Skip to main content

Traumatic Brain Injury (TBI)—Long-Term Care

Alex J. F. Tampio, MD and Brian D. Nicholas, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Traumatic brain injury (TBI) is caused by external trauma to the brain and may result in chronic impairment of physical, cognitive, and psychosocial function.

  • The management of acute ...

DIAGNOSIS

HISTORY

  • Most symptoms begin immediately but may manifest as many as 30 days after the primary injury (1)[A].

  • New symptoms that manifest 30 days or more after the primary injury are unlikely re...

TREATMENT

GENERAL MEASURES

  • Most patients with chronic symptoms after mTBI are best managed in the primary care setting with a symptom-driven approach in management (1)[A].

  • Multidisciplinary team approac...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients make slow, steady gains.

  • Regularly scheduled primary care appointments are recommended.

DIET

Ensure adequate hydration and nutrition. 

PATIENT EDUCATION

REFERENCES

1
Department of Veterans Affairs, Department of Defense. VA/DoD clinical practice guideline for the management of concussion-mild traumatic brain injury. Washington, DC: Department of Vetera...

ADDITIONAL READING

  • Bhatnagar S, Iaccarino MA, Zafonte R. Pharmacotherapy in rehabilitation of post-acute traumatic brain injury. Brain Res.  2016;1640(Pt A):164–179. [View Abstract on OvidMedline...

CODES

ICD10

  • S06.0X0S Concussion without loss of consciousness, sequela

  • S06.9X9S Unsp intracranial injury w LOC of unsp duration, sequela

  • S06.0X1S Concussion w LOC of 30 minutes or less, sequela

  • S06.0X2S C...

CLINICAL PEARLS

  • TBI can cause chronic neurologic and nonneurologic manifestations.

  • Recovery from TBI is a slow process and is best managed by a primary care provider with regular scheduled appointments...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×