review and comment

 Review the post below and respond . Your response must include your own conceptualization of the case, whether you agree or disagree with your peer’s response and why. You must use a minimum of one peer-reviewed source to support your response. 

 

A 19-year old male who has no previous history of any psychological health problems, has a great education and works for a construction company, was in a car accident.  When taken to the emergency department he showed no signs of amnesia prior to the car accident or after the accident.  But his significant partner was left unsettled with the diagnosis and describes his behavior as distracted and unfocused from the day of the accident to six months after.  She claims to have to constantly repeat everything she mentions to him over and over.  Traumatic brain injury is a severe health problem that is caused by physical damage to the brain such as from a car accident or falling down and banging your head hard on an object or the floor.  According to Carlson (2013), head injuries can damage the cerebral cortex, frontal lobe, axons, blood vessels, and ventricles. 

“Approximately 52,000 people die from traumatic brain injury (TBI), undoubtedly, many others receive brain injuries but not a diagnosis; almost a third of deaths caused by injuries involve TBI” (Carlson, 2013).  The victim described in the scenario chosen suffered from a car accident six month prior to the concerns his partner had.  The symptoms lead signs of mild traumatic brain injury.  Segev, Shorer, Rassovsky, Peleg, Apter, and Fennig (2016) focused on persistent post concussive symptoms (PPCS) which are a set of physical, cognitive, emotional, and behavioral symptoms.  Although, not many symptoms were given for the patient, he can still be experiencing TBI.  Some individuals who suffer from this health problem are affected mildly. 

This individual is experiencing symptoms of mild TBI such as behavioral and cognitive signs.  He underwent a Glasgow Coma Scale at the emergency department and scored a 15 out of 15 showing no signs of trauma.  The emergency department stated the patient had no trauma solely based on the results of one exam, but maybe running a few different tests would be best before out-ruling the diagnosis of traumatic brain injury.  Conducting a computed tomography (CT) scan would help determine further internal brain damage such as fractures or internal cerebral bleeding (Ganti, et. al., 2015).  Another test that could be done is the magnetic resonance imaging (MRI) scan to help distinguish any brain abnormalities. 

Ganti, et. al., (2015) suggests that the problem for individuals who suffer from mild TBI I that there is “no single protocol or standard methodology for evaluating such patients.”  Further recommendations for the patient and his family would be therapy.  Therapy with a professional who can assess his cerebral damage by performing evaluations, mental state examinations, and physical exams is important to understand his cognitive, emotional, physical, and mental performance and behavior.  Also, psychotherapeutic and pharmacological therapy will help the patient overcome and learn to manage substance use and psychological symptoms such as depression, anxiety, and memory loss. 

References:

Carlson, N. R. (2013). Physiology of behavior (11th ed.). Boston, MA: Pearson.

Ganti, L., Daneshvar, Y., Bodhit, A., Ayala, S., Patel, P. S., Lottenberg, L. L., York, D., Counsell, C., and Peters, K. R. (2015). TBI Adapter: Traumatic Brain Injury Assessment Diagnosis Advocacy Prevention and Treatment from the Emergency Room – A Prospective Observational Study. Military Medicine, 180(4), 380-386. http://dx.doi.org.proxy-library.ashford.edu/10.7205/MILIMED-D-14-00316 (Links to an external site.)Links to an external site.

Segev, S., Shorer, M., Rassvosky, Y., Peleg, T., Apter, A., and Fennig, S. (2016). The Contribution of Posttraumatic Stress Disorder and Mild Traumatic Brian Injury to Persistent Post Concussive Symptoms Following Motor Vehicle Accidents. Neuropsychology, 30(7), 800-810. http://dx.doi.org.proxy-library.ashford.edu/10.1037/neu0000299 (Links to an external site.)Links to an external site.

ReplyReply to Comment Collapse SubdiscussionRoxanne BeharieRoxanne Beharie
SaturdaySep 16 at 11:21amManage Discussion EntryHi Erika,
You provided a detailed diagnosis and treatment plan for your patient.  However, please note that you only had a few sentences of information on which to work from.  As such, based on your research, what additional information would you need to ensure that you are making the correct diagnosis?  What additional questions would you ask family and friends about the symptoms demonstrated by the patient?
In addition to getting as much information as possible from family and friends, what are the benefits of consulting with other professionals in the field to ensure that you are making the correct diagnosis, and ultimately prescribing an appropriate and effective treatment plan?
Support your discussion with scholarly research and discuss in your own words (no quotes). Reply

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