Nursing: Management of Behavioral Issues in a Brain-Injured Patient

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About the Course

Target Audience: Providers working with children and adults with a recent history of traumatic brain injury, including concussion.

Course Overview: Traumatic brain injury (TBI) can result in short-term and long-term behavioral sequelae, including aggression, irritability, depression, and disinhibition. This course provides an overview of TBI mechanisms as well as behavioral changes and possible management plans after TBI. Also discussed is an overview of brain architecture and functions of the frontal, temporal, parietal, and occipital lobes, as well as the cerebellum.


  • State the various mechanisms of brain injury.
  • Describe the pharmacological treatments used for patients with behavioral issues after brain injury.
  • Review the various nonpharmacologic measures used in the treatment of a brain-injured patient.

About the Author

Mary Bucnis, BSN, RN; Melissa List BSN, RN, CCRN, PCCN; and Misti Tuppeny MSN, CNS, CCRN, CNRN, CCNS

Mary Bucnis works at St. Joseph Hospital, Nashua, NH. Her specialty is neurological critical care and neurological progressive care.

Melissa List has significant expertise in neurological PCU for 2.5 and neurological critical care. She has worked with a variety of patients with conditions ranging from subarachnoid hemorrhage, brain tumors, seizures, and traumatic brain injury.

Misti Tuppeny is a clinical nurse specialist in neuroscience, behavioral health, and rehabilitation at Florida Hospital Orlando.

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