Post-Concussive Syndrome: Case Study

However, after that, her friend noticed that Sam didn’t look well and acted unusually. At the primary observation, she complained a continuous headache, nausea, dizziness and blurred vision. She has a history of a concussion 1 year ago.  Physical examination / Vital signs + pain assessment Physical examination includes inspection for signs and symptoms associated with the injury and significant history in relation to intracerebral

She also has difficulty staying focus on given task. She requires constantly prompting, close proximity, task adaptations, redirections, repeated instructions to remain focus and complete assigned task. After observing her three I-Ready Overall Scale Scores, there was an increased. Her Test 1 and Test 3 overall scores increased from 420-445. She made a 25

Impressions are post concussion syndrome, memory loss or impairment, vestibular hypofunction and right tinnitus. Treatment plan includes scheduling impact and sway to assess fully balance disruption as well as screening and neurocognitive testing, referral to vestibular therapy for initial evaluation, referral to ear, nose and throat (ENT) specialist and to start PT. Baclofen will be changed from ½ tablet 3 times daily to 1 tablet at night. On the statement of medical necessity on the C-4 form dated 03/10/16, the patient requires vestibular/vision therapy services due to pronounced vestibular hypofunction symptoms and/or abnormal optokinetic integration symptoms as a result of mild traumatic brain injury/concussion.

Mildred Pasek, my friend and colleague died on August 8th 2017 following an anterior approached back surgery on July 28th at the New England Baptist Hospital. Before you read on, my goal is not to criticize the orthopedic or vascular surgeon’s professionalism, immense skill or personal care of Mildred as these cases affects all providers on a deep emotional and professional level. My concern is for the post-operative care of patients, like Mildred, who have comorbidities, are not necessarily in the ideal condition going into surgery, or at a critical time can advocate for themselves. As well as the debilitating arthritis, she had hypertension required three antihypertensive medications to control. Those meds were held pre surgery, and never resumed.

When I started working with her the letter recognition was at a five and before she moved she was recognizing all but three letters. Allie went with three people throughout the day including me to improve her learning. I learned that she may have a slow learning disorder.

She has Cerebral Palsy (CP). Hornbod was diagnosed around 2 years old. Oxygen was deprived after, during or before birth. However, CP only affects one side of her body, the right side. It makes motor movement hard, causes spasm, migraines, and arthritis.

Her only regular medication is Atacand. On examination today, oxygen saturation was 97% and blood pressure was 130/75. Chest auscultation was clear and two heart sounds

The most recent international consensus statement on concussion in sport- the Zurich Guidelines1 – and the 2014 National Athletic Trainers’ Association (NATA) Position Statement on the Management of Sport-related Concussion (SRC)2 define concussion as a brain injury from biomechanical forces producing a complex pathophysiological process that typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. Concussion is a functional disturbance rather than a structural brain injury, the resolution of which in the typical athlete (80–90% of cases) requires 7-10 days. Zurich states that persistent symptoms (>10 days) are reported in 10-15% of SRC.1 Thus, athletes symptomatic for more than 10 days are “atypical” with respect to expected time to recover.

Severe concussions, and the incident of one receiving multiple concussions, is characterized as

Over the past four years I have seen more doctors than an average person will see in a lifetime. From endocrinologists to neurosurgeons, I have tirelessly sought medical treatment for multiple traumatic brain injuries I incurred at a young age. Through my personal struggle I learned that there is no adequate treatments for concussions and traumatic brain injuries in the State of New Mexico. Although the lack of these services forced me to seek treatment outside my community, it has become my main motivation to return to my community and share the knowledge I have been fortunate to receive through these many experiences. At the age of fourteen, I was the unfortunate recipient of four traumatic brain injuries, within a six-month time frame, that would result in a diagnosis of post-concussive syndrome.

Concussion Problems in the Sports World Today Concussions are a threat to long-term health. New precautions are being taken to diminish the traumatic effects in athletes. As much as there is against precautions being effective, new rules/ precautions are preventing and curing concussions; also leaving no long- The new treatments are curing concussions, and they are reducing the long-term effects according to “UPMC’s concussion program patients make a full, complete recovery.” (outsideonline.com ) “UPMC and a handful of other concussion clinics across the country have developed a battery of active therapies that challenge patients’ vision, balance, and concentration.”

Concussions and the affects and awareness on the topic “In recent years, concussions have received significant media attention as high profile athletes have come forward to shear their experiences and long-term struggles with this specific type of traumatic brain injury. 10% of head and spinal cord injuries are due to sports related activities (Staffary).” As the popularity of sports grow so does the amount of spinal cord and brain injuries. In the recent years, concussions have received significant amount of media attention. High profile athletes have finally come forward to shear their experiences with concussions and the long term effects and struggles with that particular type of traumatic brain injury.

Karta is a 12 year old African American girl, who has experienced a long history of trauma. She was referred to me by her school social worker Ms. Johnson who reports that she has academic problems, severe inattention, hyperactivity, physical violent tantrums and is disrespectful to her peers and teachers. Karta was raised in a single parent household during the first few years of her life. Karta’s father died in a car accident before she was born so she never got a chance to meet him. Karta’s mother Michelle became depressed and turned to alcohol to cope with her pain.

Return-to-play policies are widespread, especially in youth athletics, and they usually recommend sidelining players after a suspected concussion until symptoms resolve. One of the main reasons of sideling an athlete with a suspected concussion is to prevent a rare condition called second-impact syndrome, a potentially fatal brain swelling or bleeding that can occur when a player still recovering from a concussion gets hit again in the head (Tanner 2). Chronic Traumatic Encephalopathy (CTE) is a degenerative disease in the brain, primarily found in athletes who have had repeated brain trauma. In September 2002, a former NFL center: Mike Webster, 50, died. Webster was a member of the Pro Football Hall of Fame and played for the Pittsburgh Steelers from 1974 to 1990.

Staff are most concerned with the self-injurious behaviors, inflicting injurious or clingy behavior toward staff, as these are inappropriate social behaviors. KT’s under-responsive vestibular system, also presents does present as a problem for participation and social interaction among peers and staff. For equilibrium responses, the client loses balance easily, often falls or trips over surfaces with non-resistant terrain, and exhibits delayed protective response, which may be caused by lack of muscle tone. Functional mobility has also been negatively affected, as she demonstrates side-to-side gait when walking and a wide-based stance, in order to maintain balance. In regards to proprioception, KT exhibits clumsiness and awkward movements when getting on or off a chair.