Non-Traumatic Brain Injury (ABI) Causes & Impact
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Which of the following is the MOST direct cause of non-traumatic brain injuries (ABI)?

  • Physical effects such as mobility challenges.
  • External trauma to the head.
  • Emotional changes such as depression or anxiety.
  • Internal factors such as lack of oxygen or exposure to toxins. (correct)

A person with an ABI is exhibiting increased risky behavior and difficulty maintaining relationships. Which type of challenge is this person MOST likely facing?

  • Cognitive.
  • Behavioral. (correct)
  • Emotional.
  • Physical.

Difficulty with reading, writing, and remembering things after a brain injury falls under which category of challenges?

  • Physical.
  • Behavioral.
  • Cognitive. (correct)
  • Emotional.

An individual with an ABI consistently experiences heightened anxiety and sudden bouts of anger. What type of changes are they MOST likely experiencing?

<p>Emotional Changes. (B)</p> Signup and view all the answers

Mobility challenges, headaches, and sensory changes are examples of which type of challenges associated with brain injuries?

<p>Physical. (D)</p> Signup and view all the answers

After a brain injury, a person struggles to concentrate and make decisions. Which area of functioning is MOST affected?

<p>Cognitive Processes (C)</p> Signup and view all the answers

Why is it important for individuals with ABI-related emotional challenges to have a support system?

<p>To help them cope with difficult emotions and provide assistance. (A)</p> Signup and view all the answers

Which situation BEST exemplifies a behavioral change following a non-traumatic brain injury?

<p>An individual exhibiting impulsive actions and social isolation. (A)</p> Signup and view all the answers

Which of the following challenges is LEAST likely to be directly associated with a physical change after a brain injury?

<p>Difficulty communicating. (D)</p> Signup and view all the answers

An individual with an acquired brain injury (ABI) is struggling to participate in a group recreation activity due to increased sensitivity to noise and bright lights. Which of the following modifications would be MOST appropriate for a recreation therapist to implement?

<p>Move the activity to a quieter location with dimmer lighting or provide noise-canceling headphones and sunglasses. (B)</p> Signup and view all the answers

A recreation therapist is designing a program for adults with ABI. Considering the information provided, which factor is MOST important to address to promote participation and adherence?

<p>The complexity and cognitive demands of the activities. (A)</p> Signup and view all the answers

A client with a traumatic brain injury (TBI) is experiencing emotional lability and has difficulty regulating their mood during recreation therapy sessions. Which intervention strategy would be MOST appropriate for the recreation therapist to employ?

<p>Providing the client with a quiet space and teaching them relaxation techniques to manage their emotions. (A)</p> Signup and view all the answers

A recreation therapist is working with a client who has an ABI and is having trouble remembering appointments and therapy schedules. Which of the following strategies would be MOST effective in addressing this challenge?

<p>Implementing a combination of visual aids, electronic reminders, and a written schedule. (A)</p> Signup and view all the answers

Following a TBI, an individual exhibits increased impulsivity and poor decision-making skills during recreational activities. Which therapeutic approach should a recreation therapist prioritize to address these challenges?

<p>Implementing structured activities with clear rules and consequences to promote self-control. (B)</p> Signup and view all the answers

A recreation therapist is planning a community outing for clients with ABI. What consideration is MOST important to ensure client safety and well-being?

<p>Conducting a pre-visit assessment of the environment, potential hazards, and accessibility features. (B)</p> Signup and view all the answers

A recreation therapist is working with a young adult who sustained a TBI following a motor vehicle accident. Considering the common causes of ABI, what is the MOST important information for the therapist to gather during the initial assessment?

<p>The details surrounding the accident, including the mechanism of injury and any associated medical complications. (B)</p> Signup and view all the answers

Which of the following best describes the core principle of the 'doing with' coaching approach used in the Life Redesign Model?

<p>The individual is seen as an active participant and collaborator in their rehabilitation, with the coach providing support and guidance. (D)</p> Signup and view all the answers

How does the Life Redesign Model differentiate itself from traditional care facilities in supporting individuals with acquired brain injuries (ABI)?

<p>By empowering individuals to foster community participation and make choices aligned with personal interests while taking smart risks. (D)</p> Signup and view all the answers

What is the primary goal of CONNECT's Life Redesign Plans in bridging the gap between hospital care and home life for individuals with brain injuries?

<p>To integrate rehabilitation seamlessly into real-life activities, maximizing interdependence and promoting community participation. (D)</p> Signup and view all the answers

Which statement aligns with the guiding philosophy of the Life Redesign Model?

<p>Individuals are naturally resourceful and are capable in shaping their lives in personally meaningful ways. (A)</p> Signup and view all the answers

How does the Life Redesign Model leverage the concept of neuroplasticity in the rehabilitation process?

