Community Integration and Life Satisfaction After Traumatic Brain Injury: Long-Term Findings

1998 ◽  
Vol 52 (1) ◽  
pp. 45-52 ◽  
Author(s):  
S. A. Burleigh ◽  
R. S. Farber ◽  
M. Gillard
Keyword(s):  
Traumatic Brain Injury ◽  
Life Satisfaction ◽  
Brain Injury ◽  
Community Integration

Long-Term Outcome Following Traumatic Brain Injury

2007 ◽  
Vol 8 (3) ◽  
pp. 251-261 ◽  
Author(s):  
Sue Sloan ◽  
Dianne Winkler ◽  
Katie Anson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Community Integration ◽  
Functional Independence ◽  
Cost Of Care ◽  
Support Needs ◽  
Care Needs ◽  
Life Roles ◽  
Over Time

AbstractObjectives: To investigate care needs, functional outcome, role participation and community integration approximately nine years following severe brain injury. To gain an understanding of the ongoing cost of care and support needs for this group. Participants: 13 individuals who had sustained an extremely severe traumatic brain injury (TBI), between 8 and 9 years previously participated in the study. These individuals were the remaining participants of a larger sample of consecutive admissions between 1996 and 1998 at Ivanhoe Manor Rehabilitation Hospital. Measures: Structured Interview, Functional Independence Measure, Community Integration Questionnaire, Care and Needs Scale and Role Checklist. Results: The majority of the participants were reported to have high support needs, with 6 participants (46%) requiring 24-hour support. Four participants were reported to able to be left alone for between a few hours per day to almost all week. Three participants reported that they were completely independent. The participant's characteristics are described in terms of functional independence, community integration and role participation. Overall care needs appear to have remained relatively stable between 2 and 9 years postinjury. However, there was a shift in the proportion of paid and gratuitous care over time, with a decrease in paid care and increased gratuitous care noted from the 2-year to long-term follow-up time points. Conclusions: Severe TBI has a long term influence on life roles, care needs and functional independence. The current study suggests that high care needs do not necessarily preclude participants from leading active lives and participating in valued life roles. The importance of social support in facilitating participation in activity and the potential issues for caregiver burden, given the increase in gratuitous care over time, should be acknowledged and further research in this area is recommended.

Relationship between depression, community integration and life satisfaction following mild traumatic brain injury

Brain Injury ◽  
2021 ◽  
pp. 1-9
Author(s):  
Justine Goulet ◽  
Hélène Audrit ◽  
Simon Tinawi ◽  
Maude Laguë-Beauvais ◽  
Elaine De Guise
Keyword(s):  
Traumatic Brain Injury ◽  
Life Satisfaction ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Community Integration

Psychosocial outcomes after traumatic brain injury: Life satisfaction, community integration, and distress.

2014 ◽  
Vol 59 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Michael W. Williams ◽  
Lisa J. Rapport ◽  
Scott R. Millis ◽  
Robin A. Hanks
Keyword(s):  
Traumatic Brain Injury ◽  
Life Satisfaction ◽  
Brain Injury ◽  
Community Integration ◽  
Psychosocial Outcomes

Objective and subjective assessment of long-term community integration in minority groups following traumatic brain injury

2009 ◽  
Vol 24 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Guido Mascialino ◽  
Chari Hirshson ◽  
Mathew Egan ◽  
Joshua Cantor ◽  
Teresa Ashman ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Minority Groups ◽  
Community Integration ◽  
Subjective Assessment

Symptoms, disabilities, and life satisfaction five years after whiplash injuries

2014 ◽  
Vol 5 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Johan Styrke ◽  
Peter Sojka ◽  
Ulf Björnstig ◽  
Britt-Marie Stålnacke
Keyword(s):  
Traumatic Brain Injury ◽  
Life Satisfaction ◽  
Brain Injury ◽  
Neck Pain ◽  
Mild Traumatic Brain Injury ◽  
Whiplash Injury ◽  
Whiplash Injuries ◽  
Long Term Outcome

AbstractBackgroundChronic whiplash-associated disorders (WADs) are often associated with social functioning problems and decreased ability to perform previous activities. This may lead to decreased life satisfaction, which is insufficiently studied in the context of whiplash injuries. Symptoms included in chronic WAD are similar to symptoms frequently reported by persons who have sustained mild traumatic brain injury (MTBI)/concussion. In cases of MTBI, the severity and number of symptoms have been suggested to have a diagnostic value. The corresponding importance of symptoms in chronic WAD has not been documented. Most studies of whiplash injuries have focused on neck pain because this is the dominant complaint, while other symptoms are less studied. The frequency of long-term symptoms after whiplash injuries seems to vary. It is difficult to compare the long-term outcome since the follow-up after whiplash injury in most studies has been rather short. Therefore, the primary aim of this investigation was to study neck pain and other symptoms, disability, and life satisfaction five years after whiplash injury in a defined population and geographical area.MethodsThe study was carried out at a public hospital in northern Sweden and was a cross-sectional survey of patients five years after the injury event in a cohort of whiplash-injured patients. Five years after the emergency department visit, 186 persons aged 18–64 answered questionnaires on symptoms (Rivermead Post-Concussion Symptoms Questionnaire, RPQ), disabilities (Rivermead Head Injury Follow Up Questionnaire, RHFUQ), and life satisfaction (LiSat-11). The answers were compared to those of a comparison cohort.ResultsThe most common symptoms five years after whiplash injury were fatigue (41%), poor memory (39%), and headache (37%). Inability to sustain previous workload (44%) and fatigue at work (43%) were frequently reported disabilities. Only 39% were satisfied with their somatic health and 60% with their psychological health. Compared with healthy controls, the whiplash injured exhibited more symptoms and had lower life satisfaction. Women reported significantly higher pain intensity than men. Few significant differences between women and men regarding the other parameters were found.ConclusionsThis study shows that five years after a whiplash injury, patients reported symptoms that are typical of mild traumatic brain injury. Further, this study emphasizes the possibility of screening patients with chronic WAD for these symptoms as a complement to the assessment.ImplicationsUntreated symptoms may negatively affect the outcome of pain rehabilitation. This implies that it might be clinically meaningful to quantify symptoms earlier in the rehabilitation process

Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

Prosodic Impairment Associated With Traumatic Brain Injury

2009 ◽  
Vol 19 (3) ◽  
pp. 97-102
Author(s):  
Billy Irwin
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Detailed Analysis ◽  
Acoustic Characteristics ◽  
Individual Variations

Abstract Purpose: This article discusses impaired prosody production subsequent to traumatic brain injury (TBI). Prosody may affect naturalness and intelligibility of speech significantly, often for the long term, and TBI may result in a variety of impairments. Method: Intonation, rate, and stress production are discussed in terms of the perceptual, physiological, and acoustic characteristics associated with TBI. Results and Conclusions: All aspects of prosodic production are susceptible to the effects of damage resulting from TBI. There are commonly associated prosodic impairments; however, individual variations in specific aspects of prosody require detailed analysis.

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