TRAUMATIC BRAIN INJURY amnesia

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					Davis/Weber/Morgan Counties

      TBI Resource Book




  Provided by the Davis/Weber/Morgan
         Brain Injury Workgroup
        for brain injury survivors.




              Page 1 of 34
     Traumatic Brain Injury (TBI)
          Table of Contents

1. Introduction
2. Quick Informational Resources
3. Levels of Care
4. Davis/Weber/Morgan/County
   Professional Resources List
5. Brain Injury Association of Utah
   TBI Services
6. Brain Injury Association of Utah
   Professional Resources List
7. Veterans Affairs Resources
8. TBI Support Groups
9. Attorneys with TBI Experience
10. Other Useful Resources
11. Guidelines for students with TBI
12. TBI Glossary of Terms
               Page 2 of 34
                        -1-
                    Introduction

This booklet is designed to make it easier for an
individual to provide guidance to a caller regarding
resources available for Traumatic Brain Injury (TBI) in
Davis, Weber, and Morgan counties. It also lists some
resources outside the counties that may be helpful to a
caller.

When an individual calls, please listen carefully to the
concerns/issues of the caller and then match them to the
given category(s) of resources. Please remain impartial
and provide all the names and numbers listed under that
category and, if appropriate, outside
Davis/Weber/Morgan counties as well.

If questions or concerns arise that you are not able to
answer, please feel free to contact Carrie Bambrough at
Phoenix Services Corporation (801)-825-4535

To assist us in improving this resource booklet, please
make a list of concerns or areas that may have been
overlooked. Please contact Carrie Bambrough at Phoenix
Services (801) 825-4535 with your list. This is a
process, we need your thoughts, and we are open to
suggestions.



                       Page 3 of 34
                     -2-
       Quick Information TBI Resources
          Local, State, and National

County Brain Injury Information (TBI)
      Davis County Health Department
       50 East State Street
       Farmington, Utah 84025
       Phone: (801) 451-3340

      Weber-Morgan County Health Department
       477 23rd Street
       Ogden, Utah 84401
       Phone: (801) 399-7100


Hospitals
       McKay Dee Hospital
       4401 Harrison Blvd.
       Ogden, Utah 84403
       Phone: (801) 627-2800

       South Davis Community Hospital
       401 South 400 East
       Bountiful, Utah 84010
       Phone: (801) 295-2361




                      Page 4 of 34
           Traumatic Brain Injury
       Information and Support Group

State of Utah

Brain Injury Association of Utah, Inc. (BIAU)
1800South West Temple, Suite 203
Salt Lake City, Utah 84115
Phone: (800) 281-8442 (Help line)
       (801) 484-2240
www.biau.org
Executive Director: Ron Roskos

Utah Medical Home
http://medhome.med.utah.edu

National

Traumatic Brain Injury
Technical Assistance Center at NASHIA
(National Association of State
Head Injury Administrators)
Main Website is in the section on 'Who to contact for
more information on TBI'
http://www.tbitac.nashia.org/tbics/

Brain Injury Association of America (BIAUSA)
http://www.biausa.org/Pages/home.html

                       Page 5 of 34
         -3-

   Levels of Care
Insert Levels of Care




      Page 6 of 34
                     -4-
        Davis/Weber/Morgan/County
         Professional Resources List
                 Craniosacral Therapy

Kim Nielsen
1496 E. 5600 S. Ste 5
South Ogden, UT 84403
801-547-4490
                      Neurologist

Dr. Arif Chowdhury        Center for Neurological Services
Tanner Clinic             Dr. Navin Varma, MD
1221 N. 1700 W.           1452 Ea. Ridgeline Dr. Suite 151
Layton, UT                Ogden, Utah 84405
(801) 773-4840            (801) 479-7009

                  Neuropsychologist

Mark Corgiat, PHD
4590 Harrison Blvd.
Ogden, Utah 84403
(801) 621-6100
                      Ophthalmologist

Michael M. Judkins, OD
Frank L. Salimeno, OD
5331 S. Adams Ave (500 E.) Parkway Ste. B
Ogden, Utah 84405
(801) 479-7850


