Today’s a new day for my posts!

Donna said something yesterday, that kinda made me <sigh>.  She’d said that I should do blog-posts, as opposed to simply posting on Facebook, because they’re basically the same thing, but the blog is the “best place” to write them.  The reason that I’d sigh’d was that it wasn’t the first time she’d said that.

This morning I remembered that, and made the decision that that will be the last time that she asks me that.  I’m going to write here, on BrainSTRONG’s blog, and circulate it.  I’m not sure what I’ll write, but I’m thinking, and I never actually-planned my social media posts, so the only difference is that it’ll be on the blog (first) and then circulated.  However, it’ll be superior because with an auto-posting plug-in, it’ll distribute pretty much everywhere, right away!

Glasgow Coma Scale

The Glasgow Coma Scale (GCS) is a clinical scale used to reliably measure a person’s level of consciousness after a brain injury.  The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. 

These three behaviours make up the three elements of the scale: eye, verbal, and motor. A person’s GCS score can range from 3 (completely unresponsive) to 15 (responsive).

This score is used to guide immediate medical care after a brain injury (such as a car accident) and also to monitor hospitalized patients and track their level of consciousness.

Unlike pretty much every other score, the lower GCS scores means a higher risk of death. However, the GCS score alone should not be used on its own to predict the outcome for an individual person with brain injury.  It’s simply a guide, that’s pretty much all.

ABI vs. TBI

ABI vs. TBI
What’s the Difference?

Acquired Brain Injury (ABI)

The position of the Brain Injury Network is that acquired brain injury (ABI) includes traumatic brain injuries (TBI’s), strokes, brain illness, and any other kind of brain injury acquired after birth. However, ABI does not include what are classified as degenerative brain conditions such as Alzheimer’s Disease or Parkinson’s Disease.

Traumatic Brain Injury (TBI)

“A traumatically induced structural injury and/or physiological disruption of brain function as a result of an external force that is indicated by new onset or worsening of at least one of the following clinical signs, immediately following the event:

  • Any period of loss of or a decreased level of consciousness;
  • Any loss of memory for events immediately before or after the injury;
  • Any alternation in mental state at the time of the injury (confusion, disorientation, slowed thinking, etc.);
  • Neurological deficits (weakness, loss of balance,  change in vision, praxis, paresis/plegia, sensory loss, aphasia, etc.) that may or may not be transient;
  • Intracranial lesion.
  • External forces may include any of the following events: the head being struck by an object, the head striking an object, the brain undergoing an acceleration/deceleration movement without direct external trauma to the head, a foreign body penetrating the brain forces generated from events such as a blast or explosion, or other force yet to be defined.”

Birth Trauma and Brain Injury

There is one subject regarding forms of TBI that is the source of some disagreement and that is with regard to the subject of brain injury produced by birth trauma. Generally speaking, brain trauma produced by the process of birth has been specifically excluded from being classified as a form of TBI by medical definitions. However, there are many mothers of babies being born with these birth brain injuries who are upset by that exclusion.

They see birth complications that result in these brain injuries as being forms of TBI. Some of these mothers see their children as being survivors of TBI, and they do not like that their children are excluded from this category.

Click the logo to read what does the OBIA (Ontario Brain Injury Association) say about the difference?

Types of facilities for long-term health

Long-term care is provided in different places by different caregivers, depending on a person's needs. Most long-term care is provided at home by unpaid family members and friends. It can also be given in a facility such as a nursing home or in the community, for example, in an adult day care center.
For the most part, and more often than not, people who'd consider "unsupported living" remain at home for as long as they can. A decline of their self-support skills would necessitate the move into a long-term facility. Basically, they need some help with what's done every day.
Independent Living Apartments
Independent living apartments are ideal for seniors who do not need personal or medical care but who would like to live with other seniors who share similar interests. In most independent living facilities seniors can take advantage of planned community events, field trips, shopping excursions and on-premise projects.
Adult Homes
Adult homes are licensed and regulated for temporary or long-term residence by adults unable to live independently. They usually include supervision, personal care, housekeeping, and three meals a day.
Assisted Living Program (ALP)
An excellent alternative to nursing homes for seniors who need help with their daily routines, but who do not need 24-hour care. Room, board, case management, and skilled nursing services come from an outside agency.
Nursing Home (Skilled Nursing Facility)
Nursing homes offer 24-hour-a-day care for those who can no longer live independently. In nursing homes, trained medical professionals provide specialized care to seniors with severe illnesses or injuries. Specially trained staff assist residents with daily activities such as bathing, eating, laundry and housekeeping. They may specialize in short-term or acute nursing care, intermediate care or long-term skilled nursing care.
What it comes down to is that whatever you need, is available. The more that you'd get, the more that it will cost. If you want to be happy, and not worried about the cost, trust me, you'll find something.

Take hits to the head seriously

The president of the US knocked NFL on rules: ‘Concussions — ‘Uh oh, got a little ding on the head?' in 2016, and calling the rules “soft”.
While he's wrong, he's not alone in thinking that way. The reason for that is that if someone hasn't had an injury, or knows someone who has, they don't understand.
While concussions are sometimes invisible to the eye, the effects aren't.
I've got plenty of challenges, of that there's no doubt, but the fact that I'm visibly-disabled is a plus. Why? Because if I stop for a few seconds, and do something that isn't simply moving forward, someone usually stops, and asks me if I'd like some help.
What I don't understand is that some doctors consider traumatic brain injury and concussion as two separate diagnostic categories, when in truth, both reflect brain injury.
When people go to the hospital, after getting hit on the head, what's weird (wrong) is that concussion is sometimes termed, over "brain injury." The reason for that is strongly associated with earlier discharge from the hospital and earlier return to school activities, the researchers say.
But, with the reality that they're the same, and post-crash effects can appear later, researchers recommend that more specific descriptions of concussion and brain injury should be used. The reason for that is that a more detailed explanation can include elements that would warn of the potential occurrences of issues.
Using the term “mild traumatic brain injury” rather than “concussion” might help people better understand what they are dealing with and improve decisions about what the children should be allowed to do.