Pediatric Concussion: Guidelines for Optimal Care Nick Reed, PhD, OT Reg (Ont)
Clinician Scientist, Co-Director Concussion Centre Holland Bloorview K...
Pediatric Concussion: Guidelines for Optimal Care Nick Reed, PhD, OT Reg (Ont)
Clinician Scientist, Co-Director Concussion Centre Holland Bloorview Kids Rehabilitation Hospital Assistant Professor Dept of Occupational Science and Occupational Therapy University of Toronto
ENAO Conference September 27, 2016
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Who is Nick Reed?
Who are you? Your Experiences with Concussion • How many people in the room have had a concussion? • How many have treated a child/family who has had a concussion? • What have your experiences been working with a child/family who has experienced a concussion?
My Friend Josh…
Freeimages.com (zoofytheji)
How do we help Josh?
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In the PAST
A tale of two extremes
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TODAY…
What are we managing?
Be consistent (Guidelines)
Keeping the tank full!
Other Resources
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What is a Concussion? • An injury to the brain
• Caused by blow to head or another part of the body • Blow causes the brain to move rapidly inside the skull • Movement causes stretching of brain cells
• Stretching causes chemical changes in the brain (McCrory et al., 2013; CDC, 2016)
What is a Concussion? • Clinical diagnosis made by a medical professional based on observed and reported signs and symptoms • CT Scans & X-rays cannot diagnose a concussion
What is a Concussion? ‘the invisible injury’
What are we managing?
Need to consider all factors! 10
What are we managing?
Headache Dizziness
Anxiety Attention Freeimages.com (zoofytheji)
Function = what kids need, want and love to do! 11
Specific focus on children and youth Clinical Care - Research - Education
Concussions are happening!
(Macpherson et al., 2014)
TODAY…
What are we managing?
Be consistent (Guidelines)
Keeping the tank full!
Other Resources
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ONF Guidelines for Pediatric Concussion
The guidelines are divided into three versions: 1.Recommendations for Health Care Professionals 2.Recommendations for Schools and/or Community Sports Organizations/Centres 3.Recommendations for Parents and/or Caregivers http://onf.org/documents
ONF Guidelines for Pediatric Concussion EVIDENCE-BASED!
Take a closer look… what pieces work best for your practice
ONF Guidelines for Pediatric Concussion
Links to 38 tools that we can all use!
TODAY…
What are we managing?
Be consistent (Guidelines)
Keeping the tank full!
Other Resources
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Gas Tank Analogy!
Everything we do in our day uses fuel • When concussed, need to conserve this fuel to: – allow for proper healing + avoid exacerbation of symptoms •
NEED TO KEEP THE TANK FULL!
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Keeping the tank full
• • • •
Prioritize Plan Pace Position
• • • •
Routine Sleeping only No caffeine No technology
• • • •
Balanced diet Eat often Water! Carbohydrates
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Keeping the tank full
• • • •
Explore/Try Practice! Record stress Recognize stress
• Gradual • Point person • Guidelines for support
• School/life first • Gradual • Guidelines for support 41
Keeping the tank full
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Keeping the tank full www.hollandbloorview.ca/concussionhandbook