                        Page 7 of 34
               Physician and Physiatrist

Bradley R. Melville, M.D. / Physiatrist
McKay Dee Hospital
(801) 627-2800
                    Physical Therapy

Wasatch Therapy, Inc.
Wasatch Center
Ernie Chavez, PT
Melissa Ita’aehae, DPT
5349 S. Adams Ave., Ste A
Ogden, UT 84405
(801) 479-9865
                     Psychologist

David Newbold                   Tom Fairbank
Clearfield, UT 84015             Layton, UT
801-776-1954                     801-773-1954


            Speech-Language Pathologists
                     Cognitive

Stewart Rehabilitation Center
Alan Keller- Rehab Manager
3903 Harrison Blvd. Suite 400
Ogden, UT 84403
(801) 387-2080
(801) 387-6610 Fax



                       Page 8 of 34
                    -5-
      Brain Injury Association of Utah
                TBI Services

The Brain Injury Association of Utah, Inc.
1800South West Temple #203
Salt Lake City, Utah 84115
Phone: (800) 281-8442 (Help line)
        (801) 484-2240
         www.biau.org
Executive Director: Ron Roskos

Brain Injury Association of Utah (BIAU) provides the
following resources and services:

     Education and emotional support for survivors and
      their families.
     Helpline provides support, information, and
      resources for survivors, family members, friends,
      and professionals.
     Resource library includes articles, pamphlets,
      research reports, books, booklets, and videos.
     Conferences – An annual family conference that
      provides educational and networking opportunities
      for survivors, family members, and professionals.
     Community Education – Prevention and awareness
      program, in-service training, educational
      publications, brochures, and a quarterly
      newsletter.


                      Page 9 of 34
      Legislative Liaison – Advocacy with state and
       federal legislators to increase awareness and
       needs of persons with a traumatic brain injury.




                     -6-
       Brain Injury Association of Utah
             TBI Professional List

                    PHYSIATRIST
    Rehabilitation director who oversees the entire
  treatment plan with a team of medical professionals

Corey Anden     (801) 387-2090                      Ogden
           Stewart Rehabilitation Center

Janet M. Balbierz (801) 581-2334                    SLC
           University Medical Center

Alan Davis      (801) 350-4066                  SLC
   Quinney Rehab/Salt Lake Regional Medical Center

Judith Gooch      (801) 581-2334                    SLC
            University Medical Center or
                  (801) 588-3758                    SLC
         Primary Children’s Medical Center

John Greenlee   (801) 584-2569                      SLC
           Veterans Hospital Clinic or
                 (801) 565-6872                     SLC
           U of U Health Sciences Center
                    Page 10 of 34
Anina Merrill     (801) 565-6500                    SLC
            Health South (inpatient only)

Jeff G. Randle   (801) 507-9800                 Murray
           Intermountain Healthcare

David K. Ryser    (801) 507-9800                Murray
            Intermountain Healthcare

John Speed         (801) 585-2589                   SLC
             University Medical Center

Terry Such-Neibar (801) 662-4949                    SLC
      Primary Children’s Physician’s Rehabilitation


                  PSYCHOLOGIST
 A trained specialist that specializes in traumatic brain
 injury and performs psychological analysis, therapy, or
                        research

David A. Dodgion   (801) 281-4084         Taylorsville
           Associated Clinical Counseling

Tom Fairbank       (801) 773-7177                Layton
           Behavioral Health Services

David Newbold    (801) 776-1954           Clearfield
           D. Newbold, Ph.D. & Associates

Stephen M. Ross (801) 585-1575                      SLC
           U of U Neuro Psychiatric Institute



                      Page 11 of 34
                     NEUROLOGIST
  Physician who diagnoses and treats disorders of the
                    nervous system

Elaina James           (801) 322-2065              SLC
                       (801) 776-6195            Layton
                     Alpine Neurology

Joyce Anis             (801) 680-4211             SLC

J. Richard Baringer (801) 581-4283                SLC
            University Medical Center

Gregory Call          (801) 268-1888              SLC
               Wasatch Neurological

Kathleen Digre          (801) 581-6871            SLC
(semi-retired) University Medical Center

John Foley            (801) 408-5700              SLC
               Rocky Mountain Neurological

Michael Goldstein (801) 262-3441            Holiday
            Western Neurological Associates

