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CreateAbility Case Studies: Tech Solutions for TBI Recovery

Section V: Case Study Example

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Case 1: High Biopsychosocial Risk 

  • age 59 veteran male employed in construction
  • fall with left anterior, inferior and medial frontal lobe contusions
  • preinjury drug misuse, ETOH abuse, legal-criminal involvement
  • Chronic back pain
Case 1 graph illustrating recovery from traumatic brain injury (TBI) showing cognitive functioning and total pain, anger, depression, and anxiety levels over time from May to April.
Graph depicting biopsychosocial dynamics of recovery for Case 2, illustrating trends in pain, anxiety, anger, and depression over time, with labeled axes and color-coded lines for each variable.

Question: is the above power point slide (from IN System for TBI) for case 1 or 2? Sequentially was before the information below.

Case 2: Significant Variability in Recovery 

  • 18 year old female in found down along the side of road with TBI and Glasgow Coma Scale = 6/7
  • Bilateral frontal subarachnoid hemorrhages, left parietal scalp hematoma, respiratory insufficiency
  • Left hemiplegia, significant attention and executive function impairment 
  • Pre-injury anxiety and learning disability
Graph depicting fluctuations in pain, anger, depression, and anxiety levels over several months, relevant to brain injury recovery.
Cognitive functioning graph illustrating fluctuations over months, relevant to traumatic brain injury recovery case studies.

Case 3: Sometimes it is easier to tell an avatar

  • 36 year old married male working as a carpenter
  • Motor cycle crash with TBI and bilateral temporal and orbital fractures 1 month before entering RF
  • Pre-injury history of opioid misuse and depression
  • In Resource Facilitation intake, twice denied depression
  • On PHQ-9, endorsed “Thoughts that you would be better off dead, or hurting yourself.”
  • Triggered Resource Facilitation response and got participant into treatment

Case 4: Getting worse

  • 30 year old man with 16 years of education working as a server
  • Preinjury history of DUI and felony theft
  • Fell out of a second story window and may have been using ETOH and Xanax at party beforehand 
  • Initial risk stratification was low risk
  • Risk Stratification changed to medium (yellow) with more intense RF follow-up, case conferences and directed to PCP
Case 4: Getting Worse graph depicting Pain Intensity and PHQ-9 scores over time, illustrating increasing trends in both metrics, relevant to brain injury recovery analysis.
Line graph titled "Case 4: Getting Worse" depicting the Brief Anger/Aggression Scale over time, showing fluctuating scores, relevant to the discussion of a 30-year-old man with a history of opioid misuse and depression.

Should we add Judy’s/Lance color coded matrix of rectangles (with a brief explanation)? I think it summarizes this topic well.

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