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Professional Resources & Education

Neurobehavioral Changes after Acquired Brain Injury:
A Team Approach to Understanding Diagnosis and Interventions

Audience: INTERNAL ONLY: TIRR Memorial Hermann Brain Injury and Stroke Program Neuro-Behavioral Team : Nursing, PCAs, PT, OT, SLP, Neuropsychology, CM, SW for the Neuro-Behavioral Program

Course Date: April 13, 2017

Time: Sign In: 12:00pm – 12:30pm
Lecture begins: 12:30pm – 4:00pm

Location:
Discovery Room
TIRR Memorial Hermann Research Conference Center Basement

Handouts

Neurobehavioral changes after acquired brain injury training

Speakers

David Arciniegas, MD
Christopher Falco, MD
Margaret Struchen, PhD
Patrice Perrin PT
Arit Nwagboso, BSN, RN, CRRN
Kelley Shaw, MS, CCC-SLP

Speaker Disclosures & Conflicts of Interest: Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Description

This course is designed for health professionals working with the brain injury population. Through lecture and discussion, participants will learn to describe common behaviors in the brain injury population, learn to use various outcomes measures, and be able to implement behavior management strategies. The focus of this course is to improve the consistency of communication among health professionals with clearly defined terms of behaviors, and to improve the therapeutic approach to patients with behavioral deficits by providing participants with evidenced-based interventions for this population.

Course Learning Objectives: By the end of the course, the participant will be able to:

  1. Identify and accurately define behavior issues common to the ABI population.
  2. Assess behaviors in the BI population using three different outcome measures.
  3. Understand the ABC model and schedules of reinforcement.
  4. Know four practical ways to intervene during escalation phase and crisis phase of the aggression cycle in order to better manage behaviors.
  5. Understand pharmacological interventions and how they can affect patient behaviors.
  6. Document for consistency in order to improve communication across the team.

Assessment of Learning Objectives: Interactive dialogue, written evaluation

Speaker Information

Teaching Methods: Power point, videos, lecture, lab

David Arciniegas

David Arciniegas, MD
Senior Scientist and Medical Director for Brain Injury Research
TIRR Memorial Hermann

Dr. Arciniegas is Senior Scientist and Medical Director for Brain Injury Research at TIRR Memorial Hermann, and is the Beth K. and Stuart C. Yudofsky Chair of Brain Injury Medicine, Director of the Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, Vice Chair for Research in the Department of Physical Medicine & Rehabilitation, and Professor of Psychiatry, Neurology, and Physical Medicine & Rehabilitation at the Baylor College of Medicine (BCM) in Houston, Texas. He. Over the last 20 years, his clinical activities and patient-oriented research has focused on the phenomenology, neurobiology, and rehabilitation of cognitive, emotional, and behavioral disturbances associated with traumatic brain injury (TBI) and other acquired and degenerative neurological disorders. His educational endeavors are focused on the development and delivery of activities that advance the knowledge and skills of clinicians caring for persons with neurobehavioral disorders associated with TBI and other neurological conditions. As an educator, his efforts focus on training subspecialists in behavioral neurology & neuropsychiatry as well as brain injury medicine. He has been continuously funded since 1996 as an investigator on more than 35 extramurally-funded research studies, authored more than 110 peer-reviewed journal articles, 120 peer-reviewed abstracts, and 30 book chapters, and edited seven textbooks. He is a highly sought lecturer nationally and internationally, serves on multiple editorial boards and grant review committees, regularly contributes his efforts to governmental and non-governmental organizations striving to improve the lives of persons and families affected by brain injuries.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with: TIRR Memorial Hermann, Baylor College of Medicine, and Yudofsky. Dr. Arciniegas is Primary Investigator for Federally Funded Research Grant: Texas TBI Model System TIRR.
  • Non-financial: None reported
Christopher Falco

Christopher Falco M.D.
Brain Injury and Stroke Program Attending Physician
TIRR Memorial Hermann

Dr. Falco is an attending physician at TIRR Memorial Hermann, completed his residency at the Baylor College of Medicine/ University of Texas Health Science Center-Houston Physical Medicine and Rehabilitation Alliance in June of 2013. He received his medical degree in 2009 at The University of Texas Medical School in Houston, after completing his undergraduate education at The University of Texas at Austin in 2005. As an attending physician at TIRR, Dr. Falco's primary focus is caring for inpatients recovering from brain injury and stroke. He is a member of the American Academy of Physical Medicine and Rehabilitation, the Texas Medical Association and the American Medical Association.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with UT Health
  • Non-financial: None reported
Margaret Struchen 150 x 200

