TRAUMATIC BRAIN INJURY
RECOVERY?
How much a person will improve is unknown;
therefore,
Maximize the amount of Improvement
that is possible!
Maximizing Dependent on:

How severe was initial
injury?

Length of time of
recovery
HOSPITAL REHABILITATION
HAVING A PLAN AT HOME FOR IMPROVING
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
Pre-Post Dimension Assessment
Engagement in Life
SOCIAL DIMENSION
COGNITIVE DIMENSION
PHYSICAL DIMENSION
PSYCHOLOGICAL DIMENSION
Pre-Post Dimension AssessmentEngagement in Life
SOCIAL DIMENSION (sample question)
____ When frustrated, I demonstrate self-control or selfregulation in social situations?
1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always
Pre-Post Dimension AssessmentEngagement in Life
COGNITIVE DIMENSION (sample question)
____ I can focus my attention and concentration to understand
things?
1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always
Pre-Post Dimension AssessmentEngagement in Life
PHYSICAL DIMENSION (sample question)
____ I can do everyday specific physical requirements to bath,
dress, and eat?
1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always
Pre-Post Dimension AssessmentEngagement in Life
PSYCHOLOGICAL DIMENSION
(sample question)
____ I feel a purpose and productivity in my life?
1. Never 2.Seldom 3.Sometimes 4.Almost Always 5.Always
SOCIAL and COGNITIVE DIMENSION
STRATEGIES
LIVING LIFE AGAIN
CHANGING THINKING
HAVING OTHER INTEREST
COMPUTER AND HOBBIES
IMPROVE THINKING
SKILLS
SHARING IMPROVEMENT
WITH OTHERS
VERBALIZATION
PHYSICAL and PSYCHOLOGICAL DIMENSION
STRATEGIES
BEING CONSISTENT
RECORDING
ACCOMPLISHMENTS
MOVING ON WITH YOUR
LIFE
VISUALIZING
MAKING EVERYDAY
COUNT
NEVER GIVING UP
ACCEPTING THE
PROGRESS IS VERY SLOW
HAVING PATIENCE
BELIEVING
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 2007 JA
Total Average % Improvement for
all Dimensions Simultaneously
80
8/27/2009
Psychological
Social
80
60
40
20
0
10/14/2009
60
50
3/24/2008
Cognitive
40
30
6months
Physical
70
20
10
Total Average %
Improvement
0
6 months
3/24/2008
10/14/2008
8/27/2009
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 2006 SK
Total Average % Improvement for
all Dimensions Simultaneously
70
60
Psychological
Social
80
60
40
20
0
50
6/17/2009
Cognitive
11/1/2008
40
30
20
Physical
6months
10
Total Average %
Improvement
0
6 months
11/12/2008
6/17/2009
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 2005 CM
Total Average % Improvement for
all Dimensions Simultaneously
80
70
Social
100
60
10/21/2009
50
6/7/2009
Psychological
0
Cognitive
10/19/2008
6months
50
40
30
20
Physical
10
Total Average %
Improvement
0
6 months
10/19/2008
6/7/2009
10/21/2009
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 2000 BJ
Total Average % Improvement for
all Dimensions Simultaneously
100
90
Social
100
80
12/1/2007
50
12/1/2004
Psychological
0
Cognitive
12/1/2001
6months
Physical
70
60
50
40
30
20
Total Average % Improvement
10
0
6 months
12/1/2001
12/1/2004
12/1/2007
Brain Injury – Motivational Based Improvement
JARVIS REHABILTATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 1997 RL
Total Average % Improvement for
all Dimensions Simultaneously
100
90
Social
100
80
50
Psychological
0
Cognitive
8/27/2009
70
9/2/2008
60
3/24/2008
6months
50
40
Physical
30
20
Total Average %
Improvement
10
0
6 months
3/24/2008
9/2/2008
6/5/2009
Brain Injury – Motivational Based Improvement
JARVIS REHABILITATION METHOD (JRM)
CREATING INTERNAL MOTIVATION FOR IMPROVEMENT
TRAUMATIC BRAIN INJURY
INJURY 1991 JB
Total Average % Improvement for
all Dimensions Simultaneously
90
Social
100
80
70
7/6/2009
50
Psychological
0
Cognitive
60
50
10/14/2008
40
6months
Physical
30
20
10
Total Average % Improvement
0
6 months
10/14/2008
7/6/2009
Summary
Improvement for every TBI Survivor is different
and possible.
• Survivors benefit from a plan for improvement
after traditional therapy.
• Although improvement is very slow, it can be
measured by the degree of engagement in life.
• As increased engagement is realized, the Survivor
is encouraged and motivated.
•
Questions to follow up on for TBI
Survivors:





Do younger Survivors have more cognitive difficulties
acquiring functional living than an older person who has
more in depth experiences and education? This may or
may not be due to lack of acquired knowledge in long
term memory.
Do younger Survivors have a more difficult time getting
knowledge into long term memory because of deficiencies
in short term memory? Older Survivors already have a
certain amount of knowledge in their long term memory.
How does attitude effect improvement for the TBI
Survivor? How does a TBI Survivor overcome negative
thoughts about possible improvement?
Questions to follow up on for TBI
Survivors:

How much is Social progress influenced by Physical progress?
Interpersonal relationships?


What are specific reasons for the high divorce rate among TBI
Survivors? (95%)


What most important aspects of faith that have the most influence
on improvement. For example, Profession of faith only? Attendance
only? Leadership role? Active participation through small group
support?


Are Caregivers a more accurate judge of improvement of the TBI
Survivor?