PM&R
Volume 1, Issue 8 , Pages 723-728 , August 2009

Caregivers' Concerns about Judgment and Safety of Patients with Brain Injury: A Preliminary Investigation

  • Jeffrey S. Kreutzer, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Box 980542, Richmond, VA 23298-0542†
    • Corresponding Author InformationAddress correspondence to: J.S.K.
    • ,
  • Lee A. Livingston, PsyD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA‡
    • ,
  • Rachel S. Everley, MS

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA§
    • ,
  • Kelli W. Gary, PhD, MPH, OTR/L

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA
    • ,
  • Juan Carlos Arango-Lasprilla, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA∥
    • ,
  • Victoria D. Powell, BA

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA#
    • ,
  • Jennifer H. Marwitz, MA

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA⁎⁎

Received 27 January 2009 ,Accepted 10 July 2009.

References 

  1. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: A brief overview. J Head Trauma Rehabil. 2006;21:375–378
  2. Prevalence and incidence of neurological disease (The Silver Book: Chronic Disease and Medical Innovation in an Aging Nation). Washington, D.C: Alliance for Aging Research; 2008;
  3. DeFrances CJ, Hall MJ. 2005 National Hospital Discharge Survey. Adv Data. 2007;385:1–19
  4. Kreutzer JS, Kolakowsky-Hayner SA, Ripley D, et al. Charges and lengths of stay for acute and inpatient rehabilitation treatment of traumatic brain injury 1990-1996. Brain Inj. 2001;15:763–774
  5. Ottenbacher KJ, Smith PM, Illig SB, Linn RT, Ostir GV, Granger CV. Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation. JAMA. 2004;292:1687–1695
  6. Powell J, Heslin J, Greenwood R. Community based rehabilitation after severe traumatic brain injury: A randomised controlled trial. J Neurol Neurosurg Psychiatry. 2002;72:193–202
  7. Leith KH, Phillips L, Sample PL. Exploring the service needs and experiences of persons with TBI and their families: The South Carolina experience. Brain Inj. 2004;18:1191–1208
  8. McKenna K, Cooke DM, Fleming J, Jefferson A, Ogden S. The incidence of visual perceptual impairment in patients with severe traumatic brain injury. Brain Inj. 2006;20:507–518
  9. Katz DI, White DK, Alexander MP, Klein RB. Recovery of ambulation after traumatic brain injury. Arch Phys Med Rehabil. 2004;85:865–869
  10. Hellerstein LF, Freed S, Maples WC. Vision profile of patients with mild brain injury. J Am Optom Assoc. 1995;66:634–639
  11. Kim J, Whyte J, Hart T, Vaccaro M, Polansky M, Coslett HB. Executive function as a predictor of inattentive behavior after traumatic brain injury. J Int Neuropsychol Soc. 2005;11:434–445
  12. Lippert-Gruner M, Kuchta J, Hellmich M, Klug N. Neurobehavioural deficits after severe traumatic brain injury (TBI). Brain Inj. 2006;20:569–574
  13. Kashluba S, Hanks RA, Casey JE, Millis SR. Neuropsychologic and functional outcome after complicated mild traumatic brain injury. Arch Phys Med Rehabil. 2008;89:904–911
  14. Galski T, Tompkins C, Johnston MV. Competence in discourse as a measure of social integration and quality of life in persons with traumatic brain injury. Brain Inj. 1998;12:769
  15. Hart T, Whyte J, Kim J, Vaccaro M. Executive function and self-awareness of “real-world” behavior and attention deficits following traumatic brain injury. J Head Trauma Rehabil. 2005;20:333–347
  16. Jorge RE. Neuropsychiatric consequences of traumatic brain injury: A review of recent findings. Curr Opin Psychiatry. 2005;18:289–299
  17. Rao V, Lyketsos C. Neuropsychiatric sequelae of traumatic brain injury. Psychosomatics. 2000;41:95–103
  18. Ott BR, Heindel WC, Papandonatos GD, et al. A longitudinal study of drivers with Alzheimer disease. Neurology. 2008;70:1171–1178
  19. Leon-Carrion J, Dominguez-Morales MR, Martin JM. Driving with cognitive deficits: neurorehabilitation and legal measures are needed for driving again after severe traumatic brain injury. Brain Inj. 2005;19:213–219
  20. Wadley VG, Okonkwo O, Crowe M, Ross-Meadows LA. Mild cognitive impairment and everyday function: evidence of reduced speed in performing instrumental activities of daily living. Am J Geriatr Psychiatry. 2008;16:416–424
  21. Lundqvist A, Alinder J, Ronnberg J. Factors influencing driving 10 years after brain injury. Brain Inj. 2008;22:295–304
  22. Lach HW, Chang YP. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29:993–1014
  23. 2008 Alzheimer's disease facts and figures. Alzheimers Dement. 2008;4:110–133
  24. Lach HW, Reed AT, Smith LJ, Carr DB. Alzheimer's disease: Assessing safety problems in the home. Geriatr Nurs. 1995;16:160–164
  25. Travis SS, Kao HF, Acton GJ. Helping family members manage medication administration hassles. J Psychosoc Nurs Ment Health Serv. 2005;43:13–25
  26. Rotondi AJ, Sinkule J, Balzer K, Harris J, Moldovan R. A qualitative needs assessment of persons who have experienced traumatic brain injury and their primary family caregivers. J Head Trauma Rehabil. 2007;22:14–25
  27. Pierce LL, Rupp GL, Hicks B, Steiner V. Meeting the educational needs for caregivers and survivors of stroke. Gerontol Geriatr Educ. 2003;23:75–90
