Discharge Management for Traumatic Brain Injury: Difference between revisions
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<div class="noeditbox">Welcome to [[Traumatic_Brain_Injury_Content_Creation_Project|Traumatic Brain Injury Content Creation Project]]. This page is being developed by participants of a project to populate the Traumatic Brain Injury Section of Physiopedia. | <div class="noeditbox"> | ||
Welcome to [[Traumatic_Brain_Injury_Content_Creation_Project|Traumatic Brain Injury Content Creation Project]]. This page is being developed by participants of a project to populate the Traumatic Brain Injury Section of Physiopedia. | |||
*Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! | *Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! | ||
*If you would like to get involved in this project and earn accreditation for your contributions, [[[Special:Contact|please get in touch]]]! | *If you would like to get involved in this project and earn accreditation for your contributions, [[[Special:Contact|please get in touch]]]! | ||
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In some cases the person may be able to go on a trial visit home for a day and/or overnight before actually being discharged. | In some cases the person may be able to go on a trial visit home for a day and/or overnight before actually being discharged. | ||
== Information Provided on Discharge == | |||
The hospital should provide information on: | |||
* Symptoms of complications that could require urgent treatment | |||
* Activities to avoid, and for how long (eg. driving) | |||
* Prescriptions and medications | |||
* Cognitive changes which may be expected, and suggestions on their management | |||
* Ongoing rehabilitation requirements | |||
* Any special dietary requirements (eg. soft diet, or thickened fluids) if the patient has problems with swallowing | |||
* Contact details for key professionals | |||
<div align="justify"> | |||
== Sequelae which commonly occur late in TBI, after Discharge == | == Sequelae which commonly occur late in TBI, after Discharge == | ||
=== Heterotopic Ossification === | === Heterotopic Ossification === | ||
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The most common sites is the hip, followed by the elbow<ref>Mavrogenis AF, Soucacos PN, Papagelopoulos PJ. Heterotopic Ossification Revisited. Orthopedics. 2011Jan;34(3):177</ref>. | The most common sites is the hip, followed by the elbow<ref>Mavrogenis AF, Soucacos PN, Papagelopoulos PJ. Heterotopic Ossification Revisited. Orthopedics. 2011Jan;34(3):177</ref>. | ||
=== Pituitary Dysfunction === | === Pituitary Dysfunction === | ||
Pituitary dysfunction, leading to neuroendocrine dysfunction, is a recognised but potentially underdiagnosed complication of TBI<ref>Chin Lik Tan, Seyed Alireza Alavi, Stephanie E Baldeweg et al. 2017 The screening and management of pituitary dysfunction following traumatic brain injury in adults: British Neurotrauma Group guidance. | Pituitary dysfunction, leading to neuroendocrine dysfunction, is a recognised but potentially underdiagnosed complication of TBI<ref>Chin Lik Tan, Seyed Alireza Alavi, Stephanie E Baldeweg et al. 2017 The screening and management of pituitary dysfunction following traumatic brain injury in adults: British Neurotrauma Group guidance. | ||
Revision as of 22:23, 13 August 2019
Welcome to Traumatic Brain Injury Content Creation Project. This page is being developed by participants of a project to populate the Traumatic Brain Injury Section of Physiopedia.
- Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
- If you would like to get involved in this project and earn accreditation for your contributions, [[[Special:Contact|please get in touch]]]!
Original Editor - Wendy Walker
Top Contributors - Wendy Walker, Naomi O'Reilly, Lucinda hampton, Kim Jackson, Rachael Lowe, Admin, Rucha Gadgil, Jess Bell, Tarina van der Stockt, Simisola Ajeyalemi and Uchechukwu Chukwuemeka
General Principles of Good Practice for Discharge[edit | edit source]
Discharge planning should involve, from the outset, the patient and their family/carers, and the rights and wishes of the patient should be listened to and respected.
If possible, it is considered useful that the discharge occur in the morning, providing the afternoon and evening hours for the individual to settle into their new environment before going to sleep.
Planning for Discharge[edit | edit source]
A formal discharge meeting should be arranged, involving (but not limited to) hospital rehabilitation staff (including physiotherapist, occupational therapist, speech and language therapist if relevant), social services staff, close family members, patient, carers (if appropriate).
In some cases the person may be able to go on a trial visit home for a day and/or overnight before actually being discharged.
Information Provided on Discharge[edit | edit source]
The hospital should provide information on:
- Symptoms of complications that could require urgent treatment
- Activities to avoid, and for how long (eg. driving)
- Prescriptions and medications
- Cognitive changes which may be expected, and suggestions on their management
- Ongoing rehabilitation requirements
- Any special dietary requirements (eg. soft diet, or thickened fluids) if the patient has problems with swallowing
- Contact details for key professionals
Sequelae which commonly occur late in TBI, after Discharge[edit | edit source]
Heterotopic Ossification[edit | edit source]
This build up of new bone at the joint has been found to occur in between 10% and 20% of patients with moderate to severe TBI[1].
The most common sites is the hip, followed by the elbow[2].
Pituitary Dysfunction[edit | edit source]
Pituitary dysfunction, leading to neuroendocrine dysfunction, is a recognised but potentially underdiagnosed complication of TBI[3]. It is often labelled Post-traumatic hypopituitrism.
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Hsu JE, Keenan MA. Current review of heterotopic ossification. UPOJ 2010; 20: 126-130
- ↑ Mavrogenis AF, Soucacos PN, Papagelopoulos PJ. Heterotopic Ossification Revisited. Orthopedics. 2011Jan;34(3):177
- ↑ Chin Lik Tan, Seyed Alireza Alavi, Stephanie E Baldeweg et al. 2017 The screening and management of pituitary dysfunction following traumatic brain injury in adults: British Neurotrauma Group guidance. Journal of Neurology, Neurosurgery & Psychiatry, vol 88, Issue 11. Nov 2017.
