TBI rehabilitation care transitions refer to the processes of preparing patients, families, and community-based healthcare providers for the patient's passage from inpatient rehabilitation to the home and community or to another level of care. Persons with TBI have heterogenous neurological impairment (cognitive and behavioral foremost, along with motor, sensory, and balance), that limits their functional independence and participation, and increases their risk for secondary medical conditions, injuries, rehospitalizations and early mortality
Participants must be adults (age 18 or older).
Must be primary person responsible for supervision/care needs of person with TBI post-IRF discharge.
The person with TBI must have been admitted to the Brain Injury Service Unit at SAI.
If the care partner does not live in the same residence as the person with TBI, they must provide multiple daily check-ins on day-to-day care.
Any severe cognitive impairment that precludes the ability to provide informed consent or safely function as the care partner for a vulnerable adult with TBI.
Virginia Commonwealth University
Lead sponsor
Department of Health and Human Services
Collaborator
National Institute on Disability, Independent Living, and Rehabilitation Research
Collaborator