The goal is to support the recovering student in keeping up with academic demands in a way that does not overstress the cognitive functions and result in worsening symptoms A careful balancing of rest with academic work and an individualized plan that prioritizes academic work and uses appropria ID: 632738
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The majority of students, other than those with the most extreme and long-lasting symptoms, are able to continue in their studies with some temporary accommodations.
The goal is to support the recovering student in keeping up with academic demands in a way that does not overstress the cognitive functions and result in worsening symptoms.
A careful balancing of rest with academic work and an individualized plan that prioritizes academic work and uses appropriate, temporary, evolving accommodations allows the student to progress as symptoms improve.Slide2
Get them symptom free >>>
My letter to the schoolSlide3Slide4
GET THEM SYMPTOM FREE >>> SADY, VAUGHAN, GIOIA ARTICLE
RETURN TO LEARN IS BEST COMPLETED WELL PRIOR TO RETURN TO PLAY
Students should be able to participate in their typical academic activities, including attending full days of school and completing work without accommodations, with no return of symptoms, before return to play is considered.Slide5Slide6
Gioia’s
research & leadership
Pediatrics 2015Slide7
N
ot
e
very student improves rapidly…WHY NOT???Slide8
RESEARCH QUESTION
Why are teachers overwhelming students cognitively post-concussion?
Why don’t teachers get it?
=================================
W
hat
proportion of patients experience an exacerbation of their symptoms (and a reduction in their function) as a result of premature RTP and
RTL?
Slide9
A MOMENT FOR CLARITY
IT IS NOT MY INTENTION TO BRAG HERE ABOUT MY ACCOMPLISHMENTS
WITH COMMUNITY MDs, IT HAS BEEN MY INTENTION TO EDUCATE ABOUT SRC MANAGEMENT, AND IN PARTICULAR, TO FILL A REAL KNOWLEDGE TRANSFER GAP
WITH YOU, IT IS MY INTENTION TO INSPIRE YOU TO BECOME RTL CHAMPIONSSlide10Slide11
GET THEM SYMPTOM FREE >>> DON
’
T OVERWHELM THEM COGNITIVELYSlide12
DANGER: COGNITIVE OVERLOAD CAN GREATLY INCREASE TIME FOR POST CONCUSSION SYMPTOMS TO RESOLVE
BETTER QUICKLY
GOOD R2L
TIME FOR SYMPTOMS TO RESOLVE
DID NOT GET GOOD R2L
45%
NUMBER OF STUDENTS WITH SRC SYMPTOMS
EFFECTIVE
L
EFFECTIVE RTL
DELAYED RESOLUTIONSlide13
2 Return to Learn
Symptom free = Commence 6 step RTP
ORANGE LINE REPRESENTS SYMPTOMS
GREEN LINE IS ACTUALLY 6 STEPS
WHEN SHOULD THEY RETURN TO LEARN?Slide14
HOME
RTL
RTPSlide15Slide16Slide17
ZONE 1
ZONE 2
ZONE 3
ZONE 4
Instructional, Environmental
Assessment
and
Emotional
DISTINCT
Accommodations
WITHIN
EACH OF THE 4
YELLOW ZONESSlide18
TIME
AS SYMPTOMS RESOLVE, ACCOMODATIONS BECOME “LIGHTER” AND EXPECTATIONS INCREASESlide19Slide20Slide21Slide22Slide23Slide24
STUDYING CONCUSSION IS IMPORTANTSlide25
One VoiceSlide26Slide27
WILL YOUR PATIENT DO THIS?
NOT AT MOST ONTARIO SCHOOLS
MOST SCHOOL BOARDS HAVE A PROTOCOL THAT EMPHASIZES RTP, NOT RTL
KT AMONG TEACHERS IS AS WOEFUL AS AMONG COMMUNITY MDs
YOU CAN MAKE A DIFFERENCE BY ADVISING YOUR PATIENTS ABOUT BETTER RTL POST-CONCUSSIONSlide28
http://
www.nationwidechildrens.org
/concussions-in-the-classroom
HAND THIS OUT TO YOUR PATIENTS