Joseph Vick Roy   (801) 561-3400                   SLC
           HealthSouth Rehabilitation Hospital
                  (inpatient only)

Daniel B. Vine, M.D.
      (801) 328-2788 Monday-Wednesday           SLC
      (801) 776-6195 Thursday-Friday          Layton




                        Page 12 of 34
Dr. Christopher Penka         Dr. Bryson Smith
Dr. Blake Welling             Dr. Winters
                  (801) 387-6520
      Neurology Associates of Northern Utah
            (Neurosurgery Only) IHC


                NEUROPSYCHOLOGIST
Psychologist who has additional training in brain
functioning and evaluates the relationship between brain
and behavior; conducts extensive testing (thinking,
memory, judgment, emotions, behavior, and personality),
and counseling; does not prescribe medication

Erin Bigler          (801) 378-4289                Provo
                  Pediatric and Adult

Elaine Clark         (801) 581-7968                 SLC
                  Pediatric and Adult

Denise Goldsmith (801) 263-3335                     SLC
            Pediatric/Psychological Services

Sam Goldstein        (801) 532-1484                 SLC
                  Pediatric and Adult

Linda Gummow       (801) 262-4066                SLC
                        Adult
Kay Koellner       (801) 262-1771                SLC
             Pediatric/St. Marks Family Medicine

Gregory L. Mayer (801) 479-8286                   Ogden

               Ogden Regional Counseling Center

                        Page 13 of 34
George Mooney    (801) 581-2449                     SLC
           PM & R Outpatient Clinic

David E. Nilsson (801) 532-1475                     SLC
          The Neurodevelopment Center

Beverly O’Connor (801) 621-7320                   Ogden
            Brain Behavior Associates

Janiece Pompa         (801) 273-7555                SLC
                Pediatric and Adult

Anne Russo         (801) 314-4732                   SLC
                   Adult

Kathryn Waddell (801) 350-4290                      SLC
          Salt Lake Regional Medical Center


                 FAMILY PRACTICE
Chris Merkley    (801) 387-8100                     Roy
            Herefordshire IHC Health Center

                SUBSTANCE ABUSE

Robert Courtney   (801) 581-6228                SLC
     TBI Specialist/Alcohol & Drug Abuse Clinic

Michael Crookston (801) 265-3049                    SLC

First Step         (801) 359-8862                   SLC

Claud Grant        (801) 581-6228                   SLC
     TBI Specialist/Alcohol & Drug Abuse Clinic

                      Page 14 of 34
Stephen Sheppard (801) 581-6228                     SLC
    TBI Specialist/Alcohol & Drug Abuse Clinic

Utah Association for (801) 299-1323            Bountiful
Alcohol & Drug Abuse

Kathryn Waddell        (801) 350-4290               SLC
        Salt Lake Regional Medical Center


                     HOLISTIC
Heidi Van Etten (801) 540-9547                   Clinton
            Cranial sacral/massage therapist
                  DSPD certified

Craig Buhler    (801) 544-1355               Kaysville
        Chiropractor/Cranial Sacral Modality

Pat Rosenbury    (801) 467-6278                     SLC
                   Brain Links

Melodee Westmoreland (801) 546-3254               Fruit
          Cranial Sacral modality               Heights




                      Page 15 of 34
                    -7-
         Veterans Affairs Resources
Utah Department of Veterans Affairs
550 Foothill Blvd. #202
Salt Lake City, UT 84108
Terry Schow, Director
Toll Free- 800 894-9497 (all services)
(801) 326-2372
Fax (801) 326-2369
Email: berni.davis@va.gov or all state director’s Websites
at: NASDVA.COM (National Association of State
Directors of Veterans Affairs)
http://veterans.utah.gov/

Family Support/Advocacy/Relief Programs
American Legion Family Support Network
(800) 504-4098
http://www.legion.org
Offers a wide variety of support programs for veterans,
military members on active duty and their families.

Paralyzed Veterans of America
801 18th Street NW
Washington, DC 20006-3517
1-800-424-8200
http://www.pva.org
*Click on Veterans Benefits or contact directly for
individual/local program information.



