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Living With Brain Injury – Checklists for Families on Caregiving

Brain Injury Category >>


Living with a person who has a brain injury means that families now have multiple roles as caregivers as well as being a parent, spouse, sibling or child. These dual roles can be demanding, frustrating, confusing and exhausting. The routines at home must change as families learn how to live with the physical, cognitive, communicative, behavioral and social changes caused by the brain trauma. Caregiving means finding the balance between protecting a person from further injury and encouraging independence. This can feel like a juggling act for caregivers.The immediate concern is the severity of the injury when a family member is hospitalized. The hardest question for families to ask is whether the person will survive. But once the medical crisis has passed and the person’s condition is stable, then the concerns of families shift to anticipating what this means for their lives and future.

Families soon ask the question, “When can he come home?” This is often followed by concerns about, “How will we manage? Can she be alone? How much supervision and help will he need?”

We all depend on others in some way, whether it is for physical help, emotional support, finances or learning. But once a person has a brain injury, additional help may be needed in other areas. The following checklists help families and caregivers identify the changes caused by the brain injury. This information is useful for discussions with therapists and doctors to determine how much help is needed at home.

Checklist for Caregivers on Living with a Brain Injury

Self Care – These are the basic activities of caring for oneself. How much help does the person need to:

  • take a bath or shower
  • brush teeth
  • use the toilet
  • organize belongings and room
  • find clothing and dress self
  • climb stairs
  • move over varied surfaces such as carpeting or linoleum
  • monitor personal hygiene
  • take medication

Orientation – Getting through the day is not always easy. It takes organizational skills.

  • How much help does the person need to:
  • provide vital data such as age, birthdate, etc.
  • give personal address and telephone number where living
  • give names and telephone numbers for emergencies
  • easily see and read clocks
  • name the day of week and the date

Communication – This is much more than speaking.

  • It is important to observe whether the person can:
  • speak clearly and be understood
  • use the telephone
  • write or print clearly
  • use a computer
  • understand written information

Home Safety – Lots of families and caregivers worry about whether the person can safely stay alone.

  • It is helpful to ask if the person:
  • remembers to lock doors
  • remembers to lock windows
  • knows what to do in case of fire
  • knows what to do in a power failure
  • limits personal information on the telephone or Internet
  • feels comfortable staying home alone

Household – It is helpful for caregivers to ask how much help the person needs to:

  • separate, wash, dry and put away clothing
  • vacuum or sweep carpets or floors
  • determine if food is spoiled
  • plan and prepare a good meal
  • follow steps of a recipe
  • use a stove safely
  • clean up after cooking
  • prepare menus
  • shop for food

Organization – Getting through the day is not always easy. It takes organizational skills.

It is useful to ask if the person:

  • can plan daily tasks and chores
  • make and keep appointments during the day
  • set an alarm clock to get up in morning

Transportation – Just getting places can be challenging for a persons with a disability or any type of impairment. It is important to assess whether the person can:

  • drive a car safely
  • use a public bus or subway
  • travel by plane
  • get and pay for a taxi
  • go for local walks

Tracking Progress

You can use these checklists at any stage of the person’s recovery to chart progress, identify improvements, and spot problems. If the person you expect to provide care for has not been discharged yet from the hospital or rehabilitation program, you can share this list with therapists. You can then use it to work together to plan the person’s care, including how much assistance and independence you can expect. It also gives you a starting point to track further progress after the person comes home with you as caregiver.

If you are already caring for or supervising a family member at home, then it is important to include everyone in the discussion. There needs to be agreement among everyone providing care on the individual’s current level of skill and decision making abilities in order to safely promote greater independence.

