The importance of a thorough assessment of all aspects of the brain injury is essential, and it may well be that formal referral to a child clinical neuropsychologist, physiotherapist, occupational therapist and speech and language therapist is required in order to ascertain a full understanding of the child's problems. It follows that an interdisciplinary approach towards intervention is highly desirable. However, there are few areas where a fully integrated approach is available, and this in itself can create anger, anxiety and despair in parents. The following interventions should be considered.
There are numerous strategies that children can use in order to manage problems arising from brain injury. Early behavioral management interventions in the acute phase may prevent early disruption to therapy and recovery and forestall later problems. Use of rehabilitation strategies for problems with organization, memory and executive functions can be effective. For example, external aids for memory problems include the use of diaries, note-books and electronic reminders. In addition, introducing and teaching the consistent use of strategies in the organization of tasks such as dressing to completing a homework project can result in improved performance and, in turn, enhanced self-esteem.
In conclusion it is very rare that a simple... [continues]
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