What activities would be recommended for a person recovering from a traumatic brain injury?

Question

My father suffered a traumatic brain injury in May. He is finally going to be released from the hospital next week. As a result of the accident he is severely anxious and cannot concentrate long enough to do anything. Can anyone recommend any activities that he would be able to participate in? I noticed that when I took him to dinner in a busy restaurant he became very anxious. I also noticed that when I took him to dinner in a quiet restaurant he was okay.

Answer 1

You may want to consult with a physical or occupational therapist that specializes in brain injury recovery.  It sounds like he'd do well to avoid busy/loud places until he acclimates himself.  Does he have follow-up appointments w/ docs?  Ask about rehabilitation therapy...maybe with a social worker who specializes in psychotherapy for PTSD?  Start asking questions of his medical healthcare team.  Good luck - there's got to be resources out there for him!

Answer 2

Most TBI survivors who are just beginning recovery have a very difficult time with overstimulation. It can last months or years (perhaps depends upon area/s damaged and to what extent?). The overstimulation can be caused by tv, music, hearing others talk, etc. It feels overwhelming, you can't focus no matter how hard you try- very frustrating. Take that fact into account for the future.

1. Look at him patiently as he speaks to you. Don't interrupt or change the subject quickly.

2. Turn off the tv or radio.

3. Sit in a more quiet area when you are out.

4. Don't urge him to answer Q's, or to explain what he means. (The brain takes a very long time to heal. Be patient :) He will get to it- but you may want to gently remind him of subject when he forgets in frustration.

5. Look into a local brain injury program. They are all through the states, and non-profit. They hold support groups, which can be helpful. They also have many employees happy to help in whatever way they can. They can assist your father find work, a place to live, apply for medical assistance  and Social Security. Seeing others who have adjusted well and seem so much farther can be encouraging.

6. There are a couple of great websites for you to check out. The first is a terrific source of info. Very informative, and touches on many issues. The second is a place where survivors and survivors' family meet and chat. People there are fabulously supportive to everyone! (And that's pretty darn rare, imo.)

http:///www.tbiguide.com

http://www.tbichat.org

Please do check them out, to get ideas on how to move on from here. I wish you and your father the very best!  

Answer 3

Personality changes are a common effect of traumatic brain injury, and are often cited by family and friends as the most difficult effect to deal with. In some cases personality changes are short term and resolve as the patient recovers, while in other cases the personality changes are permanent.

Most survivors of traumatic brain injury who suffer from personality changes, emotional problems, and problem behaviors will be treated with a combination of psychotherapy and medication. While these issues can be extremely frustrating, there are effective ways of dealing with them.

Because the complications of TBI can cause lifelong impairment, patients will need ongoing treatment in the form of:

• assistive technologies

• counseling and/or therapy

• medications

• physical therapy

• speech therapy

Keep in mind that patients' individual complications and conditions will vary depending on their:

• age

• co-morbid conditions (other medical issues existing with the primary condition)

• severity of TBI

• type of TBI

While the ultimate goals of chronic care and rehabilitation are recovery and independent living, the short-term goals that help achieve these ideals may include:

• being able to socialize

• overcoming low self-esteem, depression or other emotional issues

• re-learning to speak and otherwise communicate

In addition, a good diet, exercise and mental stimulation has been shown to promote brain capacity.

By keeping an eye on what your father is capable of, you will be able to help him integrate into the community in steps. Start with quiet activities and things that he can handle, like going on walks in the park or trips to the library.

Reading up on his condition will help both of you on this long road you're setting out on. I wish you all the best.