<p>By strategically incorporating relevant, real-life activities to promote brain adaptation and skill reacquisition. (C)</p> Signup and view all the answers

Which behavioral challenge commonly observed after acquired brain injury is MOST directly addressed by identifying and reducing triggers?

<p>Aggression (B)</p> Signup and view all the answers

A client with a brain injury exhibits a lack of emotional response and difficulty initiating activities. Which combination of behavioral challenges are they MOST likely experiencing?

<p>Lack of initiation and depression (C)</p> Signup and view all the answers

Which of the following strategies BEST supports a client with cognitive challenges related to attention and concentration during a therapeutic recreation session?

<p>Breaking down tasks into smaller steps and offering scheduled breaks. (A)</p> Signup and view all the answers

A therapeutic recreation specialist is working with a client who has difficulty with planning skills following a brain injury. Which intervention would be MOST effective in addressing this cognitive impairment?

<p>Practicing task completion with detailed, step-by-step instructions and visual aids. (C)</p> Signup and view all the answers

Which of the following BEST describes the role of a Therapeutic Recreation Specialist in addressing cognitive challenges after an acquired brain injury?

<p>Designing interventions to improve cognitive functioning in daily life. (A)</p> Signup and view all the answers

A client with an acquired brain injury exhibits poor judgment and difficulty solving problems. Which activity would be MOST appropriate for a TR specialist to use to address these cognitive challenges?

<p>A simple money management task with guidance, such as creating a budget. (A)</p> Signup and view all the answers

A client with a brain injury struggles with language and communication. What is the MOST effective way for a TR specialist to communicate instructions?

<p>Breaking down instructions into small, manageable steps (D)</p> Signup and view all the answers

A client experiencing symptoms of PTSD after a traumatic brain injury is participating in therapeutic recreation. Which intervention would be MOST appropriate?

<p>Participating in a calming activity like mindfulness or yoga. (D)</p> Signup and view all the answers

A client with self-awareness deficits is consistently overestimating their abilities during a TR program. Which intervention strategy is MOST suitable?

<p>Providing immediate and direct feedback on their performance. (C)</p> Signup and view all the answers

During a group outing, a client with disinhibition makes an inappropriate comment to a stranger. What is the MOST appropriate immediate response from the TR specialist?

<p>Privately redirecting the client and explaining the inappropriateness of the comment. (C)</p> Signup and view all the answers

An individual with a brain injury is experiencing difficulty completing everyday tasks due to impaired motor control. Which of the following strategies would be MOST effective for a therapeutic recreation specialist to implement?

<p>Providing adaptive aids and focusing on small successes during the activity. (D)</p> Signup and view all the answers

A client with a brain injury exhibits frequent mood swings and intense emotional outbursts. Which approach would be LEAST appropriate for a therapeutic recreation specialist to use?

<p>Ignoring the emotional outbursts and focusing solely on the activity at hand. (D)</p> Signup and view all the answers

A therapeutic recreation specialist is working with a client who has a brain injury and struggles with focusing on tasks. What is the MOST suitable strategy to enhance the client's engagement and attention?

<p>Dividing tasks into smaller, manageable steps with frequent short breaks. (B)</p> Signup and view all the answers

A client with a brain injury is experiencing chronic pain, fatigue, and sleep difficulties. Which therapeutic recreation intervention would be MOST appropriate?

<p>A mindfulness and relaxation program to improve sleep and reduce pain perception. (B)</p> Signup and view all the answers

Which of the following reflects an appropriate way for a therapeutic recreation specialist to show compassion to a client with a brain injury?

<p>Actively listening to the client and validating their feelings about their injury. (C)</p> Signup and view all the answers

A client with a brain injury, showing jerkiness and coordination issues, is participating in a ball throwing game. What adjustment should the Recreation therapist consider to support the client's participation?

<p>Use a lighter ball, decrease the throwing distance and allow the client to sit. (C)</p> Signup and view all the answers

A client who suffered a brain injury now displays personality changes. Which action would LEAST benefit the client?

<p>Ignoring this aspect of the injury and focusing on physical interventions. (D)</p> Signup and view all the answers

Which strategy is MOST effective in helping a client with a brain injury manage their anger and irritability?

<p>Identifying triggers and engaging in calming activities. (B)</p> Signup and view all the answers

A client with a brain injury struggles with impaired motor planning affecting her ability to perform sequential tasks. Which of the following intervention strategies would be MOST beneficial?

<p>Breaking down the task into smaller, manageable steps with clear instructions for each step. (D)</p> Signup and view all the answers

A therapeutic recreation specialist is working with a client with a brain injury who has balance problems. Which of the following activities should be adapted to ensure client safety and participation?