                       Page 16 of 34
Legal Assistance
National Veterans Legal Services Program
P.O. Box 65762
Washington, DC 20035
(202) 265-8305
(202) 328-0063 (fax)
http://www.nvlsp.org/
Email: info@nvlsp.org

Armed Forces Relief Trust
Department 6055
Washington, DC 20042-6055
http://www.afrtrust.org/
*Contact information for all branches of services
available.

Medical Contacts (for individuals on extended orders
due to injury/disability and veterans)
TriCare (Main Beneficiary Site)
24 hr. Customer Service (800) 600-9332
(210) 767-5250
http://www.tricare.osd.mil
Service center and resource link for members. Agents
are available 24 hours a day. TriCare Handbook of
Benefits.

Military Assistance Program Central
http://www.defenselink.mil/mapcentral/
Large clearinghouse of program information.




                      Page 17 of 34
The Military Family Network
100 Bridge Street, Suite D, 2nd Floor
Hampton, VA 23669
http://www.emilitary.org/
*Serves ALL Active Duty branches of service as well as
National Guard, Reserve and Veterans.

Canine/Service Dogs for Military Members
AIM HI (Animals in the Military Helping
Individuals) Service Dog Training Center
Bldg. 1489 Eisenhower Ave.
Fort Knox, KY 40121
(502) 624-3945
(502) 624-2073 (Fax)
*Send all requests to CDR USA MEDDAC Attn: MCVS-
ATA-K-SDTC

TriWest Healthcare Alliance
(888) 874-9378
http://www.triwest.com
TriCare West Region Contractor




                      Page 18 of 34
                     -8-
              TBI Support Groups

Logan / Traumatic Brain Injury Support Group

Options for Independence
1095 North Main
Logan, Utah 84321
(435) 753-5353 (Kathleen DeSpain)
    Brain Injury Support Group
    Options for Independence
    Meet 4th Thursday of month, 6:00 p.m.


Utah / Brain Injury Support Groups

Brain Injury Association of Utah and Division of
Service for People with Disabilities
Community Deaf Center
5709 South 1500 West
Salt Lake City, UT 84123
(801-264-7626) (Blaine Beesley)
Meet 1st Tuesday of the month 6-8pm

Brigham Young University
Speech & Language Clinic
Stroke and Traumatic Brain Injury Support Group
Department of Communication Disorders
1190 N 900E
136 Taylor Building
Brigham Young University

                     Page 19 of 34
Provo, UT 84604
(801-422-5117)
Meet 1st Wednesday of every month from 7:30-8:30 p.m.
Meetings held in Room 177 at the BYU Comprehensive
Clinic.

CHATTERS Brain Injury & Stroke Support Group
Dixie Regional Medical Center
544 South 400 East
St. George, UT 84770
1st Floor Board Room
4th Friday of each month
Time: 12:00 noon
(435) 688-4123

Intermountain Neuro Rehab Brain Injury Group and
Caregiver Alliance Network
5801 South Fashion Blvd., Ste. 190
Murray, Utah 84107
(801) 314-4736 (Kim Kirkham)
       Call Monday-Thursday for date and time

McKay Dee Hospital
4401 Harrison Blvd.
Ogden, Utah 84403
(801) 387-6649 (Kari Petersen)
       Brain Injury Support Group
       Meet 2nd Tuesday of month, 6:00 p.m.




                      Page 20 of 34
Salt Lake Regional Medical Center
1050 East South Temple
Salt Lake City, Utah 84102
(801) 350-4290 (Katherine Waddell)
       Brain Injury Support Group
       Call for date and time


Sugarhouse Health Center
1138 East Wilmington Avenue
Salt Lake City, Utah 84106
(801) 581-2221 (Lisa Schweitzer/Michelle Corliss)
       Brain Injury Support Group
       Meet last Tuesday of month, 7:00 p.m.




