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A Day with TBI
Traumatic Brain Injury (TBI) affects an estimated 35,000 individuals across all branches of the military. It is one of the signature injuries of the Afghanistan and Iraq wars. The VA and Department of Defense have launched programs aimed at reducing the number of TBI incidents and providing resources for those diagnosed with TBI.

In this lesson, you will encounter individuals with different types of TBI. Watch carefully as you witness what life with TBI is often like. For each encounter, you will answer questions and identify the type of TBI presenting.
Mommy? Mommy?
Are you okay?
Sweetie, it's your turn.
Cassandra spent four years on active duty in Iraq, and is now glad to be home. She enjoys spending as much time with her family as possible, but they've noticed that sometimes Cassandra seems a bit forgetful.
The family is playing cards and Cassandra begins staring into space while she awaits her turn.
Here, give me your cards.
I need to clean this up!
Stop crying! You're making my head hurt.
Come on kids, it's okay. Mommy doesn't feel well, that's all.
What sign of TBI is Cassandra exhibiting? Click the correct answer.
Irritability
Motor problems
Speech impairment
Additional Resources
Which is the best intervention choice to help Cassandra with moments like this? Click the correct answer.
Give her clear instructions
Suggest she write down what is bothering her
Suggest taking a time-out
Based on this interaction, Cassandra most likely has TBI to which region of the brain? Click the correct answer.
Occipital Lobe
Parietal Lobe
Temporal Lobe
Eric has completed two tours in Afghanistan. He is now going to college on the GI Bill. But Eric has found that adjusting to student life can be difficult.
Eric, thank you for coming in today.
I want to talk to you about your grade. You're missing a lot of assignments. Do you plan to make them up?
Thank you, Professor Lovelace. But, I'm pretty sure I've turned everything in. What assignments are missing?
Your semester project and two papers are missing, along with several small weekly assignments. Eric, why do you think you turned them in?
Because I remember doing them and turning them in.
Eric, what is going on?
Which of these strategies would best help Eric get his assignments turned in? Click the correct answer.
Take a time-out
Use a daily planner
Check your work for errors
Which resource may be helpful to help Eric find tips on going to school with TBI? Click the checkbox next to the best resource.
What symptoms is Eric exhibiting? Click all that apply.
Forgetfulness
Remembering Incorrectly
Anger
Avoidance
Presume that Eric has a diagnosis of Traumatic Brain Injury (TBI) that he received in Afghanistan. Based on this interaction, Eric most likely has TBI to which region of the brain? Click the correct answer.
Frontal Lobe
Temporal Lobe
Cerebellum
A retired veteran enters the clinic you work in. You notice his wife speaking to him in low voices and leading him by the arm. When you meet them, she tells you that Charlie has needed a little help getting around since his last tour in Korea.
During the assessment, which question should you absolutely be sure to ask? Click the correct answer.
Are you having any current balance or coordination issues?
How often do you have headaches?
Are you alright with depending on your wife so much?
What additional strategy should you recommend? Click the correct answer.
Keep a symptom journal
Take a time-out
Write down tasks you may forget
Injury to what part of the brain is associated with this type of motor function difficulty? Click the correct answer.
Occipital Lobe
Frontal Lobe
Cerebellum
TBI can present with a varying combination of symptoms. Older veterans may exhibit TBI symptoms and yet never have received a TBI diagnosis.

It is important to ask many questions about symptoms and how the veteran's life is affected by the symptoms in order to find the most accurate diagnosis and ways to proceed.
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