December 11th, 2005

Final Learning Reflection

Throughout the semester I have learned a massive amount of information from enrolling in CD 315. I feel that obtained a great deal of knowledge because the class covered four major areas of work.  These include the following: preparing for information literacy, discovering, retrieving, and managing information, processing information, and transferring information.  Here is what I learned in each area of work:

Preparing for information literacy was my first “giant leap” for starting my multi-genre research project (MRP).  I read several articles and websites which helped prepare me for information literacy.  A few articles or websites which I found to be helpful were “Information Literacy,”  “The World-Wide Web,” and “Recommended Search Strategy.”  The first article helped me gain a general understanding of what information literacy exactly was.  The second link listed above was an excellent website that explained what the World Wide Web was, and the last and highly valuable link taught me how to search the internet for reliable information. 

To help me research for my project my class met in our Drinko Library one evening.  While there we found out how to search peer-reviewed articles by using Ebsco Host.

After I leaned how to search the internet, I sat down and started to retrieve information for in MRP on closed-head injuries.  A few websites which I found helpful were the Center for Disease and Control site and Ohio State University’s site.  In addition, a few articles which I found on the ERIC database came in handy as well.

Since I gathered the majority of my information, I then decided it was time to process everything that I learned.  This was when I began to make my website on closed-head injuries.  This was a rather difficult task at first, but then as I created webpage after webpage it seemed almost effortless.  I also learned post my genres on my personal weblog at tabulas.com.  This weblog allowed me to revise my genres and receive feedback from two of my classmates before I turned my assignments and hard work into a webpage.  I made seven different genres on my weblog.  The one genre that was the most challenging for me was my PowerPoint because I needed to go “Beyond Bullet Points” when creating it.

After my drafts were reviewed several times I decided that I should move on to the last and final area, transferring information.  To do this I simply copy and pasted my genres from my personal weblog to Microsoft FrontPage.  I added the copyright information to each webpage and my e-mail address incase anyone wanted to contact me.  I found out that it was important to include the copyright information from viewing a PowerPoint on-line created by Marshall University (my school).

Since my CD 315 class was divided into four different areas, I feel that the knowledge that I have gained this semester about information literacy and closed-head injures is by far 10 times more than what I would have learned on my own. Without taking this class and completing my assignments I would never have been able to display my hard work on-line at http://mupfc.marshall.edu/~miller255/

Posted by miller255 at 11:58 PM | Add a Comment

November 4th, 2005

Letter of Recommendation (Genre 7)

Dr. Tony Andrews
Wheeling Neurology
123 Main Street
Wheeling, WV 26003
                                                                       September 9, 2005
To Whom It May Concern:                                          
I am referring Mrs. Andrea Johnson who is a 26-year-old patient of mine to Wheeling’s Speech and Hearing Clinic.  She was previously referred to me on August 25, 2005 because she sustained a closed head injury due an automobile accident.  When I first saw her on August 27, 2005, two days post-injury, she was functioning at a level IV on the Ranchos Cognitive Scale. She was awake and responsive, but her responses were incosistant (Brookshire, 2003).  She was very agitated, restless, and had impairments with her attention, memory, and reasoning (Brookshire, 2003). Her charts revealed that her brain injury was mild.  Her MRI showed focal lesions on the frontal and prefrontal cortex.  Damage to these areas has caused her to have several difficulties with a variety of executive functions (Sohlberg, Mateer, & Stuss, 1993 as cited in Coelho, DeRuyter, & Frank, 1996).  In addition, she sustained some minor damage to her limbic system. 

After working with her for these past several days I noticed that she has moved up to a Rancho's Level V, but still has problems with her short-term memory, tasks that involve multiple demands, concentrating under distracting conditions, and word-finding issues (Coelho, Deruyter, & Frank, 1996).   In addition, her husband has informed me that she is never motivated, constantly depressed, and easily irritated (Coelho, Deruyter, & Frank, 1996). 

Previous to her accident, Mrs. Johnson was completely independent and had no medical problems of any sort.  She was only hospitalized once in her life due to the fact that she was delivering her child.  She was not overweight and does not have a past history of smoking or drinking.

She was well educated with a master’s degree in elementary education. She was currently employed as a teacher at South City Elementary School teaching fourth grade.  She wishes one day she will be able to re-enter her community and continue her career.

Mrs. Johnson’s entire family is very supportive, and they all are willing to do anything ensure that she will recover fully. Her husband said that he is going to make sure that she has continuous care when he is at work in order for her to be released from the hospital in a few days.

If you have any questions regarding this information please feel free to contact me at 1-800-777-1234 and ask to speak directly to Dr. Tony Andrews.

                                    Thank You,

                                       Tony C. Andrews, M.D.

                                    Tony C. Andrews, M.D. Neurologist

References:

Coelho, C.A., & DeRuyter, F. (1996). Treatment efficacy:

     Cognitive-communication disorders resulting form traumatic

     brain injury in adults. Journal of Speech & Hearing Research,

     39 (5), 22-35. Retrieved October 5, 2005, from the ERIC

     database.

Brookshire, R.H. (2003). Introduction to neurogenic communicaiton

     disorders (6th ed.). St. Louis: Mosby Inc.

Posted by miller255 at 01:21 AM | 2 comments

November 1st, 2005

References

References

Brookshire, R.H. (2003). Introduction to neurogenic communicaiton

     disorders (6th ed.). St. Louis: Mosby Inc.

