Mentis Neuro Blog
Back to School Warrants Caution for Concussions in Student Athletes
As students return to school, many also resume sports programs this fall. While most agree that athletics is great exercise and builds teamwork, there is an increase in sports-related concussions in student athletes. The increase in these injuries is not gender-specific.
“Which NCAA sport has the highest concussion rate? If you said ‘football,’ you’d be wrong. The college sport that carries the highest risk of concussion is women’s ice hockey… In every sport played by both girls and boys—basketball, soccer, ice hockey, lacrosse—girls’ risk of concussion is significantly higher than the risk for boys.”*
Mentis Neuro Health recognizes the health concerns across genders and age groups for anyone facing a concussion. What’s more is that individuals who have suffered one concussion are likely to experience more severe, longer lasting symptoms with subsequent concussions and may even develop Chronic Traumatic Encephalopathy (CTE).**
It’s critical that parents, coaches and fellow athletes recognize the signs of concussions (see the infographic in this blog post for details) and seek medical attention when these symptoms persist.
“A concussion is a traumatic brain injury (TBI) caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, stretching and damaging brain cells and creating chemical changes in the brain.” –Brain Injury Association of America**
Sports is certainly not the only cause of traumatic brain injuries in adolescents. Other causes may include assault, motor vehicle accidents, aneurysm rupture, stroke, brain tumors and more. Regardless of the cause, individuals with such brain injuries may experience mild or severe symptoms, and symptoms that persist or worsen are reason for attention. For some, concussions may require more care after a patient is released from the hospital to regain full functional and cognitive abilities. As with any illness, medical attention is key.
* Leonard Sax, M.D., Ph.D., Girls on the Edge: The Four Factors Driving the New Crisis for Girls.” (New York: Basic Books, 2010). 168.
** “Concussion and CTE” fact sheet. Brain Injury Facts, Brain Injury Association of America, http://www.biausa.org/concussion/cte-pcs-fact-sheet.pdf. Virginia.
Improving Quality of Life for Both Patients and Their Support System Post Brain Injury
A shocking 917,000 Americans are diagnosed with an Acquired Brain Injury (ABI) each year, according to the Brain Injury Association of America. Specifically, an ABI is an injury to the brain that happens after birth and could include stroke, tumor, aneurysm, viral encephalitis, multiple sclerosis and anoxia/hypoxia.
Unfortunately, once a brain injury patient is considered stable, many insurance plans will not continue to cover a hospital stay, pushing the patient’s family members to consider —with the physicians—the best course of action. This often means that loved ones assume they can take the patient home and care for him or her there. The extent of care needed can be easily misunderstood, yet many family members feel a great responsibility to take on the caregiver role before all gains can be made in post-acute settings.
“The impact of a brain injury isn’t felt only by the patient. It is felt by the entire support network,” said Laura Wiggs, VP of Clinical Services with Mentis Neuro Health.
“It’s important to have a safe setting to address patients’ and family members’ concerns and create an individualized treatment plan that can help them adjust to a potential, new way of living,” Wiggs added. Mentis prides itself on delivering the highest level of post-acute neurorehabilitation to the patients it serves tailored to re-integrate patients back into their community as successfully as possible.
With services including in-patient rehabilitation, outpatient rehabilitation, day treatment and long-term residential care, Mentis customizes treatment plans to individual needs throughout the care continuum.
“We offer a lot of education both to the patient and their support system, which is absolutely critical,” Wiggs explained.
Finding customized treatment that will arm brain injury patients and their families with the tools, techniques and counseling to reintegrate into the community is a key part of the rehabilitative process. However, family members often think once patients are up, walking and talking, that they’re ready to resume activities formerly performed. Many times, the patients even say that they’re eager to return home and get back to work. Taking those steps too quickly can be detrimental for both the patient and the extended family. (See “Returning to Work after a Brain Injury: Fastest Isn’t Always Best” article for common risks.) Cognitive rehabilitation after a patient is released from the hospital often delivers the greatest likelihood for a return to normal life. This care continuum can help both brain injury patients and their loved ones to better understand the physical, cognitive, mental and emotional needs, and put a plan in place for patients to thrive.
With clinics across Texas and in Ohio, Mentis Neuro Health is ready to be an integral part of the recovery process for brain injury patients through meaningful neurological rehabilitation with a careful eye on enhanced quality of life for patients and their families. Learn more about the various programs offered at www.MentisNeuro.com.
Returning to Work after a Brain Injury: Fastest Isn’t Always Best
Recovery from a traumatic brain injury (TBI) and the patient’s return to work can have innumerable paths based on the severity of the injury, but comprehensive evaluations and therapy are critical to success.
“I understand that these folks are eager to get back to work and need that paycheck,” said Laura Wiggs, VP of Clinical Services with Mentis Neuro Health. “The biggest mistake we see is rushing the return to work too early.”
People with a mild TBI have a much better likelihood of returning to work quickly, according to Wiggs. Those with moderate to severe injuries may not be able to go back to work without significant accommodations made by their employers.
Since TBI patients typically have limited responsibilities before a hospital discharge, it can be challenging to understand their full needs at that point. The only demands put on a person with a brain injury while still in the hospital include turning on the TV, eating, getting up to walk and possibly completing some paper tasks, Wiggs said. A patient at this phase can look pretty good so a caregiver often thinks their loved one is ready to move home. “That’s when things often fall apart,” Wiggs said.
Common complaints from people with TBI are struggling to keep up with things, having poor organizational skills, becoming overwhelmed easily, cognitive and/or physical fatigue, overstimulation to noise or activity going on around them and being quick to anger. Wiggs said many struggle with having to do multiple activities at once and even prioritization. “These things are really hard, especially right at first when a person with a brain injury is trying to get back into the swing of things,” Wiggs added.
Once a patient has been discharged from the hospital, Mentis Neuro Health, a leader in the provision of post-acute rehabilitation for persons with an acquired brain injury, begins with evaluations across cognitive abilities, including neuropsychological, speech, occupational, physical and social arenas.
“We guide the treatment specific to each person’s needs with the ultimate goal of returning to work,” Wiggs added.
If a person with a TBI aims to return to a physical job, such as working in a plant with 12-hour shifts and is required to climb a ladder, Mentis Neuro Health prepares the patient to take on the physical responsibilities required by that job. In contrast, preparations for a traditional office employee are needed as they prepare to work long hours in front of a computer, doing data entry. Wiggs refers to this type of counseling as task simulation.
“We’re also working on developing strategies to compensate for possible memory impairments, organizational problems and speech issues,” Wiggs said.
Customized methods that work for each individual are essential. Wiggs clarified that one patient may be able to use a smart phone for a lot of reminders, while another may need to write reminders down and carry an old fashioned, paper-type planner to stay organized and on track. Some of this has to do with learning styles, Wiggs said, but what worked for someone before may not work after a TBI.
Wiggs said that people are always shocked at how tired they are both physically and mentally once they return to work. They may need strategies to overcome the fatigue—from aerobic exercises for muscle strengthening and good sleep techniques to sometimes even taking 15-20 minute breaks during the work day. In some instances, the return to work after a brain injury may only be a part-time role, although a phased approach may get the individual back to work full-time at some point.
With clinics across Texas and in Ohio, Mentis Neuro Health is ready to jumpstart TBI patients’ recovery process with meaningful rehabilitation therapy with a careful eye on the goal of returning to work. Learn more about the various programs offered at http://www.MentisNeuro.com/.