BrainLine Military

A Service of brainline.org


Turn off text only


Page Utilities

 

What Should Providers Consider When Developing an Individualized Treatment Plan for a Patient with TBI and/or PTSD?

What Should Providers Consider When Developing an Individualized Treatment Plan for a Patient with TBI and/or PTSD?

 

What should providers consider when developing an individualized treatment plan for a patient with TBI and/or PTSD?

 
Click on any phrase to play the video at that point.
[Lt. Col. Jeffrey Yarvis] When you're talking about individualized plan, the word individualized is very, very critical. And one of the most difficult aspects of traumatic brain injury and PTS is that you and another warrior can be in the same exact incident and have two very different presentations. So the word individualized is key. That if your predominant complaint is about sleep disturbance, that will be a driver in where we target their care. Now if we know there's a physical njury, there will be a parallel full assessment process of their brain functioning from what we call neurocognitive testing. There will be MRIs perhaps ordered of their brain. If we know there has been some reported concussive injury— and we'll take their word for it even if there's not a documented event. If they're talking about anger management, then sometimes we can match the present symptoms to the actual injury. If they said they hit the front of their head and they're also having some emotional dysregulation, I think there is going to be concern that there has been an impact on the frontal lobe. But we're going to target that person's individual plans because one of the first things we want to do is make them confident in the process and instill some hope. And also address some of their low-hanging fruit symptom problems. And so if it's sleep, we are going to target that because the other thing is sometimes we'll think it's one thing, and then after three or four days of good solid rest, the person's presentation may be very different. If the anxiety comes way down as a result of getting some solid sleep, then we might be able to decipher is it really psychological in nature and not because the anxiety has come way down. But there's still this sort of point where the tires meet the road, and they're not functioning quite the way they used to be. Maybe they're still irritable, and they're still not able to concentrate, they're just not anxious now, which tells us maybe we're teetering a little bit towards traumatic brain injury. And so that would then take on the focus— when I say the focus, that doesn't mean the other disorders are neglected. Usually what I would say is, where there's smoke, there's fire. So if you have some symptoms, we want providers thinking about the other things. Are there pain management that suits both physical and psychological?

show transcriptShow transcript | Print transcript

Click here to see other video Q&As with Lt. Col. Jeffrey Yarvis, PhD.

Click here to return to our BrainLine Military Ask the Expert feature.

 

Produced by Victoria Tilney McDonough and Erica Queen, BrainLine.


Lt. Col. Jeffrey Yarvis, PhDLt. Col. Jeffrey Yarvis, PhD is the first integrated service chief of the Fort Belvoir Community Hospital. He is an assistant professor of Family Medicine and director of Social Work at the Uniformed Services University of the Health Sciences.


The contents of BrainLine Military (the “Web Site”), such as text, graphics, images, information obtained from the Web Site’s licensors and/or consultants, and other material contained on the Web Site (collectively, the “Content”) are for informational purposes only. The Content is not intended to be a substitute for medical, legal, or other professional advice, diagnosis, or treatment.

Specifically, with regards to medical issues, always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Web Site. If you think you may have a medical emergency, call your doctor or 911 immediately. The Web Site does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Web Site. Reliance on any information provided by the Web Site or by employees, volunteers or contractors or others associated with the Web Site and/or other visitors to the Web Site is solely at your own risk.

Comments

There are currently no comments for this article

 


BrainLine Footer

Javascript is disabled. Please be aware that some parts of the site may not function as expected!