|Physical||Communication||Cognitive||Behavioural / Emotional|
The parts of the brain that normally inhibit angry feelings and behaviour may be damaged as a result of a traumatic brain injury. This means that the person has a lower threshold and becomes angry more easily and more intensely. Outbursts of anger can come and go quite quickly and can be made worse by stress, fatigue etc. This can be difficult for family and friends to deal with.
If possible avoid known potential triggers for aggressive outbursts. If there is an aggressive outburst remain calm and do not argue with the person. Try to redirect attention elsewhere or remove the person from the situation if possible. If necessary remove yourself from the situation to allow the person to calm down. An aggressive outburst can flare up suddenly and just as quickly resolve itself. Often the person with the brain injury will understand that their behaviour was not appropriate once they have had time to calm down.
Alcohol and drug misuse with consequent intoxication may exacerbate agitation and aggression.
Aggression usually occurs early in the course of recovery and may resolve spontaneously. Use of medications to try to control aggression can have negative impacts on brain rehabilitation and need to be carefully considered and monitored if used.
"Healthy teens are better at identifying strategies to deal with barriers. KIDS WITH ABI'S CAN'T!"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
"NHS clinicians struggle with what intervention to prioritise in paediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"Thousands of children and young people living in the UK today without the help and support that can make a huge difference to their lives"
"Different 'experts' involved in paediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."