<p>A seated gardening activity with modified tools and support. (C)</p> Signup and view all the answers

Flashcards

Acquired Brain Injury (ABI)

A brain injury that occurs after birth, affecting cognitive and physical functions.

Traumatic Brain Injury (TBI)

Injury to the brain caused by external forces, such as a blow to the head.

Concussion

A type of brain injury typically caused by a blow to the head, not requiring loss of consciousness.

Common causes of ABI

The leading causes of ABI include falls, motor vehicle accidents (MVA), and violence.

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Depression and ABI

About 50% of individuals with traumatic brain injury experience depression.

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Risk Groups for ABI

Children, young adults (15-24), and older adults are most at risk for ABI.

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Focal vs. Diffuse Damage

Focal damage affects one area of the brain, while diffuse damage impacts multiple areas.

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Non-traumatic brain injury

A brain injury caused by internal factors like lack of oxygen or toxins, rather than an external force.

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Behavioral changes

Alterations in actions, decisions, and relationships post-injury, including impulsivity and isolation.

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Cognitive changes

Changes in learning, memory, and processing information after a brain injury.

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Emotional changes

New or altered feelings such as depression, anxiety, or anger post-injury.

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Physical changes

Health impacts like mobility challenges, headaches, and fatigue due to brain injury.

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Impulsivity after ABI

Engaging in rash or risky behaviours due to changes in brain function post-injury.

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Support systems

Networks of family, friends, and professionals that help cope with changes from brain injury.

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Safety concerns

Risks associated with behavioral changes that can threaten well-being after brain injury.

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Aggression

Hostile or violent behavior towards others.

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Behavioural Challenges

Difficulties in managing behaviors, often related to emotional triggers.

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Calming Activities

Activities aimed at reducing stress and agitation, such as deep breathing.

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Cognitive Challenges

Impairments in thinking skills due to brain injury affecting daily life.

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Self-awareness in Therapy

Understanding oneself, crucial for recovery from brain injury.

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Social Dysfunction

Difficulty in interacting or functioning in social situations.

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Memory Impairments

Loss or difficulties in recalling information post-injury.

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Post-traumatic Stress Disorder (PTSD)

A mental health condition following traumatic events, can follow brain injuries.

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Speech-Language Pathologists (SLPs)

Professionals who help with communication and language skills post-injury.

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Occupational Therapists (OTs)

Therapists who assist in improving daily life skills and independence.

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Life Redesign Model

An approach integrating rehabilitation into real-life activities to support individual growth.

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Holistic Approach

Addressing all aspects of health (physical, emotional, social) in life redesign.

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Interdependence

Maximizing individuals' ability to work with others in life and rehabilitation post-injury.

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Personal Accountability

Encouraging individuals to take responsibility for their choices and actions in life.

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Smart Risk-Taking

Engaging in meaningful activities while balancing safety and independence.

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Breaking Tasks into Steps

Dividing tasks into smaller, manageable parts to enhance focus.

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Short Breaks

Taking brief pauses during tasks to allow the brain to rest.

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Emotional Changes Post-Injury

Altered emotional responses, including increased or decreased feelings.

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Anger and Irritability

Heightened feelings of frustration or annoyance after brain injury.

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Engaging Activities

Participating in relaxing activities to manage emotions.

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Physical Challenges

Motor and coordination difficulties impacting daily activities after injury.

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Ataxia

A lack of coordination that results in jerky movements.

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Fatigue and Insomnia

Chronic tiredness and difficulties sleeping post-injury.

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Listening and Compassion

Showing understanding and support to those with brain injuries.

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Celebrating Small Successes

Recognizing and appreciating minor achievements in recovery.

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Study Notes

Acquired Brain Injury - Recreation Therapy

  • Recreation therapy is a vital part of life redesign after brain injury and stroke.
  • A brain injury (ABI/TBI/Concussion/Stroke) impacts daily function.
  • ABI is the leading cause of death and disability for those under 45.
  • One person in Canada is affected by a brain injury every 3 minutes.
  • A concussion is a brain injury.
  • Losing consciousness is not a requirement for a brain injury to occur.
  • 50% of people with traumatic brain injuries experience depression.
  • The average age of people supported by CONNECT is 45 years old.
  • Common causes of ABI are falls, motor vehicle accidents (MVAs), and violence.
  • Children (newborn-4 years old) and young adults (15-24) are at higher risk.
  • First Nations peoples experience rates of brain injury 4-5 times higher.

Good Days vs. Bad Days

  • Consider the impact of sleep, stress, fear, pain, noise, light, autonomy, and relatedness on daily function.
  • Reflect on how these factors influence day-to-day functioning.

