Health education for children with traumatic brain injury

  The concept of traumatic brain injury: Traumatic brain injury is the most common and dangerous type of injury among children with accidental injuries, with a high mortality rate, which may leave serious sequelae and cause various disabilities and add a heavy burden to the family. However, children are in the growth and development stage, with strong compensatory power of brain tissue and quick recovery of neurological damage. If timely rehabilitation treatment is given, the degree of disability can be greatly reduced, secondary disabilities can be prevented, and all functions of the child can be restored as much as possible.  Health education: (1) Individualized and comprehensive treatment plans should be formulated according to the specific conditions of the patient, that is, as soon as possible after the patient’s vital signs are stabilized, a variety of measures, mainly functional training, should be taken for rehabilitation, so as to accelerate the recovery of neurological function, reduce the degree of disability caused by the disease and injury, and enable the patient to return to the family and society and obtain a better quality of life.  (2) Whenever neurological dysfunction is caused, such as hemiplegia, quadriplegia, speech dysfunction, swallowing disorder, or even psychological disorder, rehabilitation treatment is required. There are many rehabilitation therapies available, and our department mainly includes physical therapy, occupational therapy, psychotherapy, medication and traditional Chinese medicine rehabilitation therapy. Our rehabilitation therapists will develop different rehabilitation programs according to the patient’s specific situation, and then adopt passive exercise, active exercise, resistance exercise, balance and coordination training at the right time. During this period, the patient is required to actively cooperate and not to have an inert mentality. At the same time, the participation of family members is very important, as the help and participation of family members can reduce complications and promote faster recovery of neurological functions. It is important to follow the guidance of the therapist during treatment and not to train the child blindly in a hasty manner.  (3) People with severe traumatic brain injury are more likely to have motor dysfunction. Especially for older children who cannot take care of themselves, they should be trained to take care of themselves as early as possible within their ability, such as eating, dressing, toileting, etc., so as to improve their physical functions, such as flexibility and coordination, and to mobilize or develop their internal potential, so that they can take care of themselves or reduce their dependence to a minimum.  (4) For people with language dysfunction, we should adhere to the principle of moving from easy to difficult, step by step, repeated practice and persistence. The aphasic person can use body language, such as eyes, hand gestures, nodding, shaking head, etc. to communicate. Then, the child can be trained from single words, words, and gradually transition to short sentences. Encourage the child to pronounce as much as possible.  (5) Treatment care: The rehabilitation process of the child is long, so parents are advised to have patience and confidence, and not to rush or lose hope prematurely; the treatment of the child is a comprehensive treatment with many items, so parents should arrange the treatment sequence reasonably and not to make the child feel fatigued. (6) Dietary guidance: If the patient is able to eat by mouth, foods that are high in protein, high in vitamins, low in fat and easy to digest (such as fish, lean meat, eggs, vegetables and fruits) are appropriate. Avoid eating spicy and other stimulating foods. Pay attention to dietary hygiene. If feeding through the mouth is difficult, nasal feeding tube can be used to ensure the nutrition supply of the child.