Job Accommodation Network (JAN)
JAN E-News Volume 6, Issue 1, First Quarter, 2008
-Laura K. Artman, MS, CRC, JAN Graduate Research Assistant
http://www.jan.wvu.edu/ENews/2008/Enews-V6-I1.htm#5
According to the Brain Injury Association (2005), a traumatic brain injury (TBI) can be caused by a hard hit or jolting impact to the head (closed head injury) or by a penetrating object, such as a bullet (open head injury). Specific statistics of interest include:
* Although not all insults to the head result in a TBI, approximately 1.4 million people experience a TBI every year;
* The majority of individuals affected by TBIs, 79%, receives medical attention and is subsequently discharged from the emergency department;
* Seventeen percent of individuals with TBIs are hospitalized for further treatment and rehabilitation, while the remaining four percent (about 50,000) do not survive;
* The most common causes of TBI include falls, motor vehicle accidents, motor vehicle/pedestrian accidents, and assaults;
* Children from birth to age four and adolescents aged 15-19 are most at risk, with males being more likely than females to sustain a TBI;
* African Americans suffer more deaths from TBI than any other group; and
* Military personnel frequently experience TBI from blast injuries inflicted by Improvised Explosive Devices (IED's) (Brain Injury Association, 2005).
Depending on the severity of the injury, a TBI survivor may not have any limitations, while another may struggle with daily living. Even if two people have the same type of brain injury, their outcomes may differ based on physical health and cognitive ability prior to the injury, the quality and duration of rehabilitation services, and family support.
Specific limitations hinge on what part of the brain was damaged by the injury, and any bodily system may be impaired as a result. Some survivors may have impairments related to gross motor limitations (walking, balancing, coordination); fine motor limitations (handling, fingering); sensory limitations (seeing, hearing); bowel and bladder control; handling stress and emotions; and speech impairments. Cognitive limitations may involve difficulty with memory, problem solving, math, reading, or executive functions, such as planning/organizing/prioritizing/decision-making. In some cases, because the parts of the brain that process auditory and visual information were damaged in a TBI, a person may have trouble comprehending what is seen or heard despite intact vision and hearing.
Accommodations for employees with TBI depend on the nature of their limitations, what bodily systems are affected, and essential job functions. Suggestions for accommodating cognitive deficits, psychological issues, motor impairments, sensory deficits, and speech difficulties due to TBI can be accessed at http://www.jan.wvu.edu/media/brai.htm or by using the Searchable Online Accommodation Resource (SOAR) at http://www.jan.wvu.edu/soar/.
References:
Brain Injury Association. (2005, August). Facts about traumatic brain injury. Retrieved January 17, 2008, from
http://www.biausa.org/elements/aboutbi/factsheets/factsaboutBI.8.29.05.pdf