Head Injury / Concussion Education. Faculty and Staff

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1 Head Injury / Concussion Education Faculty and Staff

2 MA 105 CMR Massachusetts law requires that one educational session per year will be provided for teaching staff regarding the signs and symptoms of concussion, expectations when a student returns to school after a head injury, possible behavioral issues and academic accommodations if needed.

3 Head Injury Facts Children and adolescents are among those with the greatest risk for head injury / concussion. The potential for concussion is high during activities where collisions can occur, such as during PE class, recess/playground time or athletic programs.

4 More facts Students may also get a concussion outside of school, but then come to school with concussion symptoms. The teacher may be the first person to identify that the student is experiencing symptoms from a head injury.

5 More Facts Concussions have a more serious effect on a young developing brain and need to be addressed correctly. Proper recognition and response to symptoms can prevent further injury and help with recovery.

6 Team Work The care and management of head injuries in a school setting requires collaboration between families, school nurses, teachers, guidance counselors and physicians.

7 Key Components Management Communication Academic accommodations

8 What is a head injury??? A concussion or Traumatic Brain Injury (TBI) can occur whenever there is a blow or jolt to the head that causes complicated chemical changes in the brain that may take several days to resolve.

9 Important Facts. Many concussions can go undetected initially because there was NO loss of consciousness and the person was able to resume activity following the initial blow to the head but.

10 It is SO important to be assessed after a blow to the head to determine if there is a concussion or not. If a diagnosis of concussion is made, REST is key for a good recovery.

11 This means.. Rest at home - no screen time, no reading, no activity, no sports - just being quiet! Rest at school - modified day, rest periods in the nurse s office, no PE class, no computer work.

12 Keep in mind that.. Everyone responds to an injury differently. There are varying degrees of head injuries. An individualized approach needs to be taken with every student.

13 Signs and Symptoms of a Head Injury/Concussion Headache or pressure in head Nausea or vomiting Loss of consciousness (even briefly) Groggy Sensitivity to light and/or noise Blurred or double vision Appears dazed or stunned

14 Signs and Symptoms continued Is confused about an assignment Balance problems / dizzy Answers questions slowly Forgets a sports play Is unsure of game, score or opponent Moves clumsily Shows behavior or personality changes

15 Signs and Symptoms continued Confusion - can t recall events before or after being hit or fall There are many signs and symptoms and no two students will present the same way. EVERYONE REACTS DIFFERENTLY!

16 Head Injury at School All head bumps/injuries occurring in school, out at recess, in PE class MUST be assessed by the school nurse. The school nurse will assess the student and make the determination if the student can return to the classroom or require further medical intervention.

17 Head Injury Outside of School A student may come to school and indicate that they have a headache, didn t complete homework assignments, has been absent etc., because they sustained a head injury at home. Verify that the student has seen the school nurse upon return to school and if not - send to the nurse.

18 Re-entry into School after a Head Injury Student needs to bring documentation from their physician to the school nurse. The school nurse will coordinate with teachers, guidance and athletics any accommodations or restrictions outlined by the physician.

19 Re-entry Meeting If needed, a re-entry meeting will be scheduled with teachers, nursing, guidance counselors, parents and the student if appropriate. An individualized plan of care will be developed to address the student s specific return to school needs.

20 Academic Accommodations Rest is necessary for the brain to heal. Academic accommodations create an environment where the student s academics, homework, and extracurricular activities do not cause an increase in symptoms.

21 Academic Accommodations Promote improvement of the concussive symptoms. Allow the brain to rest and heal well. Gradually return the student to their activity level prior to injury.

22 Academic Accommodations Are provided only when ordered by the student s physician. Clearly state attendance guidelines, academic testing, curriculum accommodations and participation in physical education classes. Are provided only during the time frame that the physician indicates.

23 Wellesley Public Schools Academic Expectations During Head Injury Recovery A concussion is a brain injury that involves a complicated chemical change in the brain that takes several days to resolve. Research has shown that the brain needs rest from both physical and cognitive activity during this period for optimal recovery. This information should serve as a guideline with input from the parents, physician, nurse, teacher, guidance and the student when appropriate. There is no set pattern for healing. The following chart outlines the different stages of healing after a brain injury. The student may fluctuate between stages during the healing process.

24 STAGE KEY IDEAS EXPEXTED SCHOOL ACTION STUDENT ACTION DURATION 1. Complete rest 2-4 days Nurse will notify teachers and guidance Out of school, rest, sleep, well nourished and hydrated Limit screens, reading, music and socializing 2. Recovering cell health. Significant deficits in processing and concentration 2-14 days Teacher will categorize assignments Postpone or excuse assignments based on priority Categorize assignments: Excused: not to be made up. Accountable: responsible for content not the process- may be notes or covered by a review sheet Responsible: must be completedprobable for a grade Most students will not be able to make up all work Send to nurse if symptomatic In school part-time, observing, not participating Communicate about progress and problems Be patient with slow recovery Rest when symptoms develop Complete assignments in 15 minute intervals, or stop when symptomatic to allow for recovery No after school activities

25 STAGE KEY IDEAS EXPECTED SCHOOLS ACTION S DURATIO N 3. Gradual increase of 1-7 days Teacher should set dates for when and time and energy as what should be completed. student resumes Avoid scheduling more than 1 test per normal workload day. Keep lists of work in all 3 categories until all make up work is complete STUDENT ACTIO N In school part time When present, observing not participating Communicate with teacher about progress and problems Get copies of work from Buddy Be patient get as much as possible out of time spent in class 4. Complete resumption of normal academic activities 5. Complete resumption of academic activities Progressive participation in athletic activities 2-3 days Teacher should expect regular academic capabilities Monitor completion of makeup assignments 4+ days Physical assessment by athletic trainer for return to athletics Medical clearance for return to Health and Fitness Resume all normal activities Full return to athletics and Health and Fitness Monitor symptoms Be patient for physical activity progression

26 In summary Students may not be able to make up all missed work Good communication between teachers, parents and students is essential to clearly identify expectations Academic accommodations will look differently for every student recovering from a head injury Students may go back and forth between recovery stages.

27 Remember Your student may look well Your student may act well Your student may seem well BUT after a head injury, the brain needs time to heal.

28 It means. Physical and academic rest in a plan developed to meet their specific healing needs.

29 In conclusion. Head injuries/concussions MUST be taken seriously. The Wellesley Public Schools have a policy and protocols in place to effectively care for a student with a head injury. A team approach is needed to comprehensively meet the student s needs while healing from a head injury.

30 Additional Information. Concussion training programs: programs/concussion/classroom.php online_training.html Youth Sports

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