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Joy Lee Rutter

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Member Since: Feb, 2003

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Impact of Brain Injury Often Overlooked in Driver’s Ed
4/16/2005 6:06:26 AM

Remember the infomercial, "The Brain is a Terrible Thing to Waste"? We’ve taught our youth that drugs fry, alcohol numbs, but do they know what happens to the brain shattered on impact at high speeds? Why not add the horror of TBI to school curriculum?”
What happens when the human head slams against the windshield at 65+ MPH? Ask a teenager to answer the question but prepare for an eye roll and commentary: “Sucks to be him.” Yes, it does ‘suck’ to suffer a brain injury. I worked in a neuro-rehab for over eight years and witnessed the devastation firsthand.
I remember an exercise in orientation when I began working there in 1996. The instructor requested the trainees write 4 items on a blank sheet of paper: One childhood memory, one major accomplishment, where we were now in our lives (married, children, or college) and one future goal. Then she told us to squash the sheet of paper and toss it to the center of the table. She then asked, “How does it feel to throw away all you’ve accomplished? You’ve diminished your past, trashed your future, and there in that heap is a total loss of the person you once were, and what you might have achieved.” After an awkward silence, she continued, “That is what the clientele here have experienced. In the blink of an eye, they have lost everything. Many have forgotten tasks we take for granted, from tying our shoes to remembering to use the toilet. Short-term memory loss will cause them to forget what they had for breakfast…or even that they already ate breakfast. Frontal lobe injury causes impulsivity. Some become sexually uninhibited. You will discover that many folks become aggressive at the least provocation…”
Young people learn about drugs and alcohol and how driving under the influence can take lives, but do they know what happens when accident victims survive? Fractured bones heal after splinted. Stitched lacerations merely leave a scar within a few weeks. Internal injuries require surgery, hopefully with a good outcome. Spinal injuries often immobilize the patient for months, possibly for life. As devastating as that is, it does not rival the worst case scenario; brain injury. The injured brain cannot heal like skin, tissue, or bone.
The statistics are daunting. Quoted from internet research is the following: “Traumatic brain injury (TBI), broadly defined as brain injury from externally inflicted trauma, may result in significant impairment of an individual's physical, cognitive, and psychosocial functioning. In the United States, an estimated 1.5 to 2 million people incur TBI each year, principally as a result of vehicular incidents, falls, acts of violence, and sports accidents. The number of people surviving TBI with impairment has increased significantly in recent years, which is attributed to faster and more effective emergency care, quicker and safer transportation to specialized treatment facilities, and advances in acute medical management. TBI affects people of all ages and is the leading cause of long-term disability among children and young adults.
Traumatic Brain Injury is more than twice prevalent in males than in females. The highest incidence is among persons 15 to 24 years of age and 75 years and older, with an additional less striking peak in incidence in children ages 5 and younger. Approximately 50 percent of TBIs are the result of motor vehicle, bicycle, or pedestrian-vehicle incidents. Safety belts, air bags, infant and child car seats, as well as changes in speed limits, road design, and traffic control have reduced motor vehicle-related deaths and TBI.
Since TBI may result in lifelong impairment of an individual's physical, cognitive, and psychosocial functioning and prevalence is estimated to be 2.5 million to 6.5 million individuals, TBI is a disorder of major public health significance. Furthermore, mild TBI is significantly underdiagnosed, and the likely societal burden therefore is even greater. Given the large toll of TBI and absence of a cure, prevention is of paramount importance.
Although TBI may result in physical impairment, the more problematic consequences involve the individual's cognition, emotional functioning, and behavior. These impact interpersonal relationships, school, and work.” {Bibliog.: Rehabilitation of Persons with Traumatic Brain Injury. NIH Consensus Statement 1998 Oct 26-28; 16(1): 1-41}
How do the schools teach the cause and effect of a TBI?

1. Assign driver’s education students to research brain injury (acquired in vehicular accidents) over the internet and turn in a report at the end of the semester.
2. Invite a behavior specialist or occupational therapist from a local neuro-rehab to speak to the students. He or she not only has the education and background, but the day-to-day experience with victims of neurological disabilities.
3. Professionally videotape a small group of young TBI clients talking candidly of their experience and its effects in their lives and personal relationships. (For privacy, blur facial features and distort the voice). The tape should be readily available to US middle and high schools.

“A Flamboyant Disarray of Dreams” is not a textbook; however it offers powerful insight into the day in the life of not only the brain injured, but the caretaker of the clients in a neuro-rehab facility.

Midwest Review says:

'A Flamboyant Disarray of Dreams', by Joy Lee Rutter, sparks interest in the little-known subject matter; brain injury.

Round Table Review:

Reviewed By Wendall Sexton
Fascinating. My first reaction reading the initial pages opening Joy Lee Rutter’s A FLAMBOYANT DISARRAY OF DREAMS was, as Mr. Spock might proclaim -- fascinating. A woman sits catatonic in her driveway, pondering death by the hand of Bart Simpson, while reflecting on her work, her life, and whether the patients she helps at Rivers Edge, a New Hampshire neuro-rehabilitation facility, are being “helped” by her efforts. Will their lost cognitive skills, necessary for assimilating information and controlling behavior, once more be of use; or are those patients, and their frenetic, dangerous childlike behaviors, dragging her down into the same disarray that fills their days? Such is the question before Joleen Cumberland.
When I learned the premise of the book took place in a ‘neuro-rehabilitation’ facility – a place of which I was unfamiliar – I knew there was something within its 281 pages worth investigating. Happily, I can report my time was spent well.
Why do I say this? Simple: A FLAMBOYANT DISARRAY OF DREAMS resonates within the context of the Rivers Edge patients, as well as the staff from whom they depend for care.
You see, Joy Lee Rutter has accomplished something with this book all authors should. She has taken the book’s title, which overtly pertains to the disarray of those people robbed of their faculties, and applied it to the struggles all people encounter in their lives.

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More Blogs by Joy Lee Rutter
•  Impact of Brain Injury Often Overlooked in Driver’s Ed - Saturday, April 16, 2005  

• Smile! You're On Google - Thursday, September 16, 2004

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