Marilyn Lash, M.S.W., Lash and Associates Publishing/Training, Inc. has books, pamphlets and information on the treatment, rehabilitation and recovery of traumatic brain injury in children, adults and veterans. For a tip card with more information on Adults Living with Brain Injury by Carolyn Rocchio, Pam Fleming and Erika Mountz, go to

Adaptive Clothing for Stroke Patients [Hemiparesis]


After having a stroke, one may experience hemiplegia or which causes weakness on one side of the body. As a result of this weakness, the stroke patient may have great difficulty with getting dressed. While in a rehabilitation center, stroke patients and caregivers may learn hemiplegic dressing techniques which focus on using the unaffected arm and leg to perform dressing. Such techniques focus on placing the weak arm and leg into clothing first and using the strong hand to pull clothing over the paralyzed extremities. Other techniques to help with dressing may involve using adaptive equipment such as a dressing stick. With severe disability, getting dressed or undressed can sometimes become too difficult even with hemiplegic dressing techniques or special equipment. There is a solution for this dilemma. The answer for problematic dressing is adaptive clothing or clothing for the disabled. This type of clothing is designed to make it easier for caregivers to assist a patient when getting dressed. Adaptive clothing and apparel is easier to use because of adaptations such as the following:

Adaptive Clothing :

* Velcro or snap closures rather than buttons
* Designs which allow a person to get dressed from a seated position
* Zippers located in the front of clothing
* Front closing bras
* Velcro on shoes
* Open back clothing
* Wrap skirts
* Side-opening pants.

There are also clothing and accessory items that assist with safety and cleanliness such as non-skid socks, arm protectors, and protective bibs. Another important aspect of clothing made for the disabled is that it can accommodate for problems like swelling or poor circulation. It also allows for quick changes when bowel or bladder incontinence is an issue. Even pants can be changed from a seated position without standing. Adaptive clothing is not only convenient but is offered in fashionable styles that will allow the stroke patient to feel inconspicuous. This is important to help preserve the dignity of stroke patients who do not want to be stuck wearing hospital gowns or peculiar clothing items that draw attention.

Adaptive clothing is comparable in price to regular clothing and can be purchased at several online websites. Two such online venues are and Silvert’s website (based out of Ontario, Canada) offers a catalog with clothing recommendations for stroke patients as well as dressing tips to use with the Silvert adaptive clothing line. Buck & Buck has been manufacturing adaptive clothing for over 33 years and is based in Seattle, Washington. If you are a stroke patient experiencing problems with dressing each day or a caregiver having difficulty helping a loved one get dressed, it is worth your while to check into adaptive clothing.

Karen Murray, Occupational Therapist

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FREE Adaptive Clothing Catalog Click Here

Tools to Help With Recovery For Brain Injury

Brain Injury and Music Category

With both clinical and scientific research, it has been proven that there are benefits with music. It is one of the tools that has been discovered that help benefit those who have been victims of a brain injury. It helps to re-organize the structure of the brain. Music, such as Mozart will help with organizing thoughts, activities and emotions. It also helps with memory, sequencing, concentration, verbal communication, self-esteem, depression and frustration. Music can be used to reeducate and retrain the injured brain. It can help with language and speech problems. It has been discovered that although a patient may be unable to speak or put several words together to form a sentence, they can sing those same words in a song that is known to them. It has also been shown to help build relationships and facilitate positive behavior. It helps to improve movement in limbs and increases their strength as well.

Music therapy can enhance cognitive skills. Classical music especially increases brain activity but all types of music can be beneficial. There is growing evidence that demonstrate music is a valuable resource tool for those with head injuries. Another of those benefits is that it increases dopamine levels and changes the brain’s chemistry. Many professionals working with survivors of brain injury have discovered that music is a power tool.

Another tool is the use of technology devices that are being used by virtually everyone but recently are being used in brain injury recovery.

They have been found to help survivors, particularly those who have speech difficulties. It allows them to be able to communicate with caregivers, medical professionals and friends, helping them to stay connected with others. Some of these assistive devices offer a voice generated option. These digital devices can help them to relearn simple tasks including things such as reading. The use of these devices also improves cognition and helps with memory and organizing as well as giving reminders of daily tasks eliminating the necessity of using a diary.

Computers can also be a powerful tool in rehabilitation. This is especially true if programs are selected to meet the needs of the brain injury survivor. Introduction to computer use though should only be when the recipient is open to using a computer and not forced if they are adamantly opposed to it.

