Highlighted brain showing a traumatic brain injury

Understanding Dysfunction After a Traumatic Brain Injury

By News

Adjusting to life after a traumatic brain injury (TBI) is a long road and a serious realignment of your life. It can seem overwhelming, but there are roads to recovery you can take. At Empowering U, we specialise in helping individuals down this road, navigating the bumps and turns faced along the way, and with many of the dysfunctions faced after a traumatic brain injury

Introduction to Traumatic Brain Injury

The seriousness of a traumatic brain injury cannot be overstated. It is caused by damage to the brain by an external force or mechanism, which may lead to long term complications. Adjusting to life with this condition is challenging but not impossible. The recovery process can be long, however our team are here to guide and support throughout the entire process.

A TBI can cause a range of effects; these can come in the form of cognitive impairments, physical challenges or emotional and behavioural changes. Dysfunction after a traumatic brain injury is seen as a spectrum and is most commonly measured using the Glasgow Coma Scale (GCS), with which the level in which an individual’s consciousness is graded based on various stimuli.

The Spectrum of Dysfunction after a Traumatic Brain Injury

Cognitive Impairments

Ranging from the impact on language to information processing difficulties, cognitive impairments can often be numerous and debilitating for the individuals. We have listed some common ones below:

Memory Problems:

Difficulty with short-term and long-term memory, affecting the ability to recall information and learn new things.

Difficulty Processing Information:

Slower speed of thought and difficulty understanding or responding to information.

Mental Capacity Issues:

Reduced overall cognitive function, affecting the ability to think clearly, reason, and solve problems.

Anosognosia:

Lack of insight into one’s own cognitive and functional limitations.

Reasoning Issues:

Challenges with logical thinking, making inferences, and problem-solving.

Language Issues:

Difficulty in speaking (expressive aphasia), understanding spoken language (receptive aphasia), reading (alexia), or writing (agraphia).

Abulia:

Apathy or lack of initiative to start and complete tasks.

Executive Dysfunction:

Impairment in high-level cognitive processes such as planning, organising, strategising, and goal setting.

Decision-making Decisions:

Struggles with evaluating options and making appropriate choices, often resulting in poor judgments.

Attention Deficits:

Difficulty in sustaining attention, being easily distracted, and challenges in concentrating on tasks.

Many of these cognitive impairments can be mediated with a comprehensive recovery processes and rehabilitation plan, along with any required medication. Our case managers work alongside an instructed multidisciplinary team to support the individual.

Physical Challenges

Alongside cognitive impairments, an individual may also face physical challenges. These can be debilitating and affect all aspects of life:

Dizziness

Sleep Disturbance:

Problems with falling asleep, staying asleep, or experiencing restful sleep (insomnia or hypersomnia).

Fatigue:

Persistent tiredness or exhaustion that is not relieved by rest.

Headaches:

Frequent or severe headaches which can include tension-type or migraines.

Post-traumatic Epilepsy:

Episodic and unprovoked post-traumatic seizures that occur at least 1 week after a traumatic brain injury.

Chronic Pain:

Persistent pain that may be due to nerve damage or musculoskeletal issues.

Paralysis:

Loss of muscle function in part of the body, ranging from partial to complete loss of voluntary movement.

Coordination Problems:

Problems with maintaining physical stability, increasing the risk of falls.

Balance Issues:

Difficulty with fine motor skills and gross motor coordination, impacting daily activities.

Muscle Weakness:

Reduced strength in one or more muscle groups, affecting mobility and function.

Emotional and Behavioural Changes

A traumatic brain injury can strongly impact an individual’s emotional and behavioural state. These changes can not only impact the person with the injury but also their family, friends, and caregivers. Emotional and behavioural changes are often some of the most challenging aspects of recovery and adjustment after a TBI, as they can significantly alter personality, mood, and social interactions.

Depression:

Persistent feelings of sadness, hopelessness, and a lack of interest in activities once enjoyed.

