Loss of memory, difficulty recalling names, and confusion are common complaints of most aging adults. People also have physical changes as they age. For persons who have survived a traumatic brain injury and already have some cognitive and physical impairments, concerns about aging are often magnified. Much is unknown about the long-term effects of trauma to the brain. Many survivors fear that aging will bring a further decline in their cognitive and physical abilities.

Tips on Medical Care and Safety for Aging Survivors of Brain Injury

Tips on seeking medical care as survivors grow older

• Get medical care. Any time you notice a change in your thinking, functioning or physical health, it is wise to seek professional help. Many medical conditions are reversible.
• Find professionals with expertise on both aging and the effects of brain trauma on the aging process. This may include specialists such as neurologists who are physicians specializing in neurological disorders, physiatrists who are physicians in rehabilitation medicine, neuropsychologists who are psychologists with expertise in the brain, or gerontologists who are physicians specializing in aging.
• Share information about your injury. It is important to give information about the history of your brain injury to any professional who is treating you. This should include information about your overall condition and any recent changes you have noticed, especially with your memory and thinking. It is also helpful to bring copies of any medical records about your injury.
• Find rehabilitation programs or services if you have been diagnosed with Alzheimer’s disease. You may benefit from cognitive rehabilitation, emotional support and medications.
• Talk with your doctor about new medications and health supplements before taking them.

Safety tips for persons aging with brain injury

Aging brings changes in cognition or thinking as well as changes in physical abilities. A person’s strength, coordination, balance, and endurance often change. These changes with aging may pose additional challenges for the person with a brain injury whose motor skills or physical abilities have already been compromised. In addition to receiving good medical care, the following strategies can help persons with brain injuries reduce the risk of further injury as they grow older:

• Protect your head.
• Avoid action sports that can increase the odds of another brain injury.
• Wear a helmet when biking, skating, playing baseball or other sports.
• Use a seat belt in all moving vehicles.
• Watch out for activities requiring a rapid physical response or agility if they were affected by your brain injury.
• Take time to examine your choices when facing a new situation and carefully choose the best response before you react. Persons with a brain injury are often impulsive which increases the chance of accidents occurring.
• Reduce or avoid stimulating activities when you are tired. Fatigue reduces a person’s ability to think clearly and response time. This increases the risk of accidents.
• Make sure your home, work and other places you visit are safe, well lighted and fall-proof.
• Keep taking any prescribed medications according to your doctor’s directions, especially if you have a seizure disorder. If you have a seizure and lose your balance, fall or lose consciousness, this increases the risk of another brain injury.

These medical and safety tips can help protect you from another injury. They are a starting point for a discussion with your doctor, other professionals, and your family.

Marilyn Lash, M.S.W., Lash and Associates Publishing/Training, Inc. http://www.lapublishing.com 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 Aging with a Brain Injury by Dr. Mary Hibbard, go to http://www.lapublishing.com/aging-adult-acquired-brain-injury/

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Myself, lE, my brain injury was in my early twenties but as I write this comment, I have lived 25 + years with hemiparesis. I can strongly recommend Marilyn’s advice for those after brain injury and the checklists at her site for brain injury. I can give you a hint of what aging effects were with my brain injury.

In the early morning or late at night, when I was in my twenties after brain injury, I started slurring words, dragging my foot, thinking slow. Well for me , these detrimental brain injury effects that occurred when

I was tired in my twenties were happening all the time after  40 it seemed. Of course , it wasn’t that bad in the summers, just the winters brain injury effect.