Date of Award

1996

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

Abstract

Trauma is a major cause of death and disability in the United States. Approximately 4% of victims incur life-long debilitating alterations in physical and personal integrity. The purpose of this study was to determine the relationship between initial neurological status following traumatic brain injury and adaptation. The study used a retrospective single group repeated measures design. Subjects were patients admitted to an acute care rehabilitation program and completed in patient and outpatient rehabilitation regimes (N=49). All had traumatic brain injuries with Glasgow Coma Scale Scores documented on admission to acute inpatient hospitalization. The Glasgow Coma Scale was used to assess initial neurological status; the Functional Assessment Measure for adaptation. Initial neurological status was significantly correlated with adaptation (r=.52, p=.00) at entry into inpatient rehabilitation program, but not at completion. Adaptation improved throughout rehabilitation, with significant improvement from time of inpatient rehabilitation admission and completion of outpatient rehabilitation.

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