Julie Minich-Castro MSN, RNC, ANP-C, FNP-C

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Julie Minich-Castro MSN, RNC, ANP-C, FNP-C Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About Presentation by Julie Minich-Castro MSN, RNC, ANP-C, FNP-C

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About Learning Objectives Recognize fundamentals of Traumatic Brain Injury in the Military Identify the screening tools used in the military for post- deployment TBI evaluation Understand the impact of TBI with Post Traumatic Stress Disorder Recognize the impact of TBI on family, employment and the demands of the military Understand the mission of the National Intrepid Center of Excellence (NICoE)-Military TBI Rehabilitation mission

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About Quick Review Active Duty VS Reserve Care Post-deployment-Automated Neuropsychological Assessment Metrics (ANAM)-big words and great screening tool! Impact of Brain Injury with PTSD Influence of Brain Injury National Intrepid Center of Excellence (NICoE)-Military TBI Rehabilitation mission

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About 1. Quick Review TBI terms and Military acronym’s Acquired brain injury VS Traumatic Brain Injury Traumatic Brain Injury –severity, mechanisms, causes Defense and Veterans Brain Injury Center (DVBIC) incidence Manifestations of TBI Post-concussion symptoms/syndrome Evaluation-Military Acute Concussion Evaluation (MACE), physical assessment, imaging, neuropsychological testing, vestibular, optometric Differential diagnosis –Military Malingering, Addiction, Depression, Stress Disorder, Somatization

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About  2. Active Duty VS Reserve Care

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About  3. Post-deployment: Automated Neuropsychological Assessment Metrics (ANAM). Big words and great screening tool!

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About 4.  Impact of Brain Injury with PTSD: Psychological Physical Self-image

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About 5. Influence of Brain Injury: Children Marriage Extended Family Military Demands-work Social activities

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About 6. National Intrepid Center of Excellence (NICoE)- Military mTBI Rehabilitation Mission.

Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About References Bell, K. R., Brockway, J. A., Fann, J. R., Cole, W. R., St De Lore, J., Bush, N., . . . Stein, M. B. (2015). Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members. Contemp Clin Trials, 40, 54-62. doi: 10.1016/j.cct.2014.11.001 Ford, J. H., 2nd, Wise, M., Krahn, D., Oliver, K. A., Hall, C., & Sayer, N. (2014). Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers. J Rehabil Res Dev, 51(8), 1311-1324. doi: 10.1682/jrrd.2014.03.0066 Haran, F. J., Alphonso, A. L., Creason, A., Campbell, J. S., Johnson, D., Young, E., & Tsao, J. W. (2015). Reliable Change Estimat es for Assessing Recovery From Concussion Using the ANAM4 TBI-MIL. J Head Trauma Rehabil. doi: 10.1097/htr.0000000000000172 Mac Donald, C. L., Johnson, A. M., Wierzechowski, L., Kassner, E., Stewart, T., Nelson, E. C., . . . Brody, D. L. (2014). Prospectively assessed clinical outcomes in concussive blast vs nonblast traumatic brain injury among evacuated US military personnel. JAMA Neurol, 71(8), 994-1002. doi: 10.1001/jamaneurol.2014.1114 Marion, D., Lattimore, T. B., & Helmick, K. M. (2015). The Military Acute Concussion Evaluation (MACE) is time sensitive. J Trauma Acute Care Surg. doi: 10.1097/ta.0000000000000906 McCrea, M., Guskiewicz, K., Doncevic, S., Helmick, K., Kennedy, J., Boyd, C., . . . Jaffee, M. (2014). Day of injury cognitive performance on the Military Acute Concussion Evaluation (MACE) by U.S. military service members in OEF/OIF. Mil Med, 179(9), 990-997. doi: 10.7205/milmed-d-13-00349 Quinlan, J. D., Guaron, M. R., Deschere, B. R., & Stephens, M. B. (2010). Care of the returning veteran. Am Fam Physician, 82(1), 43-49. Riley, G. A., & Hagger, B. F. (2015). Disclosure of a stigmatized identity: A qualitative study of the reasons why people choose to tell or not tell others about their traumatic brain injury. Brain Inj, 29(12), 1480-1489. doi: 10.3109/02699052.2015.1071427 Sobin, L., Kopp, R., Walsh, R., Kellman, R. M., & Harris, T. (2016). Incidence of Concussion in Patients With Isolated Mandible Fractures. JAMA Facial Plast Surg, 18(1), 15-18. doi: 10.1001/jamafacial.2015.1339 Sours, C., Zhuo, J., Roys, S., Shanmuganathan, K., & Gullapalli, R. P. (2015). Disruptions in Resting State Functional Connectivity and Cerebral Blood Flow in Mild Traumatic Brain Injury Patients. PLoS One, 10(8), e0134019. doi: 10.1371/journal.pone.0134019 Stone, M. E., Jr., Safadjou, S., Farber, B., Velazco, N., Man, J., Reddy, S. H., . . . Teperman, S. (2015). Utility of the Military Acute Concussion Evaluation as a screening tool for mild traumatic brain injury in a civilian trauma population. J Trauma Acute Care Surg, 79(1), 147-151. doi: 10.1097/ta.0000000000000679 Thompson, J. M., Scott, K. C., & Dubinsky, L. (2008). Battlefield brain: unexplained symptoms and blast-related mild traumatic brain injury. Can Fam Physician, 54(11), 1549-1551. Tiar, A. M., & Dumas, J. E. (2015). Impact of parental acquired brain injury on children: Review of the literature and conceptual model. Brain Inj, 29(9), 1005-1017. doi: 10.3109/02699052.2014.976272