Another tool that is being used in some instances to treat brain injury and stroke is hyperbaric oxygen therapy (HBOT). It is a high concentration of oxygen within a pressurized chamber. It is considered somewhat controversial as a treatment for brain injuries. However, it is claimed by some that many of the conventional treatment methods are not working. In some cases it is claimed that hyperbaric oxygen therapy can dramatically increase the oxygen carried in the blood stream and therefore assists with recovery.

It was once thought that after six to eighteen months following a brain injury, there could be little hope for further recovery. But with more awareness and knowledge of the brain and the discovery of tools that can now be used in rehabilitation, it is now known that a head injury survivor can continue to improve indefinitely.

Sylvia Behnish has written numerous articles relating to family issues, motivational topics, entertaining, travel and brain injuries. For more information on any of these topics, go to her site listed below. She has recently published her first non-fiction book entitled “Rollercoaster Ride With Brain Injury (For Loved Ones)” and her first fiction novel entitled “His Sins”, a three generation family saga.

Either of the above books can be ordered by e-mail at the following blog:

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Concussions, Brain Injury and Personality Changes

Brain Injury Personality Changes Category

Being aggressive, violent and unable to make good choices can be some of the changes in a survivor of brain injury or someone with repetitive concussions. They may also suffer from mood swings, mental rigidity, impulsive behavior, be apathetic, lethargic, are unable to show emotion, have no interests, be bored and may feel intellectually dull. If they once liked to play games, they may no longer wish to do so because they are unable to concentrate as they once did. If memory is an issue, which it often is, playing games will be increasingly difficult.

They may feel a great sense of loss after suffering a brain injury because they will feel as if they have lost their personal identity and personal power. They will feel that they don’t know who they are any longer. If this is the case, they should try to find a Neuro-Psych doctor and a speech therapist who, through therapy, will help them try to fill the holes in their personalities that survivors often feel they have in how they identify themselves.

Many survivors of brain injury feel there is a stigma to having such an injury and will deny and cover up or isolate themselves rather than own-up to a brain injury. They will blame their problems on other things that are physical such as chronic pain in legs that were broken or other health issues which may or may not have been sustained in their accident.

Besides their loss of personal identity, sense of power and self-awareness, they may also lack self-determination, be unable to keep and make friends, have lost some of their memories, be unable to socially interact with others, understand the needs and desires of others as well as be unable to feel compassion and empathy. Very often their likes and dislikes will have changed as well as their sense of humor. They may no longer have a sense of humor or be interested in anything at all.

With so many losses, it is little wonder that a brain injury survivor’s personality is likely to change at least somewhat.

Not only is it difficult for the brain injury survivor but it is difficult for his/her family and spouse.They have lost the person they once knew and will feel the loss themselves. They have to get to know that person again as he/she may be quite different from who he had previously been.

In the case of concussions, some damage, regardless of severity will be sustained so multiple concussions can cause more damage. Both concussions and brain injuries can leave the survivor with deficits. Personality changes are the result of deficits.

Sometimes personality changes may only be really evident to those closest to the brain injury survivor. Others may say, ‘He just isn’t the same.’ or ‘Something seems off.’ without being able to pinpoint exactly what the difference may be. But often it is enough of a change for even those unsure of what the change is for friends to not visit as often as they once did.

Sylvia Behnish has written numerous articles relating to family issues, motivational topics, entertaining, travel and brain injuries. For more information on any of these topics, go to her site listed below. She has recently published her first non-fiction book entitled “Rollercoaster Ride With Brain Injury (For Loved Ones)” and her first fiction novel entitled “His Sins”, a three generation family saga.

Either of the above books can be ordered by e-mail at the following blog:

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How to Deal with Having a Stroke

Stroke causes brain damage. The extent of the injury depends on the type and the severity of the brain attack. In any case stroke recovery is hard – for stroke victims and for their relatives and close friends.

