Brain Injury It is a Journey

Brain Injury It is a Journey

Flora Hammond, M.D. and Tami Guerrier, B.S., Editors

This brain injury book for families explains consequences of traumatic brain injury and gives strategies for coping with changes in the survivor's physical abilities as well as cognitive and behavioral changes. It helps families understand various types of brain injury, the rehabilitation process, and helps prepare them for future issues. This manual is a great tool to educate and support families as they learn about and live with the consequences of acquired brain injury.

Item: BIFJ
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Full Description

This practical user friendly manual helps families understand the consequences of brain injury. By explaining medical terms in clear language, readers will understand the various types of brain injury and the rehabilitation process.

There are detailed descriptions of how a brain injury can affect physical abilities, memory, cognition (thinking and learning), behavior, emotions, and communication.

Each section describes changes that families may see in the person with a brain injury and gives suggestions for how to help. Families will find this manual filled with tips, strategies and checklists that they can use during the hospital/rehabilitation stay as well as after the individual returns home, goes back to work, or becomes active in the community.

Special sections address the many concerns of families over time. This includes information on family coping, intimacy, sexuality, seizures, alcohol, drugs, driving, returning to school and returning to work.

This is a great first book to give to families... Thanks, W.V.C.

ISBN# 1-931117-37-3
Pages 72 pages, 7 x 8½, softcover
Year 2010, second printing


Tami Guerrier, B.S., a Certified Therapeutic Recreation Specialist, brings over 25 years of experience in brain injury rehabilitation. Ms Guerrier’s career experience includes providing services for individuals with brain injuries in inpatient and outpatient rehabilitation, as well as in the community, and in educational and vocational settings. She is currently the Coordinator and Principal Investigator for Project STAR at Carolinas Rehabilitation in Charlotte, NC. This program develops opportunities for individuals affected by brain injury in the community, assists individuals and families with accessing community resources, provides training for agencies on traumatic brain injury, develops brain injury prevention programs, and collects data on needs and service utilization. Ms Guerrier frequently presents at local, state, and national conferences on brain injury related topics.

Dr. Flora Hammond, M.D., is the Research Director and Brain Injury Program Director at Carolinas Rehabilitation in Charlotte, NC. She also serves as Principal Investigator and Project Director of the Carolinas Traumatic Brain Injury Model System grant funded by the National Institute on Disability Rehabilitation and Research. Much of her research on traumatic brain injury has focused on outcome prediction, post-traumatic irritability, depression, relationships, and motor and cognitive recovery over time.

After graduating from the Tulane University School of Medicine in 1990, she completed her residency in physical medicine rehabilitation at Baylor College of Medicine. Dr. Hammond completed a Brain Injury Fellowship at the Rehabilitation Institute of Michigan, in Detroit.

A diplomat of the American Board of Physical Medicine and Rehabilitation, Dr. Hammond has served as an invited participant to both the Aspen Conference and Galveston Brain Injury Conference (brain injury think tanks). Her excellence in research, teaching, and administration were acknowledged by her receipt of the 2001 Young Academician Award from the Association of Academic Physiatrists (AAP).

Lisa Glaze Hunt, O.T.R./L., is Clinical Manager in the Outpatient Therapy Department at Carolinas Rehabilitation. She graduated from Towson State University in Baltimore, Maryland in 1984. Ms Glaze Hunt worked at Johns Hopkins Hospital in the Rehabilitation Department from 1984 -1986. She relocated to Charlotte, NC in 1986 and has been employed at Carolinas Rehabilitation for the past 19 years. She specializes in brain injury rehabilitation and provides both individual and group treatment for the Outpatient Brain Injury Program at Carolinas Rehabilitation. Lisa also provides driver evaluations for individuals with disabilities.

Cathy Lees, M.H.A., M.S., O.T.R./L. is the Inpatient Occupational Therapy Coordinator and has served as the Clinical Manager of the Brain Injury Program at Carolinas Rehabilitation. Her primary area of interest is rehabilitation of cognitive deficits after a brain injury and their impact on an individual’s participation in occupations across the life span.

Peggy Philbrick is a TBI Project Specialist with Project STAR at Carolinas Rehabilitation. Ms. Philbrick has developed and implemented systems for statewide sharing of information with brain injury support group leaders and leadership skill development. She serves as a liaison to the Brain Injury Association of North Carolina. Peggy has presented at local, state and national conferences. Peggy is also the wife of a survivor of a brain injury.

Sally Rickard, B.S., a Certified Therapeutic Recreation Specialist, currently serves as a Project Assistant Coordinator and Community Development Specialist with Project STAR at Carolinas Rehabilitation. She develops and facilitates community opportunities for individuals with brain injury and their families, links individuals with brain injury and their family to resources, and educates community agencies and resources on the effects of brain injury and the needs of individuals and families. Her career experience includes working with individuals with brain injury as an inpatient therapist and extensive work with outpatient brain injury rehabilitation. She has worked with rehabilitative employment through work adjustment and supported employment programs, and as coordinator of a vocational long term support program. Ms. Rickard presents regularly on many topics related to brain injury including community collaborations, alternative ways to employment, social skills training, innovative programming and support group development.


About the Authors

Understanding the Brain
  • Types of brain injury,
  • The brain
  • Changes after brain injury
Understanding Brain Injury Rehabilitation
  • Who’s who in rehabilitation
  • Reactions and coping after a brain injury
  • The family’s role in brain injury rehabilitation
  • Suggestions for families following a brain injury
  • Paths to recovery following brain injury
Changes Commonly Seen Following a Brain Injury
  • Physical changes
  • Memory and cognitive changes
  • Behavioral and emotional changes
  • Communication changes
Looking Ahead
  • Brain injury and family dynamics
  • Intimacy and sexuality
  • Seizures following a brain injury
  • Effects of alcohol and drugs after brain injury
  • Driving after brain injury
  • Returning to school
  • Returning to work
Appendices and References
  • Appendix I - Ranchos Scale: levels of cognitive functioning
  • Appendix II - Glossary of terms
  • Appendix III - Questions for professionals form
  • References



Carolinas Rehabilitation is a center of excellence for individuals with brain injuries providing quality, state-of-the-art rehabilitative care. It is one of only 16 hospitals with a Department of Education designation as a TBI Model System. This is a research grant to further our understanding of traumatic brain injury. During our contact with families and persons with brain injuries at Carolinas Rehabilitation, they fervently expressed a desire for written information about brain injury and what to anticipate after rehabilitation when returning to their home communities. We listened to these families and worked extensively with those affected by brain injury to identify the topics they felt would be most helpful, not only during their involvement in rehabilitation, but throughout a lifetime.

This manual was compiled to:

  • give families information about brain injuries
  • help families understand who is involved in the rehabilitation process
  • prepare families for what to expect at home
  • educate families about resources in the community

This manual is meant to serve as a resource for information and experiences about brain injury as families begin this journey. Recovery from an injury to the brain is a rehabilitative journey of months and years - it can last a lifetime. The journey starts in the emergency department and progresses through the medical center, the rehabilitation hospital and into a variety of community settings. But not everyone follows the same path for services or recovery. The authors hope the information in this manual provides you with a map to guide you on your journey of brain injury recovery.

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