Anxiety:

Excessive worry, nervousness, or fear that can be generalised or situation-specific.

Frustration:

Heightened feelings of irritability and impatience, often due to difficulties in performing tasks or communicating effectively.

Post-Traumatic Stress Disorder (PTSD):

Anxiety disorder characterised by flashbacks, nightmares, and severe anxiety following a traumatic event.

Apathy:

Lack of motivation or interest in activities and social interactions.

Emotional Liability:

Rapid and unpredictable changes in mood, such as sudden crying or laughing without an obvious reason.

Impulsivity:

Tendency to act without thinking, resulting in inappropriate or risky behaviours.

Irritability:

Increased tendency to become easily annoyed or angered, often with little provocation.

Egocentricity:

Difficulty understanding or considering others’ perspectives, leading to self-centred behaviour.

Personality Changes:

Alterations in personality traits, which can include becoming more aggressive, passive, or socially withdrawn.

Clinical and Therapeutic Interventions

Our case management team employ a range of clinical and therapeutic interventions to support those living with a traumatic brain injury. In order to support the physical challenges that many individuals face, we utilise physiotherapy and therapists as part of a multidisciplinary approach. Working holistically to address many of the client’s needs.

Journey to Recovery

Adjusting to life after a traumatic brain injury is undoubtedly challenging, involving significant changes and persistent effort. However, recovery is possible with the right support and interventions.

At Empowering U, we specialise in guiding individuals through this complex journey. By understanding the scope of TBI and employing a multidisciplinary approach to address cognitive, physical, and emotional challenges, we aim to empower our clients to achieve the highest possible quality of life and independence. Our team is here offer guidance and support every step of the way, ensuring continuous attention throughout the rehabilitation journey.

Looking to instruct a case manager? Click here

Living with a Brain or Spinal Injury: Travel Tips

By News

Overcoming Travel Challenges with Confidence

Traveling with a brain or spinal injury might seem daunting, but with proper planning and preparation, you can enjoy a well-deserved break just like everyone else.

This guide will provide you with essential tips and strategies for international travel, covering everything from pre-trip planning to packing, transit, accommodation, and insurance considerations.

Pre-Trip Planning: Setting the Stage for a Smooth Journey

Thorough preparation is crucial for anyone planning a trip away, but it’s especially important for those living with a spinal cord or brain injury. There is a lot to consider, as you need to prepare for every potential eventuality. The good news is that proper planning ensures ease of mind, as you know that whatever you’ll be faced with will have a simple solution.

Don’t forget to write things down. Having a checklist will ease the burden of information you’re dealing with. Writing down locations, timings, names, routes, and flight numbers can be vitally important.

An overlooked element of this is keeping downtime available in your schedule. Travelling is stressful, even when everything is planned out, so giving yourself a few moments to sit down and take your mind off of things can make a dramatic difference.

Ahead of any travels, you should alert family members of where you’re going and the timings of your travels. It will mean that if there are unexpected alterations, there are people who are immediately aware that something may be wrong. You should let the family that you are travelling with know that you will need extra time and consideration for travel to factor in all the above points.

Packing Essentials: What you must have on hand

It may seem like an obvious point but ensuring you have all the correct medication with you is essential. We strongly encourage that any medication you require is with you as a carry-on. Even if you think this is just a short flight, you don’t want to be caught out.

For those with spinal cord injuries, another consideration is the wheelchair or a walking device you may be travelling with. You want to make sure that you have all the comforts with you to make travelling less burdensome. Potentially bringing spare parts for the wheelchair will also be useful, especially in case you’ve already had some trouble with it.

You must also contact your airline, travel agent or tour operator if you plan on bringing your own wheelchair, including battery-powered, or mobility aid. These are not allowed in the cabin of the plane.

Transiting and Flying: Navigating Airports and Flights

Ensure you have a dedicated medical kit for your injury and other health-related needs. Set alarms on your phone to remind you to take this medication, as negotiating an unfamiliar airport can be more than distracting.

