Event Title

Pediatric concussion management

Co-Author(s)

Breanna Sorensen, Julie McElroy, Dawna Hovenier, Kylee Hernandez

Research Mentor(s)

Espina, Christine

Description

Background: Currently there are no national standardized guidelines for children to return to school after a concussion. This presents a problem as some children have prolonged absences from school while others return to school quickly but suffer prolonged concussion symptoms. Purpose: In partnership with NWESD school nurse corps, the purpose of this literature review is to make recommendations for best practice. Methods: A literature search was completed in the CINAHL, MEDLINE, and ERIC databases. Six articles were reviewed, and findings synthesized. Synthesis of literature: Evidence shows there is a need for immediate cognitive and physical rest post-concussion. After an initial 24-48 hours, the child benefits by returning to school and participating in light activities. The amount of class time and type of activities the child engages in are determined by the child’s symptoms. A return to learn protocol is necessary to provide consistent information and assist the child to successfully return to the classroom. An interdisciplinary team approach and collaboration is vital for improving post-concussion outcomes. Implications: Positive implications for the student include reduced prolonged absences from school post-concussion, linear progression of activities, and limiting prolonged post-concussion symptoms. Negative implications include financial costs of creating an RTL protocol and funding for continued training and education for the interdisciplinary team. Keywords: concussion, brain concussion, children, return to learn, return to school

Document Type

Event

Start Date

May 2020

End Date

May 2020

Department

Nursing - RN to BSN

Genre/Form

student projects, posters

Type

Image

Rights

Copying of this document in whole or in part is allowable only for scholarly purposes. It is understood, however, that any copying or publication of this document for commercial purposes, or for financial gain, shall not be allowed without the author’s written permission.

Language

English

Format

application/pdf

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May 18th, 9:00 AM May 22nd, 5:00 PM

Pediatric concussion management

Background: Currently there are no national standardized guidelines for children to return to school after a concussion. This presents a problem as some children have prolonged absences from school while others return to school quickly but suffer prolonged concussion symptoms. Purpose: In partnership with NWESD school nurse corps, the purpose of this literature review is to make recommendations for best practice. Methods: A literature search was completed in the CINAHL, MEDLINE, and ERIC databases. Six articles were reviewed, and findings synthesized. Synthesis of literature: Evidence shows there is a need for immediate cognitive and physical rest post-concussion. After an initial 24-48 hours, the child benefits by returning to school and participating in light activities. The amount of class time and type of activities the child engages in are determined by the child’s symptoms. A return to learn protocol is necessary to provide consistent information and assist the child to successfully return to the classroom. An interdisciplinary team approach and collaboration is vital for improving post-concussion outcomes. Implications: Positive implications for the student include reduced prolonged absences from school post-concussion, linear progression of activities, and limiting prolonged post-concussion symptoms. Negative implications include financial costs of creating an RTL protocol and funding for continued training and education for the interdisciplinary team. Keywords: concussion, brain concussion, children, return to learn, return to school