e323 ◽  
Author(s):  
Andrew Stewart Levy ◽  
Alessandro Orlando ◽  
Kristin Salottolo ◽  
Charles W. Mains ◽  
David Bar-Or
Keyword(s):  
Computed Tomography ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Hospital Setting ◽  
Rural Hospital ◽  
Abnormal Head ◽  
Head Computed Tomography

747 The Impact of Using the Traumatic Brain Injury Guidelines on Outcomes in a Community Hospital Setting

Neurosurgery ◽  
2000 ◽  
Vol 47 (2) ◽  
pp. 513-513
Author(s):  
Sylvain Palmer ◽  
Mary Kay Bader ◽  
Azhar Quereshi ◽  
Jacques J. Palmer ◽  
Thomas Shaver MD ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Community Hospital ◽  
Hospital Setting ◽  
The Impact

Relation of Orientation, Verbal Aggression, and Physical Aggression to Compliance in Speech-Language Therapy for Adults with Traumatic Brain Injury

2003 ◽  
Vol 96 (3_suppl) ◽  
pp. 1311-1313 ◽  
Author(s):  
Betholyn Gentry ◽  
Antoinette Smith ◽  
Jess Dancer
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Physical Aggression ◽  
Communication Disorders ◽  
Verbal Aggression ◽  
Aggressive Behaviors ◽  
Language Therapy ◽  
Formal Treatment ◽  
Orientation Training ◽  
Therapy Sessions

20 subjects with traumatic brain injury were tested over a 4-wk. period for aggressive behaviors; orientation to place, person, and time; and compliance in speech-language therapy sessions. Analysis showed significant correlations from .63 to .75 over the four sessions between orientation and compliance in speech-language therapy and suggest that orientation training could be a prerequisite to the formal treatment of other behavioral or communication disorders.

scholarly journals Nosocomial Infections in Patients with Traumatic Brain Injury: A Hospital-Based Study from North India

2021 ◽  
Author(s):  
Ajaz Koul ◽  
Arif Sheikh ◽  
Sajad Bhat ◽  
Abrar Ahad ◽  
Ruhail Qadir ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Nosocomial Infections ◽  
Hospital Setting ◽  
Infectious Complications ◽  
North India ◽  
Health Concern ◽  
Hospital Outcome ◽  
Focus Of Infection ◽  
Gcs Score

Abstract Background Traumatic brain injury (TBI) is a major global health concern, it being a leading cause of morbidity and mortality in young adults. Infections acquired in the hospital setting are one of many risk factors that are associated with higher mortality in this population. Despite significant impact on the overall outcome, infections in TBI patients are largely understudied and underreported. The purpose of this study was to study the profile of infectious complications in patients with TBI and impact of these infections on the hospital outcome of these patients. Materials and Methods The medical records of all the patients with a diagnosis of TBI admitted in our hospital from January 2017 to January 2020 were reviewed. They were screened for presence of any predefined infection acquired at any time during their hospital stay. Data regarding demographics, focus of infection, results of various cultures, and hospital outcome was recorded. Results A total of 60 patients with TBI who had developed nosocomial infections were included in this observational study. Patients were mostly young, with a mean age of 36.6 years. Majority (66.6%) of patients who developed infectious complications had Glasgow coma scale (GCS) score of less than 10. Respiratory tract and urinary tract were the most common sites of infections in these patients. Burkholderia cepecia and Acinetobacter baumannii were the two most common isolated organisms. All-cause mortality in this population was 23.3%. Conclusions Most TBI patients are young, in their productive period of lives, and do not have major comorbidities. Invariably, they have low GCS scores and encounter a breach of their surface immunity due to catheters, procedures, and intubation. Such patients make an extremely significant impact on hospital resources as well as poor economic outcomes.

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