Margaret A. Struchen, Ph.D.
Director, Rehabilitation Psychology/Neuropsychology
TIRR Memorial Hermann Rehabilitation Network

Margaret A. Struchen received her B.S. with Honors in Psychology from the University of Iowa. She received a Master’s degree in Psychology and a Doctoral degree in Clinical Neuropsychology from the University of Houston. She completed an internship in clinical psychology from Henry Ford Health Systems and then completed a postdoctoral Fellowship in Clinical Neuropsychology and Rehabilitation Psychology at the Rehabilitation Institute of Michigan. Dr. Struchen is a clinical neuropsychologist, and currently serves as Director of Rehabilitation Psychology and Neuropsychology for the TIRR Memorial Hermann Rehabilitation Network in Houston, Texas. She has extensive experience in providing psychological services to inpatients and outpatients with brain injury and other neurological injuries or illnesses, including spinal cord injury and disorders. Dr. Struchen has an extensive record as a Principal Investigator and Co-investigator on numerous federally-funded research projects focused on rehabilitation of persons with traumatic brain injury, with special interest in the areas of community integration, social communication, interpersonal relationships, and understanding and improving outcomes following brain injury.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann; Dr. Stuchen receives a royalty from Oxford University Press
  • Non-financial: None reported
No Photo

Patrice Perrin, PT, DPT
Brain Injury and Stroke Program, PT Clinical Coordinator
TIRR Memorial Hermann

Patrice Perrin, DPT has 10 years of experience delivering physical therapy services in in-patient, sub-acute and acute care clinical settings. Following her Doctorate in Physical Therapy in 2006, she took a position at JFK Johnson Rehabilitation Institute (JFK Medical Center, New Jersey) where she worked with patients with patient with traumatic and acquired brain injuries, orthopedic injuries and several neurological disorders. She is the co –investigator in a research study after being awarded the TIRR Rehabilitation Innovations Grant. Currently, she is the Physical Therapy Clinical Coordinator for the Brain Injury and Stroke Program at TIRR Memorial Hermann in Houston, Texas where she enjoys her passion, treating patients with traumatic brain injuries and stroke and mentoring staff.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann employment relationship; TIRR Innovations Grant Recipient
  • Non-financial: None reported
Arit N

Arit Nwagboso, MSN, RN
Brain Injury Manager of Nursing Services
TIRR Memorial Hermann Brain Injury and Stroke Program

In her current role, Arit is responsible for providing leadership to a patient care unit with 25-bed capacity. Arit oversees the daily operations – managing and developing departmental staff, collaborating with the interdisciplinary team in the delivery of patient care. Arit earned her Associate Degree in Nursing from Alvin Community College in 2008 and a B.S. in Nursing from Texas Woman’s University in 2010. Arit has been working as a Certified Nursing Assistant at Memorial Hermann since 2002 and later as a Registered Nurse at TIRR Memorial Hermann since 2008. Over the years as a Registered Nurse, Arit has worked in the Spinal Cord Injury program as well as the Brain Injury and Stroke program. Arit earned her Certified Rehabilitation Registered Nurse certification in 2012. In January 2015, Arit became the Clinical Manager of one of the Brain Injury and Stroke units. Outside of work, she volunteers at church health fairs and clinic to screen patients prior to seeing the physician and also offer patient education on lifestyle changes as part of health promotion.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported
Jessica Bielamowicz 150 x 200

Jessica Bielamowicz, PT, DPT
In-Patient Brain Injury and Stroke Team
TIRR Memorial Hermann

Jessica Bielamowicz, PT, MPT, is a member of the TIRR Memorial Hermann Neuro-Behvioral Prorgam Leadership Team. She received her B.S. from Baylor in 2005, and her MPT from Southwester in 2007. She has worked in the rehab setting since graduation from PT school in 2007, and her love is working with the brain injury population. She’s particularly interested in spasticity management and behavior management with this particular diagnosis. Since joining the TIRR Memorial Hermann team in 2012, she has been involved with ITB pump trials, behavior management program, and the disorders of consciousness program. She previously was the TIRR Memorial Hermann Physical Therapy Clinical Coordinator for the Brain Injury and Stroke Program until July 2016.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported
Kerry Davis

