|Physical||Communication||Cognitive||Behavioural / Emotional|
A brain injury may result in post-injury personality changes resulting in outbursts of anger, confusion, and unpredictable behaviour. Moods can change suddenly as a result of impaired
executive function. A brain injury may also disrupt the production and function of neurotransmitters that have a role in mood and thought regulation. A person may also struggle with loss of control over their life, loss of previous abilities, loss of work, difficulties with relationships etc. There is often a great deal of adjustment to deal with following a brain injury. Depression may therefore occur as a result of the consequences of the brain injury. It is important to understand the underlying causes of mood change for them to be dealt with effectively.
It may assist to help to identify new goals and to help to work towards them. Try to provide opportunities for positive experiences by engaging in activities the person enjoys. Try to maintain social contact with supportive friends and family. Try to exercise and spend time outdoors. Try to work on focussing on remaining strengths and abilities rather than what has been lost. A rehabilitation psychologist or neuropsychologist may help to develop other strategies to achieve these goals.
It may be necessary for a G.P. to prescribe medication to assist with depression or post-traumatic stress, although the mechanism of brain injury usually means that the person suffering a brain injury has no recollection of the events surrounding the injury.
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"Parent-supported interventions after paediatric ABI bring reductions to the cost to society"
"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"
"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
"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."
"Brain development is complex and prolonged. Brain plasticity is influenced by a range of factors. Plasticity provides a base for neuro-rehab therapies and treatment"
"More play increases brain plasticity and makes for better recovery post brain injury"