  28. Grant JS, Elliott TR, Weaver M, Glandon GL, Raper JL, Giger JN. Social support, social problem-solving abilities, and adjustment of family caregivers of stroke survivors. Arch Phys Med Rehabil. 2006;87:343–350
  29. Gitlin L, Corcoran M. Making homes safer: Environmental adaptations for people with dementia. Alzheimer's Care Q. 2000;1:50–58
  30. Horvath KJ, Hurley AC, Duffy ME, et al. Caregiver competence to prevent home injury to the care recipient with dementia. Rehabil Nurs. 2005;30:189–196discussion 197
  31. Marsh NV, Kersel DA, Havill JH, Sleigh JW. Caregiver burden at 6 months following severe traumatic brain injury. Brain Inj. 1998;12:225
  32. Wallace CA, Bogner J, Corrigan JD, Clinchot D, Mysiw WJ, Fugate LP. Primary caregivers of persons with brain injury: Life change 1 year after injury. Brain Inj. 1998;12:483–493
  33. Thommessen B, Aarsland D, Braekhus A, Oksengaard AR, Engedal K, Laake K. The psychosocial burden on spouses of the elderly with stroke, dementia and Parkinson's disease. Int J Geriatr Psychiatry. 2002;17:78–84
  34. Ko JY, Aycock DM, Clark PC. A comparison of working versus nonworking family caregivers of stroke survivors. J Neurosci Nurs. 2007;39:217–225
  35. Covinsky KE, Eng C, Lui LY, et al. Reduced employment in caregivers of frail elders: Impact of ethnicity, patient clinical characteristics, and caregiver characteristics. J Gerontol A Biol Sci Med Sci. 2001;56:M707–M713
  36. Clemson L, Cumming RG, Roland M. Case-control study of hazards in the home and risk of falls and hip fractures. Age Ageing. 1996;25:97–101
  37. Dobbs BM, Carr DB, Morris JC. Evaluation and management of the driver with dementia. Neurologist. 2002;8:61–70
  38. Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ. 2006;333:1196
  39. Chaytor N, Schmitter-Edgecombe M. The ecological validity of neuropsychological tests: A review of the literature on everyday cognitive skills. Neuropsychol Rev. 2003;13:181–197
  40. Wood RL, Liossi C. The ecological validity of executive tests in a severely brain injured sample. Arch Clin Neuropsychol. 2006;21:429–437
  41. Silverberg ND, Millis SR. Impairment versus deficiency in neuropsychological assessment: Implications for ecological validity. J Int Neuropsychol Soc. 2009;15:94–102
  42. Fox GK, Bowden SC, Smith DS. On-road assessment of driving competence after brain impairment: Review of current practice and recommendations for a standardized examination. Arch Phys Med Rehabil. 1998;79:1288–1296
  43. Ramsdell JW, Swart JA, Jackson JE, Renvall M. The yield of a home visit in the assessment of geriatric patients. J Am Geriatr Soc. 1989;37:17–24
  44. Opp A. Providing cost-effective home evaluations before SNF discharge. American Occupational Therapy Association, Inc 2008 http://www.aota.org/News/Centennial/40313/Aging/homehealth.aspxAccessed July 14, 2009
  45. Ramsdell JW, Jackson JE, Guy HJ, Renvall MJ. Comparison of clinic-based home assessment to a home visit in demented elderly patients. Alzheimer Dis Assoc Disord. 2004;18:145–153
  46. Kreutzer J, Leininger BE, Doherty K, Waaland PK. General health and history questionnaire. Richmond, VA: Medical College of Virginia, Rehabilitation Research and Training Center on Severe Brain Injury; 1987;
  47. Kreutzer JS, Doherty KR, Harris JA, Zasler ND. Alcohol use among persons with traumatic brain injury. J Head Trauma Rehabil. 1990;5:9–20
  48. Kreutzer JS, Wehman PH, Harris JA, Burns CT, Young HF. Substance abuse and crime patterns among persons with traumatic brain injury referred for supported employment. Brain Inj. 1991;5:177–187
  49. Sander AM, Witol AD, Kreutzer JS. Alcohol use after traumatic brain injury: Concordance of patients' and relatives' reports. Arch Phys Med Rehabil. 1997;78:138–142
  50. Gervasio AH, Kreutzer JS. Kinship and family members' psychological distress after traumatic brain injury: A large sample study. J Head Trauma Rehabil. 1997;12:14
  51. Wild K, Cotrell V. Identifying driving impairment in Alzheimer disease: a comparison of self and observer reports versus driving evaluation. Alzheimer Dis Assoc Disord. 2003;17:27–34
  52. O'Neill D, Neubauer K, Boyle M, Gerrard J, Surmon D, Wilcock GK. Dementia and driving. J R Soc Med. 1992;85:199–202
  53. Wadley VG, Harrell LE, Marson DC. Self- and informant report of financial abilities in patients with Alzheimer's disease: Reliable and valid?. J Am Geriatr Soc. 2003;51:1621–1626
  54. Travis SS, Bethea LS, Winn P. Medication administration hassles reported by family caregivers of dependent elderly persons. J Gerontol A Biol Sci Med Sci. 2000;55:M412–M417
  55. Riley GA. Stress and depression in family carers following traumatic brain injury: The influence of beliefs about difficult behaviours. Clin Rehabil. 2007;21:82–88

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 Supported by Grant #H133P040006 from the National Institute on Disability and Rehabilitation Research (NIDRR), Office of Special Education and Rehabilitative Services (OSERS), Department of Education, Washington, DC.

PII: S1934-1482(09)00715-1

doi: 10.1016/j.pmrj.2009.07.005

PM&R
Volume 1, Issue 8 , Pages 723-728 , August 2009

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