Cognitive Rest Following a Child’s Mind Injuries

 

Childhood Head Injury Josiah’s Story

Video taken from the channel: NeuroSpineEugene


 

Common Problems Children Have After a Traumatic Brain Injury

Video taken from the channel: brainline


 

Zander’s Story Traumatic Brain Injury

Video taken from the channel: Phoenix Children’s Hospital


 

What are some challenges after a head injury, including concussion? | UCLAMDChat

Video taken from the channel: UCLA Health


 

Recovering from Traumatic Brain Injury: Ryan’s Story

Video taken from the channel: Arkansas Children’s


 

What Physical and Cognitive Rest Really Mean After a Concussion

Video taken from the channel: brainline


 

Q&A About Cognitive Rest After a Concussion The Children’s Hospital of Philadelphia (4 of 8)

Video taken from the channel: The Children’s Hospital of Philadelphia


Following a concussion, medical professionals might direct a patient to complete a period of both physical and cognitive rest. Both of these are important in helping the brain heal after an injury. Cognitive rest is rest for the brain, just like physical rest is rest for the body. Resting conserves energy and allows the body and brain to use it for recovery. Your child should take it easy the first few days after the injury when symptoms are more severe.

Early on, limit physical and thinking/remembering activities to avoid symptoms getting worse. Avoid activities that put your child at risk for another injury to the head and brain. Get a good night’s sleep and take naps during the day as needed. According to concussion experts, brain rest means ceasing any activities—no matter how seemingly benign—that aggravate the child’s symptoms or are metabolically demanding.

Cognitive activity, like physical activity, requires metabolic energy. Concussion experts define brain rest as limiting any cognitive activities that may be metabolically demanding and/or aggravate concussion symptoms. These cognitive activities can range from focused work, like doing math problems, to attending large social gatherings with lots of people, visual stimuli, and background noise. What is a cognitive disorder after a traumatic brain injury? A cognitive disorder is when your brain does not work correctly after a traumatic brain injury (TBI).

A TBI often damages the front part of your brain, which is the part of the brain used for thinking and memory. You may have difficulty doing the same things that you did before the TBI. A head injury is a broad term that describes a vast array of injuries that occur to the scalp, skull, brain, and underlying tissue and blood vessels in the child’s head.

Head injuries are also commonly referred to as brain injury, or traumatic brain injury (TBI), depending on the extent of the head trauma. Some effects of a brain injury take longer to show. Here are some your child may have in the weeks and months after a brain injury. Head Injury Advice for Parents and Caregivers Emergency Department 4480 Oak Street, Vancouver, BC V6H 3V4 604-875-2345 • 1-888-300-3088 www.bcchildrens.ca.

Traumatic brain injury’s (TBI) after-effects can show up months and years after a long-forgotten head injury from a car accident, a fall, sport-related head injury, etc.. Often overlooked in. For the study, researchers at Children’s Hospital in Boston tracked 335 patients ranging from age 8 to 23 who had suffered a concussion in the past 21 months. They conclude that “cognitive rest”. Rest your brain after a head injury.

Strenuous mental activity seems to delay recovery after a head injury, according to a new study published in Pediatrics. Doctors have always recommended rest after a head injury, but it has never been clear how much to limit activities, what kind to limit (physical, mental, or both), and for how long.

List of related literature:

Many children are left with significant disabilities after head injury that appear months later as learning difficulties, behavioral changes, or emotional disturbances (Bonnier, Marique, Van Hout, et al., 2007).

“Maternal Child Nursing Care” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson
from Maternal Child Nursing Care
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier, 2013

Many children are left with significant disabilities after head injury that appear months later as learning difficulties, behavioral changes, or emotional disturbances (Anderson, Le Brocque, Iselin, et al., 2012).

“Wong's Essentials of Pediatric Nursing: Second South Asian Edition” by A. Judie
from Wong’s Essentials of Pediatric Nursing: Second South Asian Edition
by A. Judie
Elsevier Health Sciences, 2018

The nurse assesses the child’s level of consciousness related to the head injury, but there are no indications that the child will have difficulty eating or sleeping.

“Lippincott's Content Review for NCLEX-RN” by Diane M. Billings
from Lippincott’s Content Review for NCLEX-RN
by Diane M. Billings
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

Evaluation of the level of consciousness after a head injury is probably the single most important aspect of the neurologic assessment but often the most difficult to perform in an infant or young child.

“Trauma Nursing E-Book: From Resuscitation Through Rehabilitation” by Karen A. McQuillan, Mary Beth Makic, Eileen Whalen
from Trauma Nursing E-Book: From Resuscitation Through Rehabilitation
by Karen A. McQuillan, Mary Beth Makic, Eileen Whalen
Elsevier Health Sciences, 2008

Many children are left with significant disabilities after a head injury that appear months later as learning difficulties, behavioural changes, or emotional disturbances (Barlow et al., 2015).

