Article

This article evaluated the common physical sequelae that affect return to work
(RTW) after traumatic brain injury (TBI). We performed a Medline search and
evaluation of current TBI rehabilitation texts. The information presented is a
combination of published literature and clinical guidelines. The limitations
faced by many patients with TBI can best be overcome through clever job search,
job redesign, and community linkages with business and industry that are willing
to partner in helping the patient with TBI regain employment. The physician plays
a key role in communicating suggestions to the vocational specialist. The
comorbidities described represent challenges to successful RTW. These problems
are recurrent, long-term, and clearly affect job procurement, nature of job,
level of required support, and likelihood of job retention. Conversely, these
challenges should not be viewed as impenetrable obstacles. With appropriate
supports such as compensatory strategies, job coaching, assistive technology,
medical management, and job restructuring, successful RTW is viable option.
Physicians must focus on employment outcomes in real jobs and not settle for
volunteer work, sheltered work, or assessment and planning. Individuals should be
placed in real work for real pay. Through close collaboration between the
survivor of TBI, the physician, the vocational specialist, and community
resources, successful employment for survivors of TBI is possible and must be
prescribed a high value.

Langue : ANGLAIS