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Bedside Evaluations

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Handbook on the Neuropsychology of Traumatic Brain Injury

Part of the book series: Clinical Handbooks in Neuropsychology ((CHNEURO))

Abstract

Comprehensive neuropsychological evaluation will often not be the best approach to early assessments of persons with TBI on the inpatient acute care or rehabilitation unit. A number of key issues for such patients can be addressed with brief bedside evaluations. These issues include level of consciousness, posttraumatic confusion, language functioning, overall cognitive functioning, and emotional distress. Brief assessments of these issues that can be completed at bedside and are amenable to repeated administration to track clinical course can make several contributions to clinical management. These contributions include feedback to family members regarding patient status, feedback to the patient to improve self-awareness and facilitate active participation in therapies, feedback to caregivers to inform approaches to treatment, documentation of the course of recovery and detection of unexpected worsening, assessment of effects of medication and other interventions, determination of decision making capacity, determination of safety judgment, and others.

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Acknowledgement

Preparation of this chapter was partially supported by U.S. Department of Education National Institute on Disability and Rehabilitation Research (NIDRR) grants H133A070043, H133B090023, and H133A120020, H133A120085.

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Authors and Affiliations

  1. TIRR Memorial Hermann, Houston, TX, USA

    Mark Sherer Ph.D., ABPP, FACRM

  2. University of Texas Medical School at Houston, Baylor College of Medicine, Houston, TX, USA

    Mark Sherer Ph.D., ABPP, FACRM

  3. Spaulding Rehabilitation Hospital, Charlestown, MA, USA

    Joseph T. Giacino Ph.D.

  4. Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, USA

    Joseph T. Giacino Ph.D.

  5. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA

    Joseph T. Giacino Ph.D.

  6. MGH Institute for Healthcare Professionals, Boston, MA, USA

    Joseph T. Giacino Ph.D.

  7. Neuropsychology Laboratory, Spaulding Rehabilitation Hospital, Charlestown, MA, USA

    Matthew J. Doiron B.A., Allison LaRussa & Sabrina R. Taylor Ph.D.

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  1. Mark Sherer Ph.D., ABPP, FACRM
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  2. Joseph T. Giacino Ph.D.
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  3. Matthew J. Doiron B.A.
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  4. Allison LaRussa
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  5. Sabrina R. Taylor Ph.D.
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Corresponding author

Correspondence to Mark Sherer Ph.D., ABPP, FACRM .

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Editors and Affiliations

  1. TIRR Memorial Hermann, Baylor College of Medicine, University of Texas Medical School at Houston, Houston, Texas, USA

    Mark Sherer

  2. Baylor College of Medicine/Harris Health System, Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas, USA

    Angelle M. Sander

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Sherer, M., Giacino, J.T., Doiron, M.J., LaRussa, A., Taylor, S.R. (2014). Bedside Evaluations. In: Sherer, M., Sander, A. (eds) Handbook on the Neuropsychology of Traumatic Brain Injury. Clinical Handbooks in Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0784-7_3

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