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Challenges of Community Reintegration Following Traumatic Brain Injury

presented by Steven Wheeler, PhD, OTR/L, CBIS

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Disclosure Statement:

Financial: Steven Wheeler receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Steven Wheeler has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This course provides an overview of executive cognitive functions and presents assessment approaches designed to assess performance deficits as they pertain to community reintegration. As "control" functions, executive cognitive functions enable people to engage in controlled behavior beyond that based on impulse alone. Deficits in executive functioning are common after moderate and severe traumatic brain injury (TBI) and greatly hinder one's ability to resume adult social, vocational, family, and leisure roles. Through understanding these important elements of cognitive performance, rehabilitation professionals can conduct competent evaluations of an individual's community reintegration following TBI.

Meet Your Instructor

Steven Wheeler, PhD, OTR/L, CBIS

Steven Wheeler, PhD, OTR/L, CBIS, is the Program Director for the Department of Rehabilitation Sciences in the College of Allied Health Sciences at the University of Cinicinnati, where he also serves as an occupational therapy professor. Dr. Wheeler has published and presented both nationally and internationally on community re-entry issues following traumatic brain injury (TBI).…

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Chapters & Learning Objectives

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1. Rehabilitation and Recovery Issues Following TBI

In this chapter, Dr. Wheeler describes the recovery process following traumatic brain injury and will teach the participant to understand the relationship between limbic drives and executive cognitive functioning. The participant will learn to identify key community reintegration outcomes and characteristics of executive dysfunction that impact performance of everyday routines and activities. This chapter also discusses how executive dysfunction can impact one’s ability to participate successfully in social relationships.

2. Assessment Overview

The participant will learn to select and utilize basic assessments for evaluating community participation following TBI. Dr. Wheeler describes the role of goal setting and self-awareness in the assessment process following TBI. The participant will gain an appreciation for the importance of self-reported life satisfaction to the functional assessment process. They will learn to identify how impaired awareness of deficits can impact self-reported life satisfaction.

3. Q&A

Dr. Steven Wheeler and Occupational Therapist Tim Rich participate in a question and answer session, covering the first two chapters of this course. They discuss categories of executive functions, specific difficulties in treatment of TBI, strategies for executive function assessments, and other topics.

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