“Maternal Child Nursing Care in Canada E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, Lisa Keenan-Lindsay, David Wilson, Cheryl A. Sams
from Maternal Child Nursing Care in Canada E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2016

Many children are left with significant disabilities after head injury that appear months later as learning difficulties, behavioral changes, or emotional disturbances (Anderson, Catroppa, Haritou, et al, 2001, 2005; Ewing-Cobbs, Prasad, Kramer, et al, 2006).

“Wong's Nursing Care of Infants and Children Multimedia Enhanced Version” by Marilyn J. Hockenberry, David Wilson, Donna L. Wong, Annette Baker, R.N., Patrick Barrera, Debbie Fraser Askin
from Wong’s Nursing Care of Infants and Children Multimedia Enhanced Version
by Marilyn J. Hockenberry, David Wilson, et. al.
Mosby/Elsevier, 2013

Because children with head injuries are often transported long distances, it is difficult for them to have evacuation of a cerebral hematoma within 4 hours.172 Despite the fact that excellent motor recovery is expected in most children after a head injury, children are often left with some residual deficits.

“Rockwood and Wilkins' Fractures in Children” by James H. Beaty, Charles A. Rockwood, James R. Kasser
from Rockwood and Wilkins’ Fractures in Children
by James H. Beaty, Charles A. Rockwood, James R. Kasser
Wolters Kluwer/Lippincott, Williams & Wilkins, 2010

A large study evaluated 185 children ages 2 to 17 years with loss of consciousness and GCS scores of 15 after mild head injury.43 The children were grouped according to physical examination findings, neurologic status, and whether the head injury was isolated or nonisolated.

“Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set” by John A. Marx, Robert S. Hockberger, Ron M. Walls, James Adams
from Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set
by John A. Marx, Robert S. Hockberger, et. al.
Mosby/Elsevier, 2010

There have been no reports of children recovering neurologic function who met adult brain-death criteria on neurologic examination [Moshe and Alvarez, 1986; Rowland et al., 1983].

“Swaiman's Pediatric Neurology E-Book: Principles and Practice” by Kenneth F. Swaiman, Stephen Ashwal, Donna M Ferriero, Nina F Schor
from Swaiman’s Pediatric Neurology E-Book: Principles and Practice
by Kenneth F. Swaiman, Stephen Ashwal, et. al.
Elsevier Health Sciences, 2011

For more details on neurological assessment, please refer to Chapter 5 on recognition of the deteriorating child.

“Paediatric Nursing in Australia: Principles for practice” by Jennifer Fraser, Donna Waters, Elizabeth Forster, Nicola Brown
from Paediatric Nursing in Australia: Principles for practice
by Jennifer Fraser, Donna Waters, et. al.
Cambridge University Press, 2014

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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26 comments

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  • I’m not a kid, but had head trauma when I was younger.
    I did have learning problems growing up never got help. I’m older now, I still have problems where can I get help?

  • So great to see him looking very well. The Arkansas hospital had a wonderful and skilled team to help young Ryan survive his horrific ordeal. It’s lovely to see the true gift of skilled professionals be able to fix an innocent young life as Ryan was. I’m pleased his recovery has been successful. Fantastic job all medical staff working on the fateful day. You guys are earth angels. I bet little Ryan’s story is told by the paediatrics almost every day. He has had a remarkable recovery. So heart warming to see ��������

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  • i fell and hit my head which caused a concussion, seizure, cracked skull and a bleed on the brain. it was 2 months ago and the only major thing after the accident was that i have no sense of smell. i think i got off pretty lucky

  • I’m from india I’m 29 yr old I’m Handicape now because of Tbi balancing problem and voice harshness with diplopia
    is any treatment present
    we are poor bt will try

  • an arterial bleed is super serious and they bleed out fast, I don’t know the time frame, but man that could’ve been over so quick.

  • Hello I have had a blow to my head on right side of my head 10 years ago, I was unconscious for 10 minutes and I had headache the whole day and for 30 days after getting up in the morning, I have not consulted doctor and not taken any treatment
    Now from last 3 years I am having symptoms of TBI
    Mental confusion, blurry vision in one eye, sensitivity to light and sound, I feel as if my right ear drum is broken, balance problem while driving please let me know whether the symptoms are serious and I need to get an MRI scan done.