By Keith Londrie


If you are living with someone who suffered from stroke, you should be prepared for the recovery process. First of all speak to the doctor to learn what the damages are. Some mild strokes don’t leave severe damages and thus the recovery is not that difficult. Unfortunately in most of the cases the damages are serious and the recovery process is much longer. In some cases full recovery is not even possible.

Stroke Victim

Once you have spoken with the doctor you will be prepared for helping your dear one to recover from the brain attack. You will have to cope with his physical disabilities – in some cases the stroke victim may be paralyzed or suffer vision disability or experience difficulties to speak. In the worst cases the stroke victim is unable to recognize familiar faces and is completely disorientated.

Being close to someone suffered from a stroke will make you face a lot more that the physical damage to his or hers body. Stroke survivors usually suffer from post-stroke psychological problems as well. Many stroke victims develop depressions, have anxiety attacks and find the adaptation to the after stroke life very difficult. Some have difficulties to express their emotions and other cannot express emotions at all.

You should arm yourself with a lot of patience and try to provide as much support as possible. The rehabilitation process will be long and if you decide to be part of it you better do it right. Do not stop believing that the person you love will recover and keep saying this to him. Stroke victims usually loose believe in life and need to be reassured that everything will be OK. In some occasions a stroke may lead to relationship problems so you better be prepared and react accordingly. Since you know what the reasons are you should skip the things that normally would piss you off. Seek help and appoint visits to a behavioral therapist to help your loved one recover quickly.

Remember that even after a stroke recovery your role is not over. A stroke victim should maintain a very healthy lifestyle in order to prevent future brain attacks. Keep an eye on him or her and make sure the rules set by the doctors are followed. Try to help by setting up healthier environment and if required by changing your own lifestyle.

Keith Londrie II is the Webmaster of A website that specializes in providing information on Life After Strokesthat you can research on the internet. Please Visit Today!

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Brain Injury Survivor Common Visual and Auditory Issues and Online Exercises for Improvement


One common result of a brain injury is that our visual and auditory processing slows, making it harder to keep up with all the information coming into your senses. has a new Brain Injury Survivor module where  exercises help you retune and speed up your sensory processing using very basic elements of sight and sound.

I can tell you that they are effective yet seem simple.

The website has an incredible list of experts that help design brain online software     .

The site has a membership but there is are free games , exercises for trial too

It has been over 25 years since I was injured     by a gunshot in the head resulting in hemiparesis and the common Brain Injury Survivor symptoms.

It would of been so beneficial to have this technology available back when I was injured but it is still effective for me now after all these years
and I hope that my list can share this website for not only improving intelligence but for helping those with head trauma.

Check It Out

You can learn more about Brain HQ (headquarters)

and expert brain science technology, scroll to bottom of page, once at

Leon Edward

P.S. my websites

Help for Brain Injured  and Hemiparesis Living

News on Head Injuries and rehabilitation   videos

My IQ Mind Brain Improvement website is at


Acquired Brain Injury – Six Types

Just hearing the words “brain injury” can be alarming and frightening for the person who has been injured and their family. Many people associate the words with mental retardation or mental illness. It is different. An acquired brain injury means that it occurred after the person’s birth. It can occur at any age. It does not include hereditary conditions or genetic abnormalities. Neither does it include degenerative diseases much as multiple sclerosis or Parkinson’s disease. This article describes six types of acquired brain injuries. 1. Traumatic brain injury This is caused by an outside force or trauma that injuries the brain. The most common causes are falls, motorcycle or car crashes, assaults, or sports injuries. Shaking an infant or very young child can injure the brain. The force of the blow may result in the brain moving and banging against the inside of the skull. This can cause more damage due to bleeding, bruising, or tearing of brain cells. As the brain swells, more damage can occur. Many service members in Iraq and Afghanistan have been injured due to blasts and explosions with bullets or shrapnel damaging the brain. Shock waves from the explosions can also damage brain tissue. 2. Anoxia When the brain doesn’t get enough oxygen, it is called anoxia or hypoxia. Common causes of anoxia are near drownings, choking, suffocation, strangulation, heart attacks, lung damage, or very low blood pressure. 3. Stroke The medical term is cardiovascular accident, often referred to as a CVA. A stroke is caused when the flow of blood to the brain is interrupted. This can happen when an artery is blocked due to a clot or is narrowed because of cholesterol. A stroke can also be caused by bleeding in or around the brain when a blood vessel ruptures.

