|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.
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"Often families don't have the financial capability to access services. We need to rethink how we delivery neuro-rehab services to children and young people"
"Participation in teen sports and normal activities leads to improved quality of life for children and young people post brain injury and helps to maximise outcomes"
"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"
"Poor parenting styles affects children's behavior; increased their learning disability; and had a negative impact on emotions; anxiety; anger management post brain injury"
"When someone has a brain injury, early access to local, specialist rehabilitation is crucial to ensure the maximum recovery and make significant savings to the state in health costs"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"NHS clinicians struggle with what intervention to priorities in pediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
"Different 'experts' involved in pediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."