                     Page 21 of 34
                     -9-
        Attorneys with TBI Experience

Nathan D. Alder    15 West South Temple          SLC
                   Suite 800
                   (801) 323-5000

Peter C. Collins   623 East 2100 South           SLC
                   (801) 746-5788


Jeffrey D. Eisenberg 215 South State Street,     SLC
                    Suite 900
                    (801) 366-9100

Preston L. Handy   5664 South Green St.        Murray
                   (801) 883-5350

Edward B. Havas    36 South State Street #2400 SLC
                   (801) 533-0400

Brian D. Kelm      3191 S. Valley Street         SLC
                   Suite #170
                   (801) 328-9009

Colin P. King      36 South State Street, #2400 SLC
                   (801) 533-0400

Douglas G. Mortensen 648 East 100 South          SLC
                   (801) 363-2244

David R. Olsen     36 South State Street #2400   SLC
                   (801) 533-0400

                       Page 22 of 34
Fred R. Silvester   1371 E. 2100 S., Suite 200     SLC
                    (801) 532-2266

Robert Sykes        311 South State Street,        SLC
                    Suite 240
                    (801) 533-0222

Marshall Witt       170 So. Interstate Plaza Dr.   Lehi
                    Suite #350
                    (801) 766-4200

Rob Lowe            Elko County             Elko, NV
Prosecutor          District Attorney
                    (775) 738-3101 Ext. 232
                    rlowe@elkocountynv.net

      MEDICAL MALPRACTICE ATTORNEY
              INFORMATION

Robert J. Barron    (Attorney at Law)
Criminal and Deportation Defense
P O Box 12838
Fort Carson, CO 80913-2838
(719) 240-2631 or (801) 673-5105
robertjbarron@worldnet.att.net

David Holdsworth (Attorney at Law)
9125 South Monroe
Sandy, UT 84070
(801) 352-7701 or (801) 567-9962

Gregory Hall  (Attorney at Law)
Denver, CO
(303) 320-0584
                       Page 23 of 34
        SOCIAL SECURITY ADVOCATES

John Borsos
115 E. Social Hall Ave.
(Between South Temple & 1st South)
Salt Lake City, UT 84102
(801) 533-8883
Fax: (801) 533-8877

Dennis V. Chamberlin
256 N. Oak Dr.
N. Salt Lake, UT 84054
(801) 294-7285 or (888) 292-1865
FAX (801) 292-0253

Brian Kelm
3191 S. Valley Street, Suite #170
Salt Lake City, UT 84109
(801) 328-9009
FAX (801) 328-9019

G. Barrie Nielson
P.O. Box 1116
Sandy, UT 84091
(801) 566-1860 or (800) 775-1480
FAX (801) 566-9651

Matt Nielson
1320 S. Lincoln
Salt Lake City, UT 84105
(801) 485-0921

                      Page 24 of 34
                       -10-
               Other Useful Resources

Call “211” for state-wide resources and programs


www.Utahcares.utah.gov
www.informationandreferral.org

“Brain Injury Partners: Navigating the School System”

- Learn advocacy skills in an engaging, self-paced format to learn
ways to communicate better with school staff in order to get what is
needed for their child. The 5-lesson tutorial on advocacy skills
comes complete with realistic video examples.

- Apply easy-to-use, practical tools to help organize records, prepare
for meetings, set goals, and keep track of progress.

- Explore resources and information on Individualized Educational
Plans (IEP)/504 plans, post-school transition, and legal support.

- Develop strategies to prevent burnout, better cope with guilt and
grief, and understand the unique challenges faced by families.



The free training can be accessed at:
<http://free.braininjurypartners.com/>.


Special Needs Resource Project
Executive Director- Linda Jorgensen
www.snrproject.com
snrproject@hotmail.com


                            Page 25 of 34
                     -11-
       Guidelines for students with TBI

  Guidelines and Recommendations for Students with
         Head Injury / Traumatic Brain Injury
                (Utah State University)

Head Injury and Traumatic Brain Injury are considered
medical or clinical diagnoses. Individuals qualified to
render a diagnosis for these disorders are practitioners
who have been trained in the assessment of Head Injury
or Traumatic Brain Injury. Recommended practitioners
may include: physicians, neurologists, licensed clinical,
rehabilitation, school psychologists, neurophysiologists,
and psychiatrists. The diagnostician must be an impartial
individual who is not a member of the student’s family.

The following guidelines are provided to assist the
service provider in collaborating with each student to
determine appropriate accommodations. Documentation
serves as a foundation that legitimizes a student’s
request for academic accommodations.