Kerry L. Davis, MSN, RN, CRRN, CBIS
Director of Nursing Services
TIRR Memorial Hermann Brain Injury and Stroke Program

Kerry has been with TIRR Memorial Hermann since 1995 where she worked as a staff nurse, nurse educator, clinical manager, and her current role as Nursing Director for the BI and Stroke Program. She provides hospital wide education by teaching Positive Behavioral Support classes, and in the Brain Injury family education series. She has published, with her colleagues of the SETx ARN, 2 research articles in the Rehabilitation Nursing Journal (RNJ) : “Delegation in Knowledge and Practice Among Rehabilitation Nurses” In 2011 and “A Pilot for Understanding Interdisciplinary Teams in Rehabilitation Practice” in 2013. She currently serves as Treasurer for the SETx ARN Chapter and as Vice-President for Rehabilitation Services Volunteer Project (RSVP), a non-profit providing rehabilitation services to underfunded clients in the community.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported
Kelly Shaw

Kelley Shaw, MS, CCC-SLP
Brain Injury and Stroke Program
TIRR Memorial Hermann

Kelley Shaw, MS, CCC-SLP is a Speech-Language Pathologist for TIRR Memorial Hermann. She has been practicing for 27 years, with 6 years at Memorial City and 20 years at TIRR Memorial Hermann. She has experience in inpatient, outpatient, acute, LTAC, and home health treatment settings. Her interests include behavior management, treating high level patients with mild deficits, aphasia, apraxia, dysphagia, and working with the burn population.

She earned her Bachelor’s and Master’s Degrees from Texas State University in 1987 and 1989.

She is the Positive Behavior Support (PBS) lead for Memorial Hermann system.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported

Target Audience:
This program is targeted toward Nursing staff, PT, OT, SLP, Neuropsychology, CM, SW for the neurobehavioral program.

Program Schedule:

April 17, 2017

TimeTopic
12:00 – 12:30Registration and Refreshments
12:30 – 1:00Behavior Issues Following Acquired Brain Injury
1:00 - 1:30Assessment Tools for the Neurobehavioral Population
1:30 - 2:00Models for Behavior Management and Schedules of Reinforcement
2:00 - 2:15Break
2:15 - 3:00"In The Moment" Interventions to De-escalate Behavior
3:00 - 3:30 Pharmacological Interventions
3:30 - 3:45Documentation
3:45 - 4:00 Wrap-up: questions and course review
4:00 – 4:15Sign out & certificates

Instructional Methods Used: Lecture, Power-Point presentations, Case Examples, Q&A

 

Education

Continuing Education: AOTA, TPTA, ASHA, TNA, CCM

Instructional Level: Intermediate

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. This course is offered for up to 0.325 AOTA CEU’s. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from AOTA. AOTA Classification Code: Occupational Therapy Process- Evaluation. Participants must attend the entire course in order to receive a course certificate. No partial credits will be given.

OT Approved CE

PT:  Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas for up to 3.25 CCUs. No partial credits will be given

TPTA 2017

SLP: Memorial Hermann Health System is an ASHA Approved Provider of continuing education- provider ID ABAF. This course is offered for up to 0.3 ASHA CEU’s. The assignment of ASHA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from ASHA. ASHA Classification Code: 1060. No partial credits will be given.

ASHA MH

This course is offered for 0.30 ASHA CEUs
(Intermediate Level, Professional Area).

Nursing: 3.25 CE contact hours will be provided.

Memorial Hermann Health System is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Social Work: 3.25 contact hours will be provided.

CCM: This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 3.25 clock hour(s).

Registration

Cost / Registration: FREE to TIRR Memorial Hermann Brain Injury and Stroke Program Neuro-Behavioral Team employees only. INTERNAL ONLY.

Any questions, please contact: ContinuingEducationRegistration@memorialhermann.org.

Cancellations: You are expected to attend the course you register for. If you are not able to attend, please notify your Management Team immediately. All cancellations must be in writing 14 calendar days prior to the course start date to ContinuingEducationRegistration@memorialhermann.org. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause.

Parking: Any parking reimbursement will be through your normal departmental approval process.