Pediatric TBI Flashcards
Ped TBI Etiologies
-0-14: falls and being struck by/against an object
-15-24: falls and motor vehicle crashes
Ped TBI Outcomes
Most children are resilient and recover well following TBI, but some effects can cause problems later in life
-Academic challenges and difficulty finding a job
-Chronic behavioral problems
-Social isolation
-Difficulty with peer relationships
-Risk for offending behavior and incarceration
-Lower participation in activities
-Depression and other mental health diagnoses
Challenges related to peds specifically
Children may not have language to self report
-Changes in ability to pay attention, play (loss of interest), sleeping
habits, lethargy, sensitivity to light and/or noise
Children may be impacted differently based on neurodevelopmental stage
-Prognosis for functional recovery previously learned skills is better the younger injury is acquired but prognosis for acquiring new stills is worse this younger the child is
“developmental disruption”
Hospital to school transition
Avoid “watchful waiting”
Unmet needs increase from 6-24 mos
Best practice is to involve school team before hospital discharge so collaborative plan can be made
Communication between all stakeholders critical
Assessment components
case history
hearing screening
oral-peripheral exam and integrity of speech subsystems
assessing impact of cognitive factor on functional communication in various activities and settings
list of assessments you can give
- speech sound assessment
- motor speech assessment
- voice assessment
- spoken language
- written lang
- social communication
- curriculum based
- AAC
- feeding and swallowing
Role of the SLP
education for school and family
assessing educational environment - determine barriers
support student and staff
develop protcols for ongoing assessment and montioring
participate in planning transiotn to post-secondary settings
identifying undiagnosed tbi
create and participate in tbi prevention and advocacy programs
forming and collabing w tbi and concussion teams