Recommended documentation includes:

      A clear description of the Head Injury or
       Traumatic Brain Injury;

      Documentation for eligibility must reflect the
       current impact the Head Injury has on the
       student’s functioning (the age of acceptable
                       Page 26 of 34
    documentation is dependent upon the disabling
    condition and the current status of the student’s
    specific request for accommodations);

   A summary of cognitive and achievement measures
    used plus evaluation results including standardized
    scores or percentiles used to make the diagnosis;

   A summary of present residual symptoms which
    meet the criteria for diagnosis;

   Medical information relating to student’s needs to
    include the impact of medication on the student’s
    ability to meet the demands of the postsecondary
    environment;

 A statement of the functional impact of limitations
    of the disability on learning or other major life
    activity and the degree to which it impacts the
    individual in the learning context for which
    accommodations are being requested.




                     Page 27 of 34
                     -12-
             TBI Glossary of Terms

Activities of Daily Living Skills (ADL) – Activities of daily
living such as dressing, bathing, food preparation, etc.
Advocacy Organization – A group or non-profit entity that
provides resource information, support services, and/or
educational opportunities for individuals or families in need.
Needs are made known to professional caregivers as well as
to the general public.

Ambulatory – The ability to walk (ambulate).
Amnesia – Lack of memory for periods of time.
Aphasia – The inability to express or understand ideas.

Assistive Technology Device – Something used to increase,
maintain, or improve the functional capabilities of people
with disabilities.
Audiologist – One who evaluates hearing, speech, and
swallowing.
Behavior Modification Program – Program designed to
change one’s behavior.
Case Management (Service Coordination) – Process of
linking clients with the services they want and need.
Chemically Dependent – Drug or alcohol dependent.

Clinical Social Worker – A specialist who deals with the
individual and/or his family, in a counseling setting, with
community and discharge goals in mind.



                        Page 28 of 34
Cognition – Process of thinking and knowing, including
perception, memory, and judgment.
Cognitive Strategies – Use of mental techniques to
compensate for neurological deficits (i.e., using color codes
on a schedule board to “remember” daily appointments).

Coma – A loss of consciousness in which the patient doesn’t
move his eyes purposefully, does not speak, and does not
follow commands. All these conditions must be present for
the patient to be in a coma.
Communications Disorder – Disruption in spoken or written
ability due to disease or injury.
Craniosacral Therapy - A system of gentle touch designed
to enhance the functioning of the membranes, tissues,
fluids, and bones surrounding or associated with the brain
and spinal cord.

Craniotomy – Any surgical opening into the skull performed
to relieve intracranial pressure, to control bleeding, or to
remove a tumor.
Dysfunction – A condition in which a body organ or system is
unable to function normally.
Encephalopathy – Any abnormal condition of the structure
or function of the tissues of the brain.

Extremity – Arm or leg.
Gait Training – Instruction in walking.
Glasgow Coma Scale – A standardized system for assessing
the degree of coma. The system involves three
determinates: eye opening, verbal response, and motor
response.

                          Page 29 of 34
Health Maintenance Organization (HMO) – A legal entity
or organized system of health care that provides directly
or arranges for a comprehensive range of basic and
supplemental health care services to a voluntarily enrolled
population in a geographic area on a primarily prepaid and
fixed periodic basis.
Intensive Care Unit (ICU) – An acute hospital unit in which
patients requiring close monitoring and intensive care are
treated for as long as needed.

Incontinent – Inability to control bowel and bladder
functions.
Individuals with Disabilities Education Act (IDEA) -A
federal law requiring all children to have a free and
appropriate public education.

Insurance Coverage – Services or benefits provided
through a health insurance plan.

Managed Care – The provision of health services through a
single point of entry and formal enrollment.
Medically Stable – Reaching the point in medical treatment
where life threatening injuries and diseases have been
brought under control.

Medical Social Worker – A specialist who works in a
hospital and advocates for the patient’s family and the
hospital community.

