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Traumatic brain injury TBI may result in life long impairments of an individuals physical cognitive and psychosocial functioning which severely impacts the injured persons life their families and significant other A major limitation within the field of TBI rehabilitation is the narrow focus of current medical restoration approaches the focus tends to be on enhancing capabilities of the person with TBI to help them adapt to life circumstance However new models of rehabilitation emphasizes the parallel importance of environmental modification in order to create enabling condition for the individual A multidisciplinary approach is key to helping people reclaim their lives and identity Before discussing how rehabilitation can help people with traumatic brain injuries an over view of basic brain physiology will follow as well as statics Most TBI individuals suffer closed head injuries that cause both focal and diffuse damage Focal trauma happens when the brain bounce against the inside irregular contours and bony ridges inside the skull causing tears hemorrhages or bruise Diffuse trauma occurs when the nerve fibers through the brain stem and into the brain are stretched or torn Both diffuse and focal injuries affect multiple systems but the symptoms and long-term effects of TBI are strongly influenced by focal injury In addition the brain functions as a whole by interrelating its component parts therefore if the injury disrupts a particular step in the brain function the sequence is broken and the deficit reveals it self in the TBI individual Beneath the forehead is the frontal lobe if damaged or bruised this area produces diminished or altered state of consciousness Results in changes in personality creating an egocentric behavior impulses and drive that desire immediate gratification they have difficulty seeing how this behavior affects others Behaviors such as inappropriate sexual and social behavior can be seen Also there maybe an inability to maintain two lines of thoughts simultaneously therefore The TBI person appears
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