concussion management protocol to support recovery of ch students
DESCRIPTION
Concussion Management Protocol to Support Recovery of CH Students. How Common is Traumatic Brain Injury in Children in Pennsylvania?. Each year, approximately 25,975 children in Pennsylvania sustain a concussion /traumatic brain injury - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/1.jpg)
Concussion Management Protocol to Support Recovery of CH Students
![Page 2: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/2.jpg)
Each year, approximately25,975
children in Pennsylvania sustain a concussion /traumatic brain injury
Source: The Brain Injury Association of Pennsylvania
How Common is Traumatic Brain Injury in Children in
Pennsylvania?
![Page 3: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/3.jpg)
A Child’s Brain…
• Under-developed• Unlike other organs, the brain needs time &
experience to mature. • Easily injured• New abilities build on ESTABLISHED skills over
time• Does not “bounce back” after injury
![Page 4: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/4.jpg)
3 Things to Consider:
1. Children, unlike adults take LONGER TO RECOVER from concussions
2. Post Concussion Syndrome (past 7-10 days)
3. Second Impact Syndrome (when brain has not healed)
![Page 5: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/5.jpg)
“When in Doubt, Sit Them Out”!
• Physically and MENTALLY!
![Page 6: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/6.jpg)
March 2013 Article: “Rest is Best”
• Stress on athletes and students not to disappoint (attendance, grades, playing-time).
• “You break your arm, you put it in a cast and don’t use it. You hurt your brain, you can’t stop using it.”
• Delay recovery time• Quicker recovery = Complete Rest
![Page 7: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/7.jpg)
What’s Happening?
![Page 8: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/8.jpg)
Following CONCUSSION there are actual PHYSICAL, METABOLIC, &
CHEMICAL CHANGES that may take place in the brain
![Page 9: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/9.jpg)
Should be Symptom Free at REST & during PHYSICAL EXERTION! (exertion added gradually)
AT LEAST 7-10 days during which time they experience No Symptoms
Getting A-Head of Concussion P. Hossler and R. Savage (2006)
When Should Students Return to School?
![Page 10: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/10.jpg)
Commonly Recommended After Concussion
1. Restricted Physical Activities: recess, physical education
2. Academic Accommodations: Untimed, open book, take home, and/or shortened tests
Reduce class work and homework by 50%; shorten tests & projects (reduce 50 problems to 25 problems; 4 pages to 2 pages)
Frequent breaks from class when experiencing symptoms (e.g., go to nurse, put head down on desk)
Extended time on homework, projects
Full days of school as tolerated
Half days of school as tolerated(Pardini, Fazio, Taylor. 2008)
![Page 11: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/11.jpg)
Concussion Management Team (CMT)
• Student• Parent / Guardian / Family• Coach, Athletic Trainer, Athletic Director• Physician, School Physician• School Psychologist• School Nurse• Guidance Counselor, Teachers, Support Staff• Administration• BrainSTEPS
![Page 12: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/12.jpg)
Responsibilities Cont.
Student
• RECOVER !
• To clearly and honestly communicate their symptoms, academic difficulties and feelings
• To carry out any assigned recommendations by other team members to the best of their ability
![Page 13: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/13.jpg)
Responsibilities of the Individual CMT Team Members?
Parent/Guardian • To submit all physician notes and instructions to
the school (nurse) in a timely manner
• To help the student maintain adherence to any medical and/or academic recommendations given to promote recovery
![Page 14: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/14.jpg)
Athletic Trainer : To evaluate possible injuries and
make referrals communicate with school staff for student-athletes. To monitor symptoms and help coordinate and supervise a student-athlete’s safe return to play
Athletic Director: To oversee the athletic
department’s concussion management plan, including but not limited to: equipment management, policies, coach/athlete/parent education, etc.
