summarize the article Most mTBI assessments will be more…
summarize the article Most mTBI assessments will be more comprehensive in nature than a screen. A screen can be appropriate if the patient is acutely ill or is behaviorally difficult to test. A comprehensive assessment (4 to 5 hours of testing) is more appropriate if there are multiple complaints across different cognitive domains or if the clinical presentation does not fit the nature of the injury. While there may be concerns about the time needed for a more comprehensive battery, there may be no other options with a complex presentation. Most patients find the testing interesting and are cooperative when time has been spent before the start of testing to address their questions, identify the possible benefits from the assessment, and explain why the family physician or specialist wants the testing done. More importantly, for the patient who has limited insight, the assessment can make the deficits or problem areas more tangible. Learning that he has problems in the visual modality (with information he sees) as opposed to the auditory modality (information he hears) can be extremely important to the patient and to rehabilitation, vocational, and educational planning.
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