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Guideline/Care Process
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Guidelines for the Field Management of Combat-Related Head Traumaa
Mild TBI-Acute Nondeployed Care; Mild TBI Sub-Acute
Interdisciplinary team (referrals to PT, OT, Speech & Language pathology, pharmacy, audiology/vestibular and optometry)
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VA Management of Concussion/Mild Traumatic Brain Injuryb
(Adults, nonacute, not management of moderate or severe TBI)
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Nutrition-related assessment information
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Neurobehavioral Symptom Inventory (includes nausea, change in appetite, taste or smell)
Patient Health Questionnaire (includes changes in appetite)
Sub-Acute Cognitions (normalize nutrition)
BMI > 30 (Refer for Sleep Study)
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Nausea, vomiting
Change in appetite
Change in taste or smell
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Specific nutrition interventions
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Novel therapy (nutritional supplements)
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Limit caffeine and alcohol.
Minimize caffeine and avoid herbal diet supplements such as “energy” products as some contain agents that cross-react with psychiatric mediation and lead to a hypertensive crisis.
Novel therapy (hyperbaric oxygen, nutritional supplements) modalities in the management of concussion/mTBI are being explored in the field as potential treatment approaches. It is the recommendation of the Working Group that interventions that lack sufficient empirical support should occur only under the auspices of an IRB-reviewed protocol.
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