Pediatric TBI

Definitions

100

An insult to the brain caused by an external force that may produce a diminished or altered state of consciousness; and

    What is TBI

200

Mild, Moderate to Severe TBI

What are the types of TBI?

300

Infants: Mishandling by caregivers (accidental dropping, rolling off changing tables, physical abuse)

What are the mechanisms of injury (for infants)? 

400

Children and adolescents, due to their youth, are in periods of rapid developmental change and growth both physically and intellectually (cognition, learning and personality)

How is pediatric TBI different than adult TBI? 

500

“An acquired injury to the brain caused by an external physical force resulting in total or partial functional disability or psychosocial impairment or both that adversely affects a child’s educational perfomance.”

How does the IDEA define TBI? 

Effects

100

language

⚬memory

⚬problem-solving

⚬perceptual-motor skills

⚬attention

⚬executive function

What domains are affected by TBI? 

200

25 years of age

A child’s brain continues to develop up to approximately how many years of age? 

300

Brain Function, Education, Social Cognition, Neurocognition

What domains are affected by neurocognitive stall? 

400

Children who suffer severe brain injury may be at risk for emerging problems referred to as neurocognitive stall

What is neurocognitive stall? 

500

• Recovery of previously learned skills may be improved with earlier brain injury
• Ability to attain news skills (i.e. new learning) is negatively affected by earlier brain injury

Hint: "How".. not  "What..." 

 

How does a child’s stage of development influence neurocognitive recovery after injury? 

Return to School

100

They work to prevent, assess, diagnose, treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults.

What does an SLP do? 

200

Research, education, health care settings

Where do SLPs work? 

300

Assessment, provide services, work in-tandem with teachers/staff/parents, and they advocate for the students

What are the responsibilities of SLP's? 

400

• Symptoms may not be evident
• Symptoms emerge as demands on student increase
• Teacher and school’s limited experience with TBI 
• Students may develop track record of failure
• Student anxiety increases with recognition of deficits and continued difficulty

What are some challenges for return to school? 

500

• Medical statement from licensed providers’s
• Parent/caregiver interviews
  • Development milestones
  • Effects of medications
  • Previous speech and language status
• Educational history and current level of educational performance 
• Cog/comm abilities
• Social adaptive behaviors
• Physical adaptive behaviors 
• Evidence of adverse educational impact

What are the TN TBI evaluation standards? 

Instructional Strategies

100

Delivering material in small increments. 

What is appropriate pacing? 

200

This type of learning is a strategy that involves directions followed by a prompt demonstrating the correct answer. 

What is errorless learning? 

300

Modifying the curriculum so it facilitates learning. 

What is flexible curricular modification? 

400

Aims to guide towards improvement by providing constructive, actionable suggestions, and avoiding criticism or blame. 

What is corrective feedback? 

500

Appropriate pacing

Hint: "What is an instructional strategy for..."

What is an instructional strategy for fluctuation attention?