Pediatric TBI Flashcards

1
Q

__ out of 10,000 school aged children will sustain a TBI & will require specialized educational services.

A

20 out of 10,000

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2
Q

What percent of children with TBI are referred for special education services?

A

< 2%

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3
Q

T/F: TBI is one of the 13 disability categories under IDEA.

A

TRUE

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4
Q

TBI causes by age group: Infants

A

-Abuse / neglect

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5
Q

TBI causes by age group: Toddlers / Preschoolers

A

Falls - abuse is second

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6
Q

TBI causes by age group: Early elementary

A

Falls, pedestrian / bike MVA

*Abuse falls off as main cause

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7
Q

TBI causes by age group: Late elementary & middle school

A

-Sports, pedestrian/bike MVA

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8
Q

TBI causes by age group: High school

A

-Sports, MVA (particularly for males)

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9
Q

Likely weaknesses for pediatrics with TBI.

A

-Attention, memory, working memory, processing, executive functions, cohesion, organization, maybe pragmatic / social, reading comprehension/ inferences

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10
Q

Likely strengths for pediatrics with TBI.

A

-Vocabulary, grammar, content / form at the word and sentence level, decoding

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11
Q

Growth trajectories after pediatric TBI (3)

A
  • Rapid initial recovery
  • “New” deficits may appear later
  • Injuries at younger ages are associated w/poorer outcomes
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12
Q

T/F: Depending on severity, rapid initial recovery may give appearance of the person being “recovered.”

A

TRUE

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13
Q

Why might “new” deficits appear later on?

A
  • “neurocognitive stall”
  • Increasing demands of educational & social environments
  • Failure of brain to mature at same rate as TD peers
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14
Q

What are the three phases of TBI assessment/treatment

A
  • Phase I: Medical Recovery
  • Phase II: Medically stable, rehabilitation
  • Phase III: Return to daily life
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15
Q

What do you focus on in Phase I and Phase II?

A

Physical & functional needs

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16
Q

What do you focus on in Phase III?

A

Return to daily life - use WHO framework and consider developmental academic & social needs

17
Q

What types of assessment tasks might capture expected weaknesses for this group?

A

Story telling, broader language sample, reading comprehension, discourse level tasks, WM tasks, etc.

18
Q

Standardized, criterion-referenced assessment of cognitive & academic skills for TBI includes…

A

-language, literacy, memory, and processing abilities relevant to returning to school

19
Q

Schools as TBI service providers - 3 considerations

A
  • SLPs can help to “bridge the gap” between rehabilitative / medical and educational systems
  • Teach students compensatory strategies for EF and memory
  • Consult with other school professionals re: TBI symptoms, recovery, and appropriate supports