The terminology. Brain damage is referred too by many names and acronyms. Head Injury, Traumatic Brain Injury (TBI), Acquired Brain Damage (ABD) + others. They all relate to the same thing. An Injury causing damage that stops/changes the normal function of the brain.
Brain Damage can be caused by many things. A hard blow to head such as in a rugby game or worse a motor vehicle accident. Falls, strokes, medical misadventures, Solvents including alcohol.
Acquired injury to the brain causes changes in behaviour, difficulty in learning and emotional disturbances in addition to possible visible damage.
Head injury is not readily visible to the general public.This may mean that people with head injury do not receive support that would be available if the injury was more apparent. The burden of care tends to fall on relatives of the injured person.
Brain injury is traumatic .. physically, mentally and emotionally. It is hard on the person who has sustained the injury and it is hard on the family and friends of that person. It usually occurs quickly and without warning and finds everyone scared, confused, overwhelmed and in a state of shock
Just as the definition of Acquired Brain Injury varies so does the information that is passed onto the survivor and their family. It can either be too much or too little. It can be only the good or only the bad.
Brain injury requires that someone without prior knowledge quickly become informed and aware of what is happening now and what might happen in the future. There might be times when you're so tired you don't think you can go another step. You'll find yourself caught up in many different emotions. You might feel that all hope is gone .. but never give up
If you are the survivor, there will be times when you are so frustrated, so angry, so depressed, so confused that you will want to give up .. don't! Reach out and find a peer groups of survivors and let them help you. You will find out that you 'are not going crazy' in spite of what it sometimes seems like. Recovery will vary and changes will occur long after you were told they would stop.
Possible Effects of an Acquired Head Injury
Difficulty with thinking clearly, maintaining concentration, tiredness, solving problems, planning and completing projects.
Problems expressing oneself and in understanding others.
Difficulty reading and writing.
Problems with balance, reduced mental and physical stamina, slower reflexes, headaches and sleep disturbance.
Inability to sustain social and recreational activities.
Stress on friendships and relationships.
Possible effects of an Acquired Head Injury on the Family
Disruption of family life
Anxiety for the future
Feelings of isolation and abandonment
Excessive financial and legal demands
High levels of stress
Frequently asked questions
What is an Acquired Brain Injury? ABI?
It is the impairment of normal brain function due to a neurological insult, such as: open or closed head injury (traumatic brain injury or TBI ), select cerebral vascular lesions (i.e., aneurism, haemorrhage, brain stem stroke), hypoxic event (loss of oxygen .. i.e., near drowning), intracranial tumor, and select neurological diseases (i.e., encephalopathy ). Well, that is a technical definition. Not very satisfying, is it? It's very impersonal and doesn't really even begin to answer the question. For something as complex as brain injury, there are no easy definitions or answers.
Is it only an ABI if there has been coma?
NO! ABI has many levels of intensity. It is possible that someone can acquire a brain injury without loss of consciousness or external bruising or tangible confirmation (i.e., CAT Scans, Skull X-rays, EEG, etc.) Individuals who have even a mild brain injury may continue to experience a wide variety of symptoms that can have life-changing implications. However, each injury is different and unique for each person.
What are the symptoms of an ABI?
Symptoms and related deficits fall into four major groups: Cognitive, Perceptual, Physical and Behavioural/Emotional. Keep in mind that because of the uniqueness of each injury, some survivors may or may not face or exhibit some or all of the symptoms. The number of symptoms doesn't reflect on the impact that the injury will have on the survivors. Much of that depends on where the injury is located. The following is, by no means, a complete or comprehensive listing.
Cognitive Symptoms:
Difficulty in processing information (decreased speed, accuracy and consistency) Shortened attention span Inability to understand abstract concepts Impaired decision-making ability Inability to shift mental tasks or to follow multi-step directions Memory loss or impairment Language deficits (difficulty expressing thoughts and understanding others, inappropriate word selection)
Perceptual Symptoms:
Change in vision, hearing or sense of touch Loss of sense of time and space and spatial disorientation Disorders of smell and taste Altered sense of balance Increased pain sensitivity
Physical Symptoms:
Persistent headache Extreme mental and/or physical fatigue Disorders of movement - gaiting, ataxia, spasticity and tremors Seizure activity (traumatic epilepsy) Impaired small motor control Photosensitivity (sensitivity to light) Sleep disorders Paralysis Speech that is not clear due to poor control of the muscles in the lips, tongue and jaw and/or poor breathing patterns
Behavioural/Emotional Symptoms:
Irritability and impatience Reduced tolerance for stress Lack of initiative, apathy Dependence (failure to assume responsibility for one's actions Denial of disability Lack of inhibition (may result in aggression, cursing and inappropriate sexual behaviour Inflexibility Flattened or heightened emotional responses/reactions
Is a Mild Brain Injury unimportant?
NO! A mild brain injury can have the same devastating effects that a moderate or severe injury can have. The key point is location. Most survivors of mild brain injury don't lose consciousness and may only be in the emergency room for a short time before being sent home without ever knowing that they've been injured. For many of them, the survivor and their family/friends will begin noticing changes in them .. sometimes very subtle, sometimes very obvious. Since they weren't diagnosed with a brain injury in the emergency room and since they didn't ever lose consciousness, far too many of them will never receive the help that they need. Only now are the impacts of mild brain injury being understood, identified and treated. Most typically, mild brain injuries are received in car accidents where the brain is 'sloshed' around in the skull by the collision.
Does everyone who hits their head get a brain injury?
In the most mild of cases, the brain still gets bruised in much the same way your leg might get bruised if you bump into a coffee table. However, the head and the brain is pretty resilient and it can usually handle that injury without much effort. Sometimes people can get a really tremendous blow on the head and it not have any external effect. Again, much depends of the location of the injury and the brain's ability to compensate.
Am I alone with this injury?
NO! Estimates place the annual occurrence of Acquired Brain Injury at 2 million. PLEASE take advantage of the people and organizations waiting to help you. [ LINKS ]