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CBIS Section 7: Special Populations Questions with 100% Correct Answers | Verified | Updated 2024 TBI - ✔✔The leading cause of death and acquired disability in children and adolescents in the U.S. TBIs at Ages 0-4
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TBI - ✔✔The leading cause of death and acquired disability in children and adolescents in the U.S. TBIs at Ages 0- 4 - ✔✔Falls, susceptible to abusive head trauma/shaken baby syndrome TBIs at Ages 15- 19 - ✔✔Struck by something, falls, MVAs Prognosis for recovery of previously learned skills - ✔✔Better the younger the child is when the injury is acquired Prognosis for acquiring new skills - ✔✔Worse the younger the child is when the injury is acquired
Birth to 5 years of age - ✔✔Most brain maturation occurs. Most devastating time for a brain injury to occur. Brain Maturation between 3-5 years of age - ✔✔Period of overall rapid brain growth in all regions of the brain Perfecting the ability to form images, use words, and place things in serial order; beginning to develop tactics for problem solving. Brain Maturation between 8-10 years of age - ✔✔Sensory and motor systems continue to mature in tandem Frontal executive system begins accelerated development Maturation of sensory motor regions of the brain peak
Males - ✔✔Gender most likely to acquire a BI from shaken baby syndrome Males - ✔✔Caregiver gender most likely to cause a TBI via shaken baby syndrome Abusive Head Trauma/Shaken Baby Syndrome Diagnostic Indicators - ✔✔Bleeding of the brain (subdural hemorrhage or hematoma) Brain swelling (cerebral edema) Bleeding in the eyes (retinal hemorrhage) 75 - 80%; 15-30% - ✔✔Long term disability; death following abusive head trauma or shaken baby syndrome. Post Concussion Syndrome - ✔✔Persistent symptoms in (~10%) student athletes post concussion that include:
problems with attention, memory fatigue, sleep, headaches, dizziness, irritability, changes in mood and personality. Second Impact Syndrome - ✔✔The effects of multiple concussions may be cumulative and, if there is not sufficient time for the brain to recover after an initial concussion, the athlete runs the risk of suffering... Potentially harmful effects of repeated concussion may include... - ✔✔CTE Chronic Traumatic Encephalopathy (CTE) - ✔✔A progressive degenerative disease that is similar to Alzheimer's diseases symptomatically, but it's disease process is different; it is characterized by physiological changes in the brain including a unique build up of abnormal Tau proteins. 504 Accommodation Plan - ✔✔Written plan developed by a general education school committee outlining accommodations to be made by a K-12 or post-
Contract between the family and the school system. Educational needs of children and adolescents who acquire a BI generally cluster around 3 domains - ✔✔Cognitive Psychological Sensorimotor Individuals with Disabilities Education Act (IDEA) - ✔✔Federal education mandate to provide public education through special education and support services to children with eligible disabilities. Adaptive tech, SLP/Audiology, Psych services, OT/PT, Counseling/training, medical services Private School Service Plan - ✔✔If a family choose to have their child remain in the private school setting, the school district can offer a PSSP, which provides
limited special education and related services to the student attending the private school. Individual Health Care Plan - ✔✔The school collaborates with the student's physician to develop a plan to manage medical needs that might arise at school. TBI - ✔✔Signature injury sustained in modern warfare Causes of TBI in Service Members - ✔✔Penetrating GSW Explosive attacks Unique to this population: mech of injury, co-occuring effects of deployment, military culture Causes and Types of Injury to Military - ✔✔MVC, falls, sports related, training accidents, working in closed spaces, high risk behaviors when returning from duty
Examples of Neuropsychological Testing within the Military - ✔✔Neurobehavioral Symptom Inventory The State Trait Anxiety Inventory & The Automated Neuropsychological Assessment Metrics The ANAM Simple Reaction Time and Continuous Performance Subtests Repeatable Battery for the Assessment of Neuropsychological Status 44% - ✔✔Percentage of service members that meet the diagnostic criteria for PTSD and mTBI Medical Discharge from the military involves - ✔✔Two Boards: The medical evaluation board and the physical evaluation board
Caregiver - ✔✔An unpaid individual who provides care services to those who cannot adequately care for themselves Family Systems Theory - ✔✔Viewing a family as a system of interrelated parts where the actions of one component of the system (family member) influence and impact the development of every other component as well as the functioning of the overall system. Family Centered Service - ✔✔It's about mutual respect, information sharing, participation, and collaborative partnerships between the survivor and their family. Cognitive Behavior Therapy - ✔✔Talk therapy A (activating event), B (belief), C (consequences of belief) - ✔✔Tenets of Cognitive Behavior Theory and Cognitive Behavior Family Theory