MEDICAL PROBLEMS IN TBI: SEXUALITY IN TRAUMATIC BRAIN INJURY: EARLY STAGES OF NEUROLOGICAL RECOVERY

     Some individuals experience decreased alertness, confusion, and greatly reduced awareness in the early stages of neurological recovery. Behaviors, such as self-exposure and/or self-stimulation, may be present and are often upsetting to witness. It is important to remember that your family member's awareness of and ability to control this behavior has been affected by the brain injury. When necessary, you should redirect your family member, either verbally or with a physical cue, depending on his/her level of cognitive functioning. DO NOT scold or criticize, but rather provide feedback in a neutral manner. Ensure that privacy and personal dignity are maintained in this type of response.

Based on Brain Injury Patient Care and Education Manual, by Pinecrest Rehabilitation Hospital; Neuro section of the Trauma Manual, Jackson Memorial Hospital; and Recovering from Head Injury; a Guide for Patients, by Nova University Neuropsychology Service, and edited for PoinTIS by the Louis Calder Memorial Library of the University of Miami School of Medicine and the PoinTIS Advisory Committee, and on Rehabilitation of Persons with Traumatic Brain Injury, NIH Consensus Statement 1998 Oct. 26-28.