It is generally agreed that a return to the familiar home environment is good for recovery, so all except the most severely impaired patients are discharged home after the acute injury hospitalization and receive outpatient rehabilitation. This involves the tasks of recovering communication skills and school re-entry. The pediatrician needs to be a continuing child advocate in this process. Accommodations may need to be planned before a return to school: physical - adaptive equipment, such as communication devices, computers or wheelchairs environmental - quiet structured classroom, allowing extra time for learning and testing, opportunities for repetition and revision instructional - special education programming, tutors, social skills retraining Psychological treatment after TBI, involving cognitive behavioral therapy, behavior modification or drugs may be needed. It should be anticipated that new problems may surface at each developmental transition, such as new school entry or adolescence. The pediatrician will need to coordinate the multidisciplinary nature of the long-term rehabilitation process, which may involve rehab physicians, OT/PTs, speech or play therapists, special education teachers, social workers and counselors. "Outcome" Pages: Previous 1 2 3 4 5 6