Mild Traumatic Brain Injury – Also known as a concussion.
It can be medically defined as any period of loss of
consciousness; any loss of memory for events immediately
before or after the accident; any alteration in the mental
state at the time of the accident (e.g., feeling dazed,

                       Page 30 of 34
disoriented, or confused). It generally does not include
posttraumatic amnesia greater than 24 hours.
Moderate Traumatic Brain Injury – Injury that is
medically defined as a loss of consciousness that can last
minutes or a few hours and is followed by a few days or
weeks of confusion. Persons with moderate TBI may have a
longer period of impaired consciousness, more impaired
verbal memory shortly after the injury, and a lower
likelihood of achieving a good recovery within six months.

Neuropsychological Assessment – The non-medical and non-
surgical evaluation of a person’s ability to think.
Neurologist – Physician who diagnoses and treats disorders
of the nervous system.
Neuropsychiatrist – Physician who specializes in treating
disorders of the brain, nerves and muscles; can prescribe
medication.

Neuropsychologist – A physician who evaluates the
relationship between brain and behavior; conducts extensive
testing (thinking, memory, judgment, emotions, behavior,
and personality) and counseling; does not prescribe
medication.
Neurosurgeon – Physician who may perform brain surgery;
often coordinates patient care in acute hospitalization.

Neurotraining – Employing physical and occupational therapy
techniques to develop or restore neurological pathways to
various parts of the body.
O.T. (Occupational Therapist) – A specialist who focuses
on physical, cognitive, and perceptual disabilities.


                       Page 31 of 34
Orthopedics – The branch of medicine devoted to the study
and treatment of the skeletal system, joints, muscles, and
associated structures.
Out-of-Plan Services – Services that are not in the
patient’s managed care contract or that are furnished to
patient’s managed care network.
P.A. – Physician Assistant.

P.A. – Prior Approval. In some instances, agencies will
require an approval before services can be provided.
Pastoral Care – A counseling technique focusing on themes
of faith, universal order, religion and spirituality in
understanding and coping with life events.
Physical, Medicine, and Rehabilitation Physiatrist (PMR) –
Physician who specializes in Physical, Medicine, and
Rehabilitation; an expert in neurological rehabilitation,
trained to diagnose and treat disabling conditions.
Psychiatrist – A physician primarily concerned with
evaluating and treating the impact of traumatic head injury
on the physical functioning of the patient’s body.

Primary Care Nurse – The nurse principally responsible for
the treatment plan of a given patient or patients.

Psychomotor Skills – Skills that involve both mental and
muscular ability.
P.T. (Physical Therapist) – A specialist who is concerned
with helping the patient gain maximum functioning of body
movement or with preventing further deterioration of the
physical function in the unconscious patient.



                        Page 32 of 34
PTA (Post Traumatic Amnesia) – The condition of memory
deficiency following injuries for events leading up to the
accident, the accident itself, and a period of time
afterward.
Rehabilitation – The restoration of an individual to maximum
levels of functioning following a disabling disease or injury.
Rehabilitation Counselor (Vocational Counselor) – A
specialist in social and vocational issues who works to
develop the skills and aptitudes necessary for a patient to
return to work and the community.
Rehabilitation Engineering – Use of technical advances,
physics, computer science, and other scientific devices to
aid in improving the quality of life of persons with
disabilities.

Rehabilitation Nurse – A nurse specializing in rehabilitation
techniques as well as basic nursing care.

Respite Care – Providing temporary relief to the family.
Service Coordination – Also known as case management, see
previous definition.

Severe Traumatic Brain Injury – Is medically defined by a
loss of consciousness or coma for six hours or longer, either
immediately after the injury or after an intervening period
of clarity. Individuals who suffer a severe TBI are at risk
for long-term disability. Their behavior can be inhibited,
and at times they may disregard social conventions. Some
have difficulty remaining employed, maintaining pre-injury
relationships, and establishing new social contacts.
Speech Pathologist – Provides intervention in the areas of
language, speech, swallowing, and cognitive rehabilitation.

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Supported Employment – Competitive employment occurring
in integrated work settings.
Transitional Living – Intensive rehabilitation with goals
directed toward community re-entry. This service is for
persons who have sustained Traumatic Brain Injury and who
have completed acute and functional living rehabilitation
programs or who have no significant need for such services
prior to transitional living programs.




Resources
Brain Injury Association of Utah, Inc.
Missouri Head Injury Guide 2001
Missouri Department of Health




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