Improving Outcomes in Patients with Traumatic Brain Injury

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Improving Outcomes in Patients with Traumatic Brain Injury ~ Member Rate - $25.00

Improving Outcomes in Patients with Traumatic Brain Injury ~ Non-Member Rate - $30.00

Session Summary

Traumatic brain injury (TBI) is a significant health problem in the United States, and a frequent cause of disability in young individuals. The Wars in Iraq and Afghanistan have heightened the public awareness of this condition and resulted in an increasing number of individuals presenting for treatment due to concern of a suspected TBI. In order to best manage the sequelae of TBI, providers must understand important prognostic factors which impact clinical outcome including injury severity and co-morbid conditions.

This presentation will provide a survey of the recent literature on clinical outcomes after TBI, pharmacological interventions for common post-injury sequelae, and the effects of co-occurring psychiatric conditions on post-concussive symptoms. This lecture will emphasis recent literature about individuals sustaining combat-related traumatic brain injuries, as well as clinical practice guidelines for management of TBI in the post-acute phase.

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Faculty Information

Amy Bowles, MD
Douglas Cooper, PhD

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Amy Bowles, MD
Chief, Traumatic Brain Injury Program
Brooke Army Medical Center
San Antonio, TX

Dr. Bowles grew up in Houston, Texas and graduated from Rice University in 1995. She was a Rice/Baylor Medical Scholar and received her medical degree from Baylor College of Medicine in 1999. She then stayed at Baylor to complete her Internship in Internal Medicine. Dr. Bowles finished Residency in Physical Medicine and Rehabilitation (PM&R) through the Baylor College of Medicine and University of Texas Health Science Center Alliance in 2003. She is Board Certified in PM&R.

After completion of her Residency, Dr. Bowles moved to San Antonio to become the Medical Director of the Brain Injury Program at Reeves Rehabilitation Center, University Health Systems. In August 2007, Dr. Bowles moved to Brooke Army Medical Center where she is the Chief of the Traumatic Brain Injury Program. She has led the clinical and administrative development of the BAMC TBI Program which is widely recognized as a model for military TBI care. Dr. Bowles regularly participates in local, regional, and national forums where military TBI care is discussed.

Douglas Cooper, PhD
Clinical Neuropsychologist
Traumatic Brain Injury Program
Brooke Army Medical Center
San Antonio, TX

Dr. Cooper is a clinical neuropsychologistin the Traumatic Brain Injury Program in the Department of Orthopedics and Rehabilitation at Brooke Army Medical Center (BAMC).

In his current role, he is involved in the evaluation and treatment of service members with brain injuries, particularly in those returning from combat deployments. Dr. Cooper actively participates in teaching, supervision, and research. He has authored and co-authored peer-reviewed articles on a variety of neuropsychological syndromes, including traumatic brain injury, post-traumatic stress disorder, stroke, Alzheimer’s disease, and substance dependence. Dr. Cooper served as a member of the working group for the establishment of the Department of Defense and Veterans Healthcare System’s Clinical Practice Guidelines for mild Traumatic Brain Injury, as well as the Cognitive Rehabilitation Specialty subgroup guidelines.

Learning Objectives

Compare symptoms of TBI for mild, moderate, and severe injury.
Recognize post-TBI medical complications including intracranial hypertension, posttraumatic seizures, coagulopathy and electrolyte disorders.
Describe possible long-term consequences associated with TBIoutcomes including disorders of pain, mood, cognition, movement and sleep.
Identify pharmacotherapeutic options for treatment of patients with TBI, including combination therapy.

Continuing Education Credit

Activity Dates: 04/19/2010 - 04/19/2013
ACPE Contact Hours: 1.0
ACPE Number: 0284-0000-10-011-H04-P (Knowledge)
Nursing Credit Reminder: Note that ACPE and ACCME credit is accepted for certification renewal.

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ACPE The College of Psychiatric and Neurologic Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This self-study course provides 1.0 contact hours (0.10 CEUs) of knowledge-based continuing education credit from CPNP approved programming. The ACPE universal program number assigned to this course is 0284-0000-10-011-L04-P (1.0 contact hours).

ACPE approved contact hours are accepted for ANCC Certification Renewal (see pages 5 and 6): At least 50% (37.5 hours) of your 75 continuing education hours must be formally approved continuing education hours. Formally approved continuing education hours meet one or more of the criteria listed below:

Continuing nursing education (CNE) approved for nursing contact hours by an accredited provider or approver of nursing continuing education
Continuing medical education (CME) approved for CME hours
Sponsored by organizations, agencies, or educational institutions accredited or approved by the American Nurses Credentialing Center (ANCC) or the Accreditation Council for Continuing Medical Education (ACCME) or the Accreditation Council for Pharmacy Education (ACPE) or the Commission on Dietetic Registration

Course Requirements

This course is provided online at cpnp.org and consists of the speaker audio and slides. A PDF file of the slides is also provided and access is available to participants indefinitely although ACPE credit is available only through the course expiration date.

Participants in this course must complete an examination and achieve a score of 60% or greater. Successful completion of the course also requires the completion of a course evaluation. ACPE statements of credit can be retrieved by participants online at cpnp.org immediately upon successful completion of the course.

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Internet Explorer 6+, Firefox 2+ or Safari 3+
1024x768 resolution or greater
Adobe Flash Player 8+
512MB RAM
Any Operating System capable of the above requirements

Recommended:

Internet Explorer 7+, Firefox 3+ or Safari 3+
1280x768 resolution or greater
Adobe Flash Player 10+
Windows XP/2000/Vista and Mac OS 10.4 or better
512MB of RAM for Windows XP or Mac OS
1GB of RAM for Windows Vista

Target Audience

If you are a pharmacist, nurse practitioner or other healthcare professional involved in the medication therapy management of psychiatric and/or neurological patients, we invite you to participate in this online course.

Grant Support

This programming was supported in part by grants from Janssen, Ortho-McNeil Janssen Scientific Affairs, LLC, supported by an educational grant from Janssen, Division of Ortho-McNeil Janssen Pharmaceuticals, Inc. administered by Ortho-McNeil Janssen Scientific Affairs, LLC. and Lilly USA, LLC.