Aggravation To Aggression Case Study

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Brain Injury and Behavior: Aggravation to Aggression
Of all the behaviors patients develop following traumatic brain injury, aggression is one of the most common. It can present in a wide spectrum of behaviors ranging from simple annoyance or anger, to extremes of physical violence. In one of the more recent studies reviewed, it was apparent that some of the lower level behaviors, such as irritability, were not being recognized as a potential psychological component of brain injury. This additional data was being largely dismissed as a patient’s expression of mood, and was not being treated directly as a result (Yang, et al., 2012). Johansson et al. (2008) added that there may be a biological and social connection, which might determine if
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The study consisted of 146 patients admitted to the neurorehabilitation facility over a 2 year period, all with a traumatic brain injury diagnosis; 53 of these patients exhibited some degree of agitation. The median age for the group studied was 44 years. Data was collected through medical assessments, observation and patient records, utilizing established methods. Other factors taken into consideration, along with patient behavior, were severity or nature of the brain injury as well as the behavioral medications provided during the patients’ treatment. The greatest factors in predicting a patient’s outcome were: the severity/nature of the brain injury, patients’ aggravation/aggression levels and duration of those negative behaviors. There was a direct correlation to patient behavior and outcome, with the more aggressive patients having a higher occurrence of poor outcomes. Follow up was successful with all 53 patients, with 50% resulting in poor outcomes. Those patients required additional care, usually being discharged to a nursing or rehab facility (Singh, Venkateshwara, Nair, Khan, & Saad, …show more content…
It is evident that many factors can impact a patient’s behaviors following a brain injury, including age and severity of the injury itself (Singh et al., 2014). Early detection and treatment, especially of the milder presentations of aggravation and anger, could determine more positive recovery outcomes (McNett, Sarver, & Wilczewski, 2012). While there is conflicting information in regards to predisposition to aggression pre-injury directly influencing post-injury behaviors, the more recent case study presented the information as potentially useful for diagnostic purposes and could help provide a more accurate assessment of a patient’s mental state (Singh et al., 2014) Limitations of these

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