![Page 15: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/15.jpg)
School CMT Team First Contact School Nurse • Communicate injury / symptoms to school personnel
• To monitor in-school symptoms and health status changes
• To help determine if it is appropriate for the student to be in school or if the student needs
any health-related accommodations
![Page 16: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/16.jpg)
School CMT Members
Teacher(s)• To help the student get the best education
possible given the circumstances and to follow recommended academic accommodations
Guidance Counselor • To help create (as needed) and disseminate
academic accommodations to the student’s teachers
![Page 17: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/17.jpg)
Coach/Physical Education Teacher: To recognize concussion symptoms and remove a potentially injured player from practice or competition. To receive communication from health care providers, parent/guardian and school about readiness to return to play. To communicate with the school about the student’s progress
School Psychologist : To be the consultant for prolonged or complicated cases where long-term accommodations or more extensive assessment and educational plans may be necessary
![Page 18: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/18.jpg)
Administrator: To direct and oversee the management plan and trouble shoot problems. To help create a change in the culture of the school regarding the implementation of programs, supports and policies
![Page 19: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/19.jpg)
Academic Concussion / TBI Management Process at Cambria Heights:
![Page 20: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/20.jpg)
Step 1: Concussion Reported
• Injury reported to CML (leader) as soon as possible.
• At the beginning of school year, CML should be identified to teachers, coaches, parents and administrators so the responsible adults know who to report injuries to.
• Anyone in the school community who suspects a concussion should contact the CML right away so the student can be referred for proper evaluation.
![Page 21: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/21.jpg)
Step 2: Contact Student and Family
• Meet with student upon return to school.
• The CML should explain his/her role as the central communicator to both the student and the family and provide contact information for questions or concerns.
• The CML should also briefly explain the steps in the management process so the student and family know what to expect.
![Page 22: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/22.jpg)
Step 3: Assess Medical Needs.• Has student see physician or athletic trainer?
Documentation? Assess symptoms and make attendance decision.
• The CML or ML will determine if the student has been evaluated by an athletic trainer or physician, and if the student has documentation from the provider concerning school/activity restrictions and accommodations.
• If no recommendations are available from the medical provider, the CML or ML should assess symptoms to determine if the student will benefit from being in school or if attendance is likely to be counterproductive.
![Page 23: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/23.jpg)
Symptom Log
• If symptoms are significant or severe, the student may need to be sent home.
• If symptoms are manageable and not becoming significantly worse by attending school, the student may continue to step 4.
![Page 24: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/24.jpg)
Step 4: Assess Academic Needs
• Consideration of general accommodations supplied by health care provider (if available).
If there are academic recommendations from the health care provider, the CML or AL should specify those general recommendations.
• If no recommendations are available, the CML or AL should assess the student’s academic needs.
![Page 25: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/25.jpg)
Step 5: Distribute Accommodations
• Distribute accommodations / strategies to teachers & other relevant staff in writing.
• Contact family (and if applicable, coach and athletic trainer) with relevant academic/ medical updates and plan, as needed.
• Document as required.
![Page 26: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/26.jpg)
Handout Packet: Examples
• Teacher @ Staff Notification Letter with Accommodations and Resources
• CH Student Transition Plan Following Injury• Academic Monitoring Tool for Teachers• Symptom Log Example• Teacher Follow Up Letter• Teacher Resolution Letter
![Page 27: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/27.jpg)
Step 6: Determine Re-assessment
• Gain feedback from each team. Decide when to re-assess medical and academic needs.
• Identify appropriate timeframe for re-assessment of needs, and using feedback from teams, re-start process at step 3 or 4.
![Page 28: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/28.jpg)
Re-assess Medical and/or Academic Needs When…
• New physician documentation arrives dictating a new course of action
• Symptoms have changed (and therefore the prior assessment needs to be altered)
• Symptoms have resolved and are no longer a barrier to school participation or attendance
• Teachers or parents identify problems in current plan that are not being adequately addressed
![Page 29: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/29.jpg)
![Page 30: Concussion Management Protocol to Support Recovery of CH Students](https://reader036.vdocuments.us/reader036/viewer/2022081603/568143ab550346895db035be/html5/thumbnails/30.jpg)
Questions?