  • Hi I need some advice, I do boxing and I was sparring in September, where I had got a concussion. I did recover about 3-4 weeks later but sometimes i get headaches when I am hitting the bag. Is this natural? I recovered in early October

  • All I know is I have pain in the back of my head and I think I was born with it or it happe. To me when I was a child all I rember I was climbing on a fence the fences had to be at lest 6 feet hight my leg got stuck fell down broke my leg and blank out woke up in the hospital this happen when I was 3 year old I don’t have insurance pls some help anything

  • I fell on the back of my head in our bathroom and bled likr hell i got surgery and stitches of 8…it’s been 8 months now but now suddenly my head feels weird like when i sleep it pains a lil at the back of my head n feel heavy sometimes but i can’t tell where exactly it pains. But idk what’s wrong

  • my head was hitted to pole very hard in my college, a year ago…as soon as hitted i felt down…but after it i am normal…but now when i press that region it hurts..other no problem….plzz i am very worried reply me….friends

  • I had a brain �� bleed and can’t remember a lot I have pain in one eye. And pain in my brain BUT WHATS WEIRED: is it’s on the opposite side of the injury, it hurts very bad when it’s cold out. I can’t sleep very good. I pray god heals me because it hurts all the time

  • Poor baby God bless him hows he now…. My sex month old boy fall down from bed yesterday nd I was alone at home nd was very very very scare nd I took him arm’s nd keep him calm nd feed him nd at same time I do trust on my Lord krishna bls him too

  • Most people with brain injuries are left handed people. I’ve strive everyday to make life feel the same after being hit in the head with the slim part of a heels �� in 2013

  • I really enjoyed Talin’s explanation of these concussion challenges. Both my daughter and I have had serious concussions in the last 3 years, and we had great support from neuropsychologists (like Talin), neurologists, rehab physiotherapists, and behavioral optometrists. Having the concussion recognized and then having support from medical professionals is really important.

  • In 2009 at the age of 9, I pushed a tremendous stack of chairs that fell over me knocking me backwards towards the solid pavement like ground. It was on a terrace in India whilst being on a family trip. Ever since that trauma, I had developed anxiety and bipolar like symptoms which seems to diminish gradually. The people who haven’t had traumatic experiences don’t seem to understand the way the brain has been impacted creating noticeable to the least noticeable differences.

  • What if I only bumped my head while walking? I have a small bump on my left side of the forehead. Had no symptoms but I got mad at myself for doing something stupid.

  • The door of the car had open while driving at 80/kmh and I falled in the middle of the road and hit my the back of my head I can do everything I was doing before my memory and my intelligence are intact so good by the way I learn languages an I have achievement in life but the only PC syndrome is that I still have mild headaches even after single day six months of recovery I still have them anyone has headaches what to do?

  • U guys excited for our new place in fascist mexico?????? Violent ethnic gang attacks, fgm islam africa only way for white women to survive? Honorless, degraded, robbed? COMMUNISTS LAUGHING

  • If you believe parents should be “fully informed” about the threat of brain damage before allowing their children and youth to play football then please sign this new Change.Org Petition that just started. Thanks…

    https://www.change.org/p/the-florida-high-school-athletics-association-florida-fully-inform-parents-sub-concussive-football-brain-damage-threatens-children

    Please note that former San Francisco 49ers NFL pro George Visger has already signed the Petition:

    https://www.change.org/p/the-florida-high-school-athletics-association-florida-fully-inform-parents-sub-concussive-football-brain-damage-threatens-children/u/14792722

  • This family is truly blessed to have received such care. i lost my almost 11 months old after he failed, and broke a vessel in his head, and started bleeding inside. I wish my baby had an happy ending like this story. Sometimes where you go dictates whether you live or die. losing a child is truly the worse pain.

  • My science teacher showed us a little girl bumping heads at school and had to go to the hospital. I think her name is Rosie.

    Any ideas? I wanna watch the video again

  • A drunk driver tbone and he changed my life upside down my speech is slurry and slow I do feel down �� sometimes But I’m bless I’m alive and get to raised my kids and god grant me a bby boy 7/7/2020 ❤️

  • I fell as a kid 7 or 6 I can’t remember at the burger king near my house we went inside the jungle gym thru an open latch open which was unlocked. I had just watched spiderman so I got on top of the little kid slide and jumped towards one of the poles that held up the jungle gym in front of me and grabbed it and swung and my fingers slipped…I remember looking at the sky as I was falling and when I hit my head I remember my vision blurry like I had tears in my eyes. I remember not feeling any pain and I felt outside my body because I could hear myself moaning but I left like I was watching a movie anyway I lost consciousness and woke up to my mom who finally got home from work later in the night. All I got was some vaseline and a bandage never went to the hospital for it nada but it’s ok because like they say what doesn’t kill you makes you stronger. By the way I was with my little brother and my cousin and my aunt’s husband was inside eating. He had 3 kids with my aunt and took off when they were just a couple of months the twins so yeah I don’t think he ever cared about anyone else but himself. Thank you.

  • Wow! These things aren’t always avoidable kids get hurt all the time lots of falls and knocks to The head but this video shows parents can just pay attention to behaviors after falls just in case and go with their gut if they think a fall might have cause a serious injury…thank you I’ll think twice about falls and knocks now.not totally freak out but looking for signs!