4. Aneurysm When there is a weak spot somewhere in the walls of the brain’s arteries or veins, it can weaken over time and burst. This results in bleeding in the brain. 5. Toxemia Poisoning from chemical or biological factors can damage the brain. Toxemia can be caused by drugs, medications, chemicals, gases, or even toxic foods. 6. Viruses and bacteria An infection of the brain can be very damaging. Meningitis, encephalitis, herpes, and HIV are examples.. Seeking treatment Any type of brain injury should be treated as soon as possible by a physician. Depending on what area of the brain is affected, the person may have physical symptoms, cognitive changes or altered thinking, difficulty with communication, emotional or behavioral changes. A person with more severe symptoms is more likely to seek medical care immediately. But minor changes are warning signs that also need to be assessed by a physician. If you suspect that someone has had a brain injury, the first step is to talk with the person, share your observations, and encourage the person to get help. The next step is for the person to share a medical, family and military history with the physician. The brain can be injured in many ways and the effects can be different for each person. Obvious signs, such as loss of consciousness, being dazed or confused, clear damage to the head, being involved in a blast or explosion, or receiving a blow to the head require immediate evaluation and treatment. But the symptoms of brain injury can be both subtle and delayed. It is important to seek treatment for any symptoms for early diagnosis and care.

Marilyn Lash, M.S.W., Lash and Associates Publishing/Training, Inc. Books, pamphlets and information on the treatment, rehabilitation and recovery of traumatic brain injury in children, adults and veterans. For a tip card with more information on Brain Injury: How to Recognize and Treat It by Harvey E. Jacobs, Ph.D. and Flora Hammond, M.D. go to

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Tips for Living Alone After Head Injury with Hemiparesis and Avoiding Falls and Injuries

Living is difficult even when you have close family support or caretaker close by. However as we who have been injured in some way, or previously experienced head injury brain damage resulting in hemiparesis, as we age, or children grow up, spouses may move apart find ourselves living alone.

After Head Injury The detrimental effects of hemiparesis do not go away

and with aging even exhibit stronger effects where the need for safety and extra care by one self is increased. Myself. I was shot in the head in my early twenties followed by a coma and much rehabilitation in trauma unit and hospital. I was fortunate to be able to study engineering earning my degree, but most of the two decades that followed have had me dealing with implications of living with hemiparesis and to be honest as an engineer, found myself analyzing issues that came about and finding or developing best practices or methods. I hope these insights can be used or adapted to help others going through life after head injury or hemiparesis.

Safety Risks and Minimizing Hemiparesis Effects

Starting with safety. in general I can tell you that for myself and many spoken with in person or in online groups too, the worse effects that occur are when the body is tired. A close second is in the cold, freezing temperatures and inclement weather as snow sleet, etc.

By tired I say early in morning or especially late in the day. Arising in the night for whatever reason, can find legs extra wobbly and rather easy to lose one’s balance. Having halls where light can go on easily, possibly a motion detector switch and uncluttered walkways are a couple basics that can help prevent a sudden slip or poor footing. This can really prevent serious further injury. Trust me, one shoe or slipper on a dark walkway can turn out to be a violent fall. It doesn’t necessarily have to be a poor balance issue. Sometimes the weaker foot from say for example left hemiparesis or right hemiparesis will turn sideways and instead of landing on flat bottom part of foot., will actually land on the side of foot even at an angle sometimes. This can cause a quick fall and when this happens, a first reaction is to use the strong hand to grab onto something to catch balance. If there isn’t anything on the strong side, then a fall is really likely or partial fall likely. Keep this in mind when keeping the hall and bath safe. Railings are great, but easy to grab handles, even small ledges can help give a person’s balance back. They have support bars with suction cup handles, and battery powered motion lights that can be added economically for safety. Check a local large hardware store as Lowes. Please. After a Head Injury, the risk for another Head Injury is increased but not necessarily if care is taken.