Also, consider your routes to and from the airport. How are you getting there? How are you getting to your accommodation or resort once you arrive? For wheelchair users, this can be a much more important consideration. You need to ensure that your destination is fully accessible.

Contacting your package holiday provider ahead could iron out these details. For example, they could offer a private taxi service to and from the airport.

Accommodation and Transport While Abroad: Ensuring Accessibility

Similar to the previous point, calling ahead to your resort can help make your stay a lot easier. Letting them know about your situation and needs will help make sure that there is little chance of them not being able to help.

Here are some questions you may ask:

  • Is your resort accessible?

  • Is your staff medically trained?

  • How close is the nearest hospital to the resort in case of emergencies?

  • Are there any pharmacies nearby?

Insurance: Securing the Right Coverage for Peace of Mind

First and foremost, it should be clear that you can still get travel insurance if you have a spinal cord or brain injury. Standard travel insurance will not often cover your injury and any aids or equipment that you need, therefore it is important you choose the right policy for you.

The following companies are listed by Headway – the brain injury association as providers of insurance for those with a brain or spinal cord injury.

AllClear Travel Insurance

Direct Travel Insurance

Free Spirit Travel Insurance

JD Travel Insurance

The Insurance Surgery

For more information on how Empowering U can help with everyday life living with a spinal cord or brain injury, please get in touch today.

2024 General Election: Voting for those living with disabilities

By Articles

With the recent announcement of the 2024 General Election, political parties are gearing up and voters are getting ready to head to the polling stations.

For individuals living with disabilities, the opportunity to take part in the democratic process means addressing the unique challenges they face in accessing polling stations, understanding the resources available, and their voting rights.

Voting if you are living with a disability

The Equality Act 2010 mandates that reasonable adjustments must be made to ensure that people living with disabilities can access polling stations and cast their vote.

Your local authority is legally obligated to make reasonable adjustments which may include:

  • Ensuring that entrances, exits, and voting areas are accessible to wheelchair users. This can involve installing ramps, widening doorways, and ensuring pathways are clear of obstacles.
  • Providing designated accessible parking spaces close to the polling station.
  • Clear and easy-to-read signs that direct voters to the polling station and provide information on the accessibility features available.
  • Offering assistance such as a tactile voting device, large print ballot papers, or allowing a companion to assist with voting.

What if I need assistance with my ballot paper?

If you need support to complete a ballot paper, you can bring along either a:

  • Carer
  • Friend
  • Relative

These individuals do not have to be eligible to vote and will not need to bring photo ID with them. They do need to be 18 years or older. The leading officer at the polling station is also able to help you fill in your ballot paper.

Polling stations should also have various pieces of equipment available to ensure everyone is able to vote. These include:

  • Magnifiers that increase the size of text on a document. The polling station should have more than one strength.
  • Tactile voting device which provides support for voters living with a visual impairment to mark their vote in the right place.
  • Pencil grip that allows a voter living with dexterity impairments to hold the pencil more easily.

I am unable to get to the polling station

If you are unable to visit a polling station, you can vote via post (a postal vote) or proxy (someone voting on your behalf).

To vote via post, you must apply for this which can be found here.

Postal votes are useful for those who find it difficult to move and stand for longer periods or are unable to leave their house.

Voting by proxy means someone votes on your behalf. You must apply for a proxy vote and there are certain requirements that must be met. Details can be found here.

Much like postal votes, voting by proxy is useful if you are unable to leave your house and wish for a trusted individual to vote on your behalf.

Voting day

Voting for the 2024 General Election will take place on the 4th July, 2024 and polling stations will be open from 7am to 10pm.

In order to vote, photo ID must be shown.

Accessible voting is not only a legal right; it is a fundamental aspect of an inclusive democracy that listens to the voices of all. For any more information on voting, we recommend visiting Gov.uk

The Importance of Comprehensive Mental Health Support Following a Serious Injury

By Articles

Support Following a Serious Injury

Following a serious injury, an individual will face immediate and profound changes to their life. Physically, this could vary widely depending on the nature and severity of the injury. Some individuals may require the amputation of a limb, which can lead to significant adjustments in mobility and the ability to complete day-to-day tasks.

