Date
18 September 2019

Understand the injury and its implications

Suggestion for implementing the strategy ‘Traumatic brain injury (TBI): Support a return to learning and activity’

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Get to know the whānau story

Get to know the whānau story

To be effective collaborators, educators need to understand that a brain injury doesn't only affect the individual, the whole family is affected.

Be aware of new challenges for whānau

Be aware of new challenges for whānau

Families may face many of these unexpected situations and challenges.

  • The shock of the initial brain injury may involve coping with intensive care treatment.
  • The cognitive, behavioural, and emotional effects of a brain injury can be more limiting and harder to accept and overcome than the physical injuries, both for the person who has sustained the injury and for their family and friends.
  • Unplanned for financial and legal costs have to be managed.
  • They may experience isolation.
  • They may have to deal with multiple agencies, including ACC, hospitals, and WINZ.
  • They have to adjust to the changes in the person with brain injury and how these affect other family members and friends.
  • They may experience stress related to caring for the injured person.

Source: Headway (opens in a new tab/window)

Understand each child's experience

Understand each child's experience

The effects of a traumatic brain injury vary from person to person and can result in any or all of these outcomes.

  • Changes in thinking, behaviour and personality, physical abilities, and sensory perceptions
  • Feelings of fear, anxiety, loss or confusion, and frustration
  • Difficulty communicating needs or thoughts and ideas
  • Extreme tiredness

Source: The Children’s Trust for Children with Brain Injury (opens in a new tab/window)

Siblings’ experiences

Siblings’ experiences

Siblings or whānau members may experience:

  • feelings of unfairness – it might be difficult for them to understand why their brother or sister is being treated differently to them
  • worry, anxiety, and sadness about their parents or their brother or sister
  • feelings of wanting to protect their sibling
  • confusion and misunderstanding about the brain injury
  • difficulty understanding changes in their sibling’s personality or behaviour
  • embarrassment about the injured child’s behaviour and may be wary about having friends at the house
  • feelings that they’re not being told about what’s going on, or being “kept out of the loop”
  • feeling left out or forgotten
  • feeling guilty about what’s happened (sometimes called “survivor guilt”)
  • feeling guilty about expressing their own feelings because they don’t want to add to the burden on their parents
  • a sense of loss that their sibling seems different.

Source: The Children’s Trust for Children with Brain Injury (opens in a new tab/window)

Useful resources

Useful resources

Website

About brain injury

Publisher: Headway: Brain Injury Auckland

Visit website

Coping with brain injury for friends and family

Coping with brain injury for friends and family

Read time: 4 min

Publisher: Brain Injury NZ

Download PDF

Website

Whakawhiti kōrero, a method for the development of a cultural assessment tool, te waka kuaka, in Māori traumatic brain injury

Read time: 23 min

Publisher: Hindawi

Visit website

Next steps

More suggestions for implementing the strategy “Traumatic brain injury (TBI): Support a return to learning and activity”:

Return to the guide “Supporting learners with acquired brain injury”

Guide to Index of the guide: Acquired brain injury and learning

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