Assessment and Treatment for Survivors of Traumatic Brain Injury

Susan Little, PT, MS, CBIS

Online Course

Includes all course content in digital format

Prerequisites Required
6 hours - Provided by Summit Professional Education

Item: physi-ONDEMANDPTBISL1

Description

Traumatic brain injury (TBI) is a major cause of death and disability in the United States. Moderate to severe injuries often lead to lifelong disability. In the United States alone, the Center for Disease Control estimates that there are approximately 5.3 million individuals living with TBI related disabilities. Rehabilitation professionals are charged with minimizing TBI related sequelae and optimizing function. With ever increasing pressures from insurers and ever changing evidence from researchers, knowledge translation from the literature to the clinic is a key in efficient and optimal rehabilitation. However, the clinician is faced with the challenge of managing a patient caseload while remaining up-to-date on research that directly impacts their interventions.

This course will provide an overview of TBI and TBI rehabilitation while highlighting recent advances in the science and management of survivors of moderate to severe TBI. Participants will leave with an awareness of the changing epidemiology of TBI, and the usefulness of multiple standardized assessment tools. Effectiveness of paradoxical medications that are being utilized to increase arousal of individuals in a minimally conscious state will be presented. Updates on indicators of positive outcome after TBI and prognostic models will be described to aid in goal establishment, guide treatment and prepare caregivers. Evidence updates on common clinical interventions, such as coma stimulation and body weight supported gait training, will be provided to guide clinical practice. Tactics for the management of behavioral disturbances and guidance for promoting the recovery of caregivers after catastrophic injuries will be reviewed. Participants will leave this course feeling refreshed and empowered to manage their patients with up-to-date evidence-based knowledge.

Highlights

  • The latest research and key advances in the medical and rehabilitation management of traumatic brain injuries
  • 10 most effective standardized assessment tools for all levels of recovery and understanding of their usefulness in clinical practice
  • Develop the best plan of care based upon prognostic evidence and models to more accurately predict outcomes
  • Be properly equipped to manage confusion and behavioral disturbances
  • Resources to educate family/caregivers in varying levels of acceptance and recovery

Learning Objectives

  1. Update knowledge base regarding key topics throughout the continuum of recovery after traumatic brain injury (TBI).
  2. Apply evidence-based assessment tools for evaluation of impairments and function and realize their clinical usefulness and impact on outcome after TBI.
  3. Realize the impact and limitations of outcome prediction models.
  4. Identify appropriate rehabilitation goals at each level of recovery after TBI.
  5. Improve ability to evaluate and manage behavioral disturbances which are common after TBI.
  6. Incorporate knowledge of the impact of TBI on the aging process into management of chronic TBI and education of clients.

Course Content

Assessment and Treatment for Survivors of Traumatic Brain Injury
SCORM Package
Next Steps
Module
  1. The Latest Research and Advances in Traumatic Brain Injury
    1. Epidemiology
      1. Causes
      2. Age distribution
      3. Classifications
      4. Pathophysiology
      5. Sequelae
    2. The therapists role in recovery
  2. Evidence-Based Assessment Tools For Evaluation ofImpairments and Function
    1. Multidisciplinary assessment
    2. Spasticity
    3. Cognitive abilities
    4. Behavior issues
    5. Balance
  3. Developing a Plan of Care Based on Functional Abilities and Limitations
    1. Indicators of outcome
      1. Pre-injury
      2. Injury
      3. Post-injury
      4. Prognostic models
    1. Goals and Interventions Based on Function and Level of Recovery
      1. Minimally conscious - Ranchos I-III
        1. Rehab goals
        2. Coma stimulation
        3. Paradoxical medications
      2. Agitated - Ranchos IV
        1. Rehab goals
        2. Behavior management
        3. Medications
      3. Confused - Ranchos V-VI
        1. Rehab goals
        2. Body weight supported gait training
        3. Geriatric TBI
      4. High-functioning - Ranchos VII-X
        1. Rehab goals
        2. Balance assessment
        3. Aging with brain injury
        Hands-On Lab
  4. Education Strategies to Improve Recovery and Compliance
    1. Levels of caregiver recovery
    2. Professional interventions at each level of recovery
Susan Little, PT, MS, CBIS is a licensed Physical Therapist with specialization in the management of the traumatic brain injuries. With over 27 years of experience in inpatient rehabilitation of neurological injuries, she has served in clinical, developmental, supervisory, research and educational roles. She regularly provides community education on various brain injury related topics to audiences ranging from grade school students to doctoral programs. This includes serving as adjunct faculty/guest lecturer at several universities covering topics related to brain injury rehabilitation. Susan is a Certified Brain Injury Specialist through the Brain Injury Association of America and a Certified Instructor for Nonviolent Crisis Intervention. She has contributed to research with publications including a recently accepted manuscript by the Journal of Head Trauma Rehabilitation(JHTR) titled ""Balance and mobility improvements during inpatient rehabilitation are similar in young-old, mid-old, and old-old adults with traumatic brain injury"" and a March 2013 article in JHTR titled ""Relationships among measures of balance, gait, and community integration in people with brain injury."" She is a member of the American Physical Therapy Association. Susan's educational background includes a Bachelor's Degree in PT from the University of Scranton and a Master's Degree in Neurological PT from the University of Pittsburgh.

DISCLOSURES

FINANCIAL: Susan Little is compensated as a guest lecturer at Duquesne and Chatham Universities, receives a salary for employment at Encompass Health, Allegheny Health Network and Concordia at Rebecca Residence and is compensated by Summit as an instructor.

NONFINANCIAL: Susan Little is involved in research collaboration at both Chatham University and Slippery Rock University.

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