Alternatively, it could result in the paralysis of the lower body, necessitating the use of a wheelchair and a period of intensive and ongoing rehabilitation. manifest as requiring an amputation of a limb or living with paralysis of the lower body.

Psychologically, the aftereffects of a serious injury can be equally, if not, more challenging. Following an injury, many individuals experience a range of mental health issues, may include such as depression due to the sudden change in lifestyle and loss of independence, anxiety driven by concerns about the future, or PTSD, which may present itself through flashbacks or severe anxiety.

The physical and psychologic challenges can create a complex and demanding recovery process, with rehabilitation needed to address both physical rehabilitation and mental health support. To address the various needs of the individual, a case manager will conduct an Immediate Needs Assessment (INA) as part of the client’s case management process. This assessment with identify the client’s urgent post-injury requirements, focusing not only on the physical injury and aftercare but also providing a provision for psychological support.

The impact of serious injuries on a persons mental health

Serious injuries can profoundly affect a person’s mental health. Fear, anxiety, frustration; sadness are just some of the emotions a client may experience following the injury. The sudden shift in physical capabilities can often lead to feelings of helplessness and vulnerability and many individuals may also struggle with a sense of loss.

Understanding the effect of the injury, creating coping methods for pain, or coming to terms with a client’s disability will cause the psychological impact of an injury to extend beyond the initial shock. This will often manifest as mood swings, insomnia, depression, or even post-traumatic stress disorder (PTSD).

Insights from our case management team

A holistic plan is crucial for the client’s recovery. Our team work closely with psychologists and psychiatrists, and other specialists, as instructors of a multidisciplinary team (MDT) to ensure the entirety of the client’s needs are met.

Empowering U case managers introduce personalised rehabilitation plans and coordinate various aspects of treatment to ensure comprehensive recovery. Understanding that addressing mental well-being is just as important as treating the physical injury itself, we address both aspects equally

Patience and Compassion

Incorporating insights from our experienced case managers enhances the quality of care provided to individuals recovering from serious injuries. Their commitment to individualised support helps foster resilience and promotes overall well-being throughout every step of the recovery journey.

Providing Bespoke Care

The inseparable link between physical and mental care

When it comes to recovering from a serious injury, the connection between physical and mental well-being is undeniable. The body and mind are intricately linked, with each impacting the other in significant ways. Physical pain can often lead to emotional distress, while mental health struggles can manifest physically.

An integrated approach recognises that recovery goes beyond just physical rehabilitation; it involves supporting emotional resilience as well.

Understanding Each Individual

Our case managers understand the importance of comprehensive support that addresses not only the visible injuries but also the invisible. By acknowledging this crucial link, they strive to ensure our clients achieve a true and lasting recovery.

The importance of psychologists and psychiatrists as part of an MDT

When dealing with serious injuries, the role of psychologists and psychiatrists within a MDT is crucial. These specialists provide invaluable support to individuals navigating the complex emotional challenges that often accompany physical trauma.

Psychologists help clients cope with stress, anxiety, and depression resulting from their injuries. Through therapeutic interventions and counselling services, they address the psychological impact of the injury on a person’s overall well-being.

On the other hand, psychiatrists play a vital role in managing any psychiatric conditions that may arise post-injury. They assess for mental health disorders such as PTSD or adjustment disorders and prescribe appropriate medications if necessary.

By collaborating closely with physicians, nurses, therapists, and social workers, psychologists and psychiatrists ensure that holistic care is provided to clients. This integrated approach addresses both the physical and mental aspects of recovery for better outcomes. By incorporating these professionals into an MDT, individuals receive comprehensive support tailored to their unique needs throughout their rehabilitation.

If you would like to find out more about our case management service, contact us on:

hello@empoweringu.co.uk or 0330 128 1722