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Evidence-based Clinical Management of Traumatic Brain Injury Patients: A Collaborative Approach

Traumatic brain injury (TBI) results in a combination of physical, cognitive, and behavioral impairments due to externally inflicted trauma, with over 300,000 hospital admissions annually (NIH, 1998). The purpose of this evidence-based project was to implement practice protocols to reduce sitter session usage and create a safer patient environment. The strategic cycles of patient assessment; ambulation and toileting; and hemodynamic status evaluation, enhanced patient monitoring and clinical performance by the nursing staff in TBI management. Comprehensive physical therapy and speech/cognitive therapy sessions provided the opportunity for patients to enhance their physical strength, independence, cognitive awareness, regulation of physiologic balance and sleep-wake cycles. Through the EBP protocol, sitter sessions were reduced by 80%.

Traumatic brain injury (TBI) results in a combination of physical, cognitive, and behavioral impairments due to externally inflicted trauma, with over 300,000 hospital admissions annually (NIH, 1998).