Besides having something available on good side, simply walking slower, smaller steps will help. Walking in socks alone on some surfaces can be like walking on ice to a person with hemiparesis. For example. I can walk OK on most carpets that are wall to wall but when I approach tile or ceramic flooring or a throw rug, slow way down for safety. A common issue in people with either left hemiparesis or right hemiparesis is tripping forward when their weaker toe drags and often is close enough to floor to catch it on a carpet or even have the toes roll over. Not having proper control of these toes will look to others as not picking up the foot enough. This effect can happen so fast and somewhat unpredictable. However, going back to the first premise, this will occur more often when the body is tired or weakened in some way possibly even from extreme weather changes. It is obviously more of a possibility when walking faster. Walking faster increases the risk. Note that there are items available in stores or online to adhere throw rugs to the floors surface. This simple action can be a life saver.

Regarding Assistive Devices

Some therapists and caretakers recommend canes either a quad or straight cane but I can tell you after a couple decades with hemiparesis, canes do not always work, they can actually give you a false sense of security causing people to move faster but not able to protect oneself in an accident. Most of the time almost always it’s the weak side that has the foot dragging or catching on something, maybe a rug or object or just twisting so that it lands on the side. And what happens next is either I would fall straight ahead and to the left very fast or tip sideways again to the left. I am using left here as the weaker side or left hemiparesis. Now the cane would be in the stronger hand, on the right side in this case and is not much help on the left. The left arm in many of left hemiparesis wont do much good either as it is too weak to prevent the fall and probably too slow to do anything in time.

If a walker is recommended and one can be modified to use with one weakened side, then use it. Of course, you’ll want to learn to walk without it but for some it’s best to keep using. Check with your own health professional.

In the early days after a head injury or accident, wheelchairs are commonly use and effectively safe. Myself, I’ve used one after the coma for almost two years before graduating to a quad cane and then later using just he regular cane and now years later without the cane during the warmer months.

This last point is important with regards to wheel chairs. I had lived in the snow belt up in the Northeast when I was first injured and the use of the wheelchair was indeed a life saver with the snow and ice. It is not feasible for most to leave their home areas but if at all possible as people with hemiparesis age, a move to a warmer climate , even hot by some standards. In the US the southern climate or even out west is well advised. Of course if you’re in Australia.. Your upside down…Just joking)

Living with hemiparesis and living alone

can be safer in the warmer climates, free of ice and snow. That may be obvious for walking but there are other benefits as well. The sunshine daily may even help your thinking and overall attitude positively, Sure you may still get a month or two of weather where it reaches freezing but it does not stay there for long. Aches and Pains can virtually disappear. People’s old injuries are often painful in cold moist weather. This is not different for head injuries, but in this case it may very be the brain that suffers pain. It is also the control center for emotions and that too can be better in the warmer climate. Lessons learned.

– Author Leon Edward
Receive FREE Report for Head Injury Victims and Caretakers plus New Articles Weekly click here [a new window will open , or you can subscribe in the box below].
Here At , you can review, print out Checklists and tips from well known professionals and authors in the field plus blogs on the author and blog owner’s own experiences with over two decades living and working with hemiparesis.

Also, At his Brain improvement site., he presents everyone interested in improving thinking , tips, techniques, to improve focus and concentration, ways to remember better and increase our memory skills, techniques to focus better and read faster, resources to optimize your brain power, use all of your intellect and even increase your IQ including brain software and audio training. you can receive free ebooks , reports and even a brainwave meditation MP3 to calm and focus your mind at his IQMindBrainLibrary Website Newsletter, click here

Head Injury and Employment Workplace Communication – Insights Feelings Advice and Tips From Survivor

Fortunately for people with a head injury of various degrees, today there are more opportunities for employment. However, there still are issues that are both visible and many that are internal to the people with the head injury. Communication in the workplace is often one of the most valued skills among professionals while mis-communication can be damaging in customer relations especially, costly in some projects or detrimental for interpersonal communication among co workers.

