Pediatric TBI Flashcards
(19 cards)
__ out of 10,000 school aged children will sustain a TBI & will require specialized educational services.
20 out of 10,000
What percent of children with TBI are referred for special education services?
< 2%
T/F: TBI is one of the 13 disability categories under IDEA.
TRUE
TBI causes by age group: Infants
-Abuse / neglect
TBI causes by age group: Toddlers / Preschoolers
Falls - abuse is second
TBI causes by age group: Early elementary
Falls, pedestrian / bike MVA
*Abuse falls off as main cause
TBI causes by age group: Late elementary & middle school
-Sports, pedestrian/bike MVA
TBI causes by age group: High school
-Sports, MVA (particularly for males)
Likely weaknesses for pediatrics with TBI.
-Attention, memory, working memory, processing, executive functions, cohesion, organization, maybe pragmatic / social, reading comprehension/ inferences
Likely strengths for pediatrics with TBI.
-Vocabulary, grammar, content / form at the word and sentence level, decoding
Growth trajectories after pediatric TBI (3)
- Rapid initial recovery
- “New” deficits may appear later
- Injuries at younger ages are associated w/poorer outcomes
T/F: Depending on severity, rapid initial recovery may give appearance of the person being “recovered.”
TRUE
Why might “new” deficits appear later on?
- “neurocognitive stall”
- Increasing demands of educational & social environments
- Failure of brain to mature at same rate as TD peers
What are the three phases of TBI assessment/treatment
- Phase I: Medical Recovery
- Phase II: Medically stable, rehabilitation
- Phase III: Return to daily life
What do you focus on in Phase I and Phase II?
Physical & functional needs
What do you focus on in Phase III?
Return to daily life - use WHO framework and consider developmental academic & social needs
What types of assessment tasks might capture expected weaknesses for this group?
Story telling, broader language sample, reading comprehension, discourse level tasks, WM tasks, etc.
Standardized, criterion-referenced assessment of cognitive & academic skills for TBI includes…
-language, literacy, memory, and processing abilities relevant to returning to school
Schools as TBI service providers - 3 considerations
- 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
