Discharge Management for Traumatic Brain Injury

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Original Editor - Wendy Walker

Top Contributors - Wendy Walker, Naomi O'Reilly, Kim Jackson, Lucinda hampton, Rachael Lowe, Admin, Jess Bell, Tarina van der Stockt, Simisola Ajeyalemi, Uchechukwu Chukwuemeka and Rucha Gadgil  

General Principles of Good Practice for Discharge

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.

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Sequelae which commonly occur late in TBI, after Discharge

Heterotopic Ossification.

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.

The most common sites is the hip, followed by the elbow.

References

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