1 / 20

ACQUIRED BRAIN INJURY

ACQUIRED BRAIN INJURY. presented by FRANCESCA A. LaVECCHIA, Ph.D. Chief Neuropsychologist Brain Injury & Statewide Specialized Community Services Massachusetts Rehabilitation Commission. AGE of ONSET. CONGENITAL (PRENATAL) Genetic Chromosomal Multifactorial Unknown

avak
Download Presentation

ACQUIRED BRAIN INJURY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ACQUIRED BRAIN INJURY presented by FRANCESCA A. LaVECCHIA, Ph.D. Chief Neuropsychologist Brain Injury & Statewide Specialized Community Services Massachusetts Rehabilitation Commission

  2. AGE of ONSET • CONGENITAL (PRENATAL) • Genetic • Chromosomal • Multifactorial • Unknown • ACQUIRED (PERINATAL GERIATRIC)

  3. LOCUS of CNS DISORDERS • INTRINSIC vs. EXTRINSIC • FOCAL vs. MULTIFOCAL vs. DIFFUSE

  4. VELOCITY of CNS DISORDERS • STATIC • PROGRESSIVE • RAPID • SLOW • INTERMITTENT

  5. ETIOLOGY OF ACQUIRED ENCEPHALOPATHIES INFECTIOUS NEUROTOXIC METABOLIC TRAUMATIC NEOPLASTIC VASCULAR DEGENERATIVE/DEMENTING

  6. NEUROEPIDEMIOLOGY: STUDY POPULATIONS • INTERNATIONAL • NATIONAL • REGIONAL • FACILITY/AGENCY-BASED

  7. NEUROEPIDEMIOLOGY: METHODOLOGY • Uniform Hospital Discharge Data Set (UHDDS) • Sampling • Survey Studies • Registries • Surveillance Studies (e.g., Centers for Disease Control)

  8. FACTORS AFFECTINGRECOVERY and OUTCOME • AGE • SEVERITY of NEUROLOGICAL INSULT • DISORDER/DISEASE-SPECIFIC DETERMINANTS • PROGNOSIS

  9. FACTORS AFFECTINGRECOVERY and OUTCOME • NATURE of COMPLICATIONS • PREMORBID CONDITIONS (e.g., Psychiatric Disorder, Developmental Disorder) • TIMELINESS, ACCURACY, and ACCESS to DIAGNOSTIC and TREATMENT SERVICES

  10. FACTORS AFFECTINGRECOVERY and OUTCOME • PARTICIPATION in REHABILITATION • OTHER POST-INJURY RISKS/FACTORS (e.g., substance abuse) • SUPPORT of FAMILY/SIGNIFICANT OTHERS

  11. LONG-TERM SEQUELAE • NEUROCOGNITIVE COMPROMISE • Dementia (progressive disorders) • Mental Retardation (e.g., Shaken Baby Syndrome) • Specific Neuropsychological Deficits (e.g., aphasia, memory disorder) • NEUROBEHAVIORAL/NEUROPSYCHIATRIC DISORDER • Personality Change • Depression

  12. LONG-TERM SEQUELAE • MOTOR DEFICITS and PHYSICAL DISABILITY • Paralysis (pyramidal disorder) • Extrapyramidal disorder (e.g., Parkinsonism) • SENSORY IMPAIRMENT • Visual (e.g., visual field impairment) • Auditory • Other sensory impairment

  13. OTHER ASSOCIATED CHALLENGES • COMPROMISED EDUCATIONAL OUTCOME • COMPROMISED VOCATIONAL OUTCOME • SOCIAL ISOLATION

  14. OTHER ASSOCIATED CHALLENGES • SUBSTANCE ABUSE • INSTITUTIONALIZATION • INCARCERATION • HOMELESSNESS

  15. CONTINUUM of SERVICE NEEDS

  16. ACUTE INTERVENTIONS(Disease/Disorder-Specific) • EMERGENCY DEPARTMENT SERVICES • SPECIALIZED INPATIENT CARE (e.g., Trauma Unit) • EVALUATION and TREATMENT by MEDICAL SPECIALISTS (e.g., Neurosurgery, Neuro-oncology)

  17. POST-ACUTE INTERVENTIONS • INPATIENT/OUTPATIENT REHABILITATION • SKILLED NURSING/LONG-TERM CARE FACILITY • Persistent Disorder of Consciousness • Slow to Recover • Progressive Disorder • Homeless with significant residual sequelae • COMMUNITY-BASED SUPPORTS (e.g., VNA, Home Health Care)

  18. ONGOING TREATMENT NEEDS • NEUROLOGY • NEUROPSYCHOLOGY • SUBSTANCE ABUSE • NEUROPSYCHIATRY • REHABILITATIVE THERAPIES (e.g., maintenance PT/OT, cognitive remediation)

  19. COMMUNITY-BASED SUPPORT NEEDS • SPECIAL EDUCATION • VOCATIONAL REHABILITATION/EMPLOYMENT • AVOCATIONAL SERVICES (e.g., Day Program, Volunteer Opportunities, Club house) • COMMUNITY LIVING SUPPORTS (e.g., Personal Care, Supported Living Services, 24/7 residential) • ACCESSIBLE/AFFORDABLE HOUSING

  20. COMMUNITY-BASED SUPPORT NEEDS • COMMUNITY INTEGRATION (e.g., access via transportation) • CASE MANAGEMENT (e.g., advocacy; linkage to resources and entitlements) • SOCIAL/RECREATIONAL/LEISURE OPPORTUNITIES • ASSISTIVE TECHNOLOGY • SUPPORT SERVICES for FAMILY/SIGNIFICANT OTHERS (e.g., respite, BIA Support Groups)

More Related