Working with people with TBI: Staff Self-Study Module 4

4.4a List possible strategies to compensate for cognitive changes: Introduction

i) Management strategies
ii) Graphic: Injury to support
iii) Injury to support
iv) Tools

Management strategies

As you saw in the brainstorm activities at the end of the previous section, each cognitive deficit (eg a deficit in flexibility) will result in a person facing particular problems (eg being unable to adapt to change). There are management strategies that you and others working with the person can use to assist in minimising the impact of these deficit.

Screen A is an overview. Screens B, C and D have specific examples.

Click on Examples A, B, C, D to view examples.

Another example is shown in the following table:

Deficit	Problems arising	Management strategies
	The person may:	You and others can:
Speed of information processing	- take longer to complete tasks - take longer to get ideas together and answer someone - be unable to keep track of lengthy conversations and instructions	- make allowances and give the person extra time - speak clearly and evenly - present only one thing at a time - try not to interrupt or answer for the person - check that the person is keeping up with the conversation

See: A comprehensiive table of deficits, problems and strategies

Useful tools

There are lots of specific strategies in Toolkit B Promoting Independence, e.g.

7. My behaviour's changed
8. Thinking
9. Relationships
10.Conversations Managing memory, money and time
11. Remembering information and messages

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