By: Kelsey Lewis, Former JAN Consultant – Cognitive/Neurological Team
With football season in full swing, it isn’t uncommon to hear stories of sports-related head injuries for high school, college, and professional athletes alike. The risk of a Traumatic Brain Injury (TBI), both mild and severe, is a very real threat for players and can occur during both practices and games. But with all of the negative publicity that football attracts regarding head injuries, many people aren’t aware that most TBIs are caused by everyday falls, something that can happen to almost anyone at any time. The Centers for Disease Control and Prevention (CDC) estimates that falls made up approximately 40% of all TBIs between the years 2006-2010, with unintentional blunt trauma (being hit by an object) and vehicle crashes following behind (Centers for Disease Control and Prevention, 2016).
As someone who does not identify as being athletic (although I was a great bench warmer during my soccer career), I never really experienced many injuries on or off the field. So it was much to my surprise when I took a recent spill at home resulting in a mild concussion. After the fall, I immediately felt dizzy, nauseated, and had a pounding headache. I could tell this was like no other injury I had experienced before; I just didn’t feel like myself. The days immediately following the accident, I reported to work as usual, discussed accommodations, and went on with my typical routine. However, I was utterly exhausted, felt oddly emotional, and still had a headache. Finally, on the third day of work after my fall, one of my trusted JAN colleagues intervened and convinced me to take care of myself. I took the next day off along with the weekend to rest, unplugged the electronics, went to the emergency department to make sure everything was fine (it was), and slowly started feeling better within a few weeks. The point of my self-disclosure? To illustrate just how easily and innocently a brain injury can occur, even if it is in the form of a mild concussion, in which one can recover and feel “normal” within a few weeks.
Regardless of whether TBI symptoms are temporary or long-term, accommodations can assist in the recovery and management process. Symptoms from a brain injury may affect:
- Cognitive function (e.g. attention and memory)
- Motor function (e.g. weakness and impaired balance/coordination)
- Sensory function (e.g. hearing, vision, and impaired perception)
- Emotional function (e.g. depression, anxiety, aggression, and impulse control)
- A combination of any of these.
Possible workplace accommodations can include low cost options such as providing a tape recorder in order to remember the content of a meeting or procedural accommodations like providing leave or a modified schedule to recover from the initial injury or go to medical appointments. More involved accommodations to a workspace may include installing ramps and handrails for issues associated with mobility. JAN’s publication Accommodation and Compliance Series: Employees with Brain Injuries provides additional accommodation ideas. Our publication Workplace Accommodations: Low Cost, High Impact provides information from our survey of employers who historically report no cost or low cost for accommodating employees with disabilities.
Regardless of how a TBI occurs or the severity of the injury, one of the most important things to remember is to “take it easy” after one occurs. Rest helps your brain heal and can speed up the recovery process (Centers for Disease Control and Prevention, 2016). Once returning to work, accommodations can help address the limitations resulting from the injury.
Center for Disease Control and Prevention – Injury Prevention & Control: Traumatic Brain Injury & Concussion
Job Accommodation Network (Original 2005, Updated 2007, Updated 2009, Updated 2010, Updated 2011, Updated 2012, Updated 2013, Updated 2014, Updated 2015, Updated 2016). Workplace accommodations: Low cost, high impact. Retrieved November 15, 2016, from http://AskJAN.org/media/lowcosthighimpact.html