Common Symptoms effecting Spoken Communication that vary in degree

From mild to severe head injuries, communication afterward can be effected in various way. Some may be visibly or audibly obvious as in speaking clearly possibly slowly, sometimes extremely slowly. More common are problems in auditory processing, memory, people skills, fatigue at times, mood swings and focusing ones attention as concentration is a key here. There are even times when words or phrases may be spoken out of order and can be awkward when spoken. Also controlling various emotions can sometime be an issue in employment as well if not evident to others, well certainly internally All these have occurred to me at different times, with improvement in some areas after much exercise, self help audios or even talk with loved ones or therapy with professionals but other areas are an ongoing issue yet minimized through techniques, exercises, sometimes strategies for almost three decades now with tips listed here.

Sure people react and live their lives differently but head injured do have common physical and especially mental effects that are exhibited similarly but to different degrees. Also, it is interesting how people in different professions, ages, in different work environments really act differently towards a person exhibiting one or more of the detrimental effects listed previously.

Slow Speech at times and Communication in the Workplace

At times, the thought processing and speech can be slow. but not constantly slow for various reasons that I not being a health professional but rather the injured will not list detailed. It could be termed inconsistent speech and draw attention to an issue in this way. During verbal communication on the job or even during employment interviews, talking one speed and then suddenly slowing down drastically may call attention to the issue especially if the other person is unaware of any past physical injury, the head injured person can look as if they are ignorant of the particular topic when in actuality it just doesn’t always come out or is spoken as fast and as clear as it should be. Even when coworkers, managers or customers have known of my tbi from years ago, they can act unacceptably. The most common reaction amongst people who work with me is to finish my sentences for me or restating it as this is what he meant. They may be trying to be helpful but sometimes make me angry on the inside or wanting to say that their version is not what I meant, please listen. But more than likely time is if essence and talking slow or hesitating for the right words just has no place in some high paced work environments.

I can tell you that this can be an extremely frustrating event when knowing the answer or correct response that may be beneficial to a conversation yet not being able to verbalize it fast enough. Some others will just talk right over you while a few will give time for the injured to answer. Frustration can even turn to anger on the inside more quickly for some depending on injury. I know this has occurred for me and keeping calm is something that was not easy when I was younger. The point of bringing this up was that since I have minimal control of the times when I may hesitate, looking for the right word or thought, I speak in a slower speed or speech pattern most of the time. Most others will allow you to finish thoughts when you do speak slower in general. Though, there are a few who just will still cut you off before you are finished to get there own thoughts across. If possible, stating that you were not finished is often a helpful phrase to use depending on the other persons position or status in the company.

Sure knowing what to say but not being able to verbalize it fast enough is a common cause of the slow speech intervals but the brain processing is slower in general. Hesitating for the right word to speak can be why speech is slower at times. As mentioned, by using the technique or practice of speaking slower during meetings or interviews, the moments of slower recall of words can be effectively minimized or it will not look as bad.

This is another are where smart coworkers can recognize a difficulty in processing speed or do things slower so they talk slower and talk to you or sometimes as if you are a child. When it happens to me I feel like stating that I’m no child and even though I act slow, I’m rather intelligent with an engineering degree and much technical training. I’ve even had a manager or colleague belittle me while talking to me in front of other managers or co workers. Sometimes one cannot avoid others reactions but learn to handle it better. For us with the head injury, quiet meditation, gratefulness and prayer daily can help immensely.

At the Author’s head injury News Talk and Recovery website, find Brain Injury helpful resource links most helpful, head injured and TBI support groups, Highly Respected Brain and Head Injury association resource links plus rehabilitation and recovery videos for improving the injured and their caretakers. Also Receive a Free Head Injury and Care Report click here

Author Leon Edward at his website at presents articles. free resources, Checklists and tips from well known professionals and authors in the field plus blogs on his own experiences with almost 30 years living and working with hemiparesis.