A Bump to the Head?

  • Traumatic Brain Injury (TBI) is caused by a sudden external force.
  • ABI is a broad term covering diverse injuries, from focal to diffuse.
  • Brain injury severity ranges from mild to severe.
  • Non-traumatic brain injuries (ABI) result from internal factors.

ABI Challenges

  • Behavioural: Risky or impulsive behaviour, relationship difficulties, isolation, safety concerns.
  • Cognitive: Communication, concentration, reading/writing, decision-making, memory.
  • Emotional: Depression, anxiety, anger, emotional control, mood swings, personality changes.
  • Physical: Mobility challenges, headaches, fatigue, pain, sensory issues.

Behavioural Challenges - TR Implications

  • Understand behaviour before it occurs to prevent triggers.
  • Minimize room stimulation (e.g., light, noise).
  • Redirect to calming activities.
  • Use calming techniques (e.g., deep breathing).
  • Focus on short periods of challenging tasks.
  • Schedule breaks.
  • Celebrate successes.

Cognitive Challenges

  • ABI impacts attention, concentration, judgment, problem-solving, language, memory, planning skills, and self-awareness.

Cognitive Challenges - TR Implications

  • Every brain injury is unique.
  • Cognitive recovery varies.
  • Rehabilitation tools can help improve cognition.
  • Collaborate with speech-language pathologists (SLPs) and occupational therapists (OTs).
  • Interventions and goals need individual assessment and tailorability.
  • Repeat information, break tasks into smaller steps to support cognitive function.
  • Engage in activities person enjoys.
  • Offer frequent breaks.

Emotional Challenges

  • Brain injury can alter emotional processing and responses.
  • Negative emotions (e.g., anger, irritability, anxiety, depression) and mood swings are possible.
  • Changes in personality may occur.
  • Be supportive and understanding of emotional responses.
  • Identify and manage emotional challenges.
  • Actively engage in calming activities.
  • Provide coping strategies.

Emotional Challenges - TR Implications

  • Engage in calming activities (e.g., music, reading, pet/horticulture therapy).
  • Be empathetic and understanding.
  • Be aware of potential emotional triggers.
  • Acknowledge the normalcy of upset, anger, and sadness related to brain injury.
  • Focus on positive aspects and accomplishments.

Physical Challenges

  • Physical effects of brain injury can impact daily activities (e.g., ataxia, balance problems, pain, fatigue, sleep issues, headaches, motor control/planning, muscle tone, paralysis, sensory changes).

Physical Challenges - TR Implications

  • Understand individual limitations.
  • Utilize support from physical therapists (PT).
  • Observe for fatigue and weakness.
  • Celebrate small accomplishments.
  • Use adaptive aids to support daily activities.
  • Recognize that emotional challenges often stem from physical limitations.

Life Redesign Model

  • An innovative approach for people with brain injuries in a non-institutional setting.
  • Focuses on strengths, self-determination, and meaningful everyday life goals.
  • Encourages participation in life activities integrated with rehabilitation.

CONNECT's Life Redesign Approach

  • A holistic approach addressing all aspects of health (physical, functional, psychological, cognitive, emotional, behavioral, social, cultural).
  • Prevents institutionalization, bridges the gap between hospital and home life.
  • Integrates rehabilitation into everyday life.
  • Maximizes interdependence, dignity, and quality of life.

The Life Redesign Model: Intentionally Different

  • Values-based and flexible approach.
  • Puts the individual at the center, recognizing their expertise on their own life.
  • Encourages creativity, resourcefulness, and leveraging neuroplasticity.
  • Balances safety with smart risks and supports real-life activities.
  • Fosters meaningful community participation.

How does CONNECT & Life Redesign differ from a traditional care facility?

  • Supports meaningful, non-institutionalized life.
  • Focuses on individual interests and goals.
  • Emphasizes personal responsibility.
  • Uses a collaborative, "doing-with" approach.
  • Facilitates the transition between hospital and home.
  • Promotes smart risk-taking with team support.
  • Equips individuals to thrive in their community.

Traditional Rehabilitation Approach

  • Focuses on improving specific skills/functioning.
  • Therapist-led exercises and structured activities.
  • Often lacks integration with everyday life.

Rehabilitation Treatment Specification System (RTSS)

  • A framework for clearly defining rehabilitation goals and strategies.
  • Includes "Aims," "Targets," and "Ingredients," providing a comprehensive approach.
  • Tracks and evaluates progress.

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Description

Explore the causes and impact of non-traumatic brain injuries (ABI). Understand the challenges related to risky behavior, relationships, reading, sensory changes, and emotional regulation. Learn the importance of support systems for individuals facing ABI-related difficulties.

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