Center for Disease Control and Prevention. (2004). Traumatic Brain Inury (TBI):

     Incidence and Distribution. Retrieved October 20, 2005, from                

     http://www.cdc.gov/node.do/id/0900f3ec8000dbdc/aspectId/AS_A0400020

Chapey, R. (1994). Language intervention strategies in adult aphasia (3rd ed.).

     Baltimore: Williams and Wilkins.

Coelho, C.A., & DeRuyter, F. (1996). Treatment efficacy:

     Cognitive-communication disorders resulting form traumatic

     brain injury in adults. Journal of Speech & Hearing Research,

     39 (5), 22-35. Retrieved October 5, 2005, from the ERIC

     database.

Hagen, C. & Malkmus, D. Intervention strategies for langauage disorders

    secondary to head trauma.  American Speech-Language-Hearing

    Association, Short courses, Atlanta, 1979.

Mackey, L. E., Chapman, P. E., & Morgan, A. S. (1997). Maximizing brain

     injury recovery: Integrating critical care and early intervention.

    Gatithersburg, MD: Aspen.

Ohio State University, Medical Center. (2005). Traumatic Brain Injury.

    Retrieved October 20, 2005, from

  http://medicalcenter.osu.edu/patientcare/healthinformation/diseasesandconditions/rehabilitation/brain/

Proctor, A., Wilson, B., Sanchex, C., & Wesley, E. (2000). Executive function

     and verbal working memory in adolescents with closed head injury. Brain

     Injury, 14 (7), 633-647. Retrieved October 5, 2005, from the ERIC database.

Posted by miller255 at 04:23 PM | Add a Comment

October 30th, 2005

Powerpoint (Genre 6)

Click on the link below to view a Powerpoint presention that has information about cognitve, behavioral, and language and communication issues that can occur when a young adult sustains a closed head injury.  The Powerpoint also explains therapy methods that a speech-language pathologist can use to help improve the issues listed above.

http://mupfc.marshall.edu/~miller255/Powerpoint_files/frame.htm

Posted by miller255 at 10:47 PM | 2 comments

October 22nd, 2005

Pamphlet (genre 5)

Closed Head Injuries (CHI)


A Few Basic Facts about Brain Injuries:
There are two different types of brain injuries, closed head injuries and penetrating/open head injuries.  When a closed head injury occurs the skull remains intact, but during an open head injury the skull becomes fractured.  More information about closed head injuries will be found throughout this pamphlet.
  
Several Statistics about Brain Injuries:                                                  

In the United States every year there is an estimated:   

  • 1.4 million brain injuries that are sustained,      
  • 235,000 people are hospitalized and survive while around 50,000 die, and  
  • 80,000 to 90,000 people will have long-term or lifelong disability. 
There are also over 5 million people are living with a TBI-related disability in the United States today.        
                (Center for Disease Control and Prevention, 2004)

What are the Main Causes of Brain Injuries?  
  • Motor Vehicle Accidents (number one) 
  • Accidental Falls
  • Assault
  • Sports Related

What are the Two Types of Closed Head Injuries?

Non-acceleration
The first type is a non-acceleration injury.  This type of brain injury occurs when a moving object hits a fixed head.  For this type of head injury to take place the head has to be fixed up against something, for example a wall or the floor. 

Acceleration/Deceleration
The second type of closed head injury is acceleration/ deceleration.  It occurs when a moveable object hits a moveable head, when a moveable head hits a stationary object, or when violent shaking occurs.  There are two subtypes of an acceleration/deceleration injury.  These include linear velocity and angular acceleration.  Linear velocity takes place when the brain moves in a straight line, and angular acceleration occurs when the brain rotates and twists on an angle.                             

What Parts of the Brain are at a Greater Risk when a Closed Head Injury is Sustained?

Anterior Temporal Lobe, Orbital Frontal Lobe, and Prefrontal Lobe are at a greater risk.

These three areas are at a higher risk because the inside of the skull is jagged around these locations.  Therefore, when a head injury is sustained, contusions, lacerations, and fractures can occur to these parts of the brain.  

What Types of Deficits can Occur after a Closed Head Injury is Sustained?     

  •     Memory     
  •     Behavioral
  •     Emotional 
  •     Social 
  •     Attention
  •     Cognitive
  •     Communication and Language
  •     Functional 
                    (Ohio State University Medical Center, 2005)

Skilled Professionals who are Might be a Part of the Recovery Process:     

  • Neurologist 
  • Speech Language Pathologist
  • Physical Therapist
  • Occupational Therapist
  • Psychologist/Psychiatrist
  • Rehabilitation Nurse
  • Social Worker
  • Recreation Therapist
                      (Ohio State University Medical Center, 2005)

References:

Center for Disease Control and Prevention. (2004). Traumatic Brain Inury (TBI): Incidence and Distribution. Retrieved Octorber 20, 2005, from http://www.cdc.gov/node.do/id/0900f3ec8000dbdc/aspectId/AS_A0400020

Ohio State University, Medical Center. (2005).Traumatic Brain Injury. Retrieved October 20, 2005, from http://medicalcenter.osu.edu/patientcare/healthinformation/diseasesandconditions/rehabilitation/brain/
  

Posted by miller255 at 02:21 AM | 2 comments
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