TEXT SIZEDecrease font size Increase font size

Fatigue

Fatigue

Julie
At first, when Sam wasn’t sleeping much, we were just all so exhausted. I worried about how the fatigue would affect Sam’s healing. He was just so agitated, and he… he didn’t understand what was happening to him. The fatigue was literally etched onto his face.

Tracy
That’s a good point. Yeah fatigue is a common complaint among people with TBI. Just like the body, the brain needs a huge amount of energy for healing after a traumatic injury. And, as we’ve just learned, sleep patterns can be totally disrupted, especially in the first weeks and months after the injury.

For most people, fatigue gradually lessens over time while stamina and endurance improve. And for others, their endurance is just not what it used to be so… so they have to pace themselves more than they did before the injury.

Megan
So when the time comes, will there be anything I can do to help Clay with that?

Tracy
Oh well, sure. You can help him pace himself. You can encourage him to conserve energy for those important tasks of the day, like physical therapy. Setting up a daily schedule can be a huge help. 

Now since regular exercise will increase stamina, his physical therapist will work with you to develop a safe exercise program, based on his abilities of course.

Megan
Yeah it’s just hard to imagine him exercising right now. I just want him to wake up.

Tracy
I know... it just takes time.
 
Julie
Well, Sam had a lot of problems with fatigue. Even before he would say anything, we could tell that he was tired.

Carl
Yeah, he would be so irritable and angry. He’d start to yell, and sometimes his face would even start to droop. His confusion would be so much worse when he was fatigued.

Tracy
How did you handle that?

Carl
Well it helped to make a list of Sam’s signs of fatigue, and when they happened. That way, we could work his schedule around it, like setting important appointments for times when he was the most awake.

Julie
And based on that list, we noticed there were particular times of day when he was most fatigued, so we blocked those times out for rest.

Michelle
That’s a great idea. Now that Tom’s awake more, and he showing more signs of fatigue, I’m gonna start keeping a list.

Visual Spatial Problems

Visual spatial abilities begin in the brain. They include blind spots and/or changes in the brain’s ability to understand what the eyes see.

The ability to perceive where you are in space and in relation to other items in the environment may also be affected by TBI. This is called spatial awareness.

Injury to the right side of the brain in particular can lead to difficulties in these areas.

What you might see:

  • Tendency to ignore things on one side of the body
  • Bumping into things on the affected side
  • Difficulty finding his or her way around, especially in new places
  • Difficulty recognizing shapes and telling the difference between shapes
  • Turning head towards the unaffected side
  • When reading, cutting words in half or beginning to read in the middle of the sentence or page
  • Mistaking the location of a chair when sitting down 
  • Misjudging distance; for example, missing the cup when pouring 
  • Standing too close or too far from others in social situations 
  • Confusion between right and left 
  • Reports of impaired vision

How you can help:

  • Ask for a neuro-ophthalmologist to identify your service member/veteran’s specific visual and/or visual spatial problems.
  • Stand on and place objects on the affected side. Encourage your service member/veteran to look to that side (this is called visual cueing).
  • Remind your service member/veteran to frequently look around the environment, especially toward the affected side (this is called visual scanning).
  • Use visual cues (e.g., a dark line) on one side of a page to encourage visual scanning of the entire page.
  • Arrange your house to make tasks easier. For example, have items to accomplish a task organized in one place.
  • Show your service member/veteran around new places several times. Avoid sending him or her to new places alone.
  • Limit clutter in the house. Try not to move items around.
  • Remind your service member/veteran to use handrails when available.
  • Provide gentle reminders that he or she is standing too close or far away during social encounters.
  • Seek professional advice about whether or not it is safe for your service member/veteran to drive.
Related Information:
Fatigue/Loss of Stamina
Other Physical Effects
Glossary
Frequently Asked Questions
"He really won’t tell me the whole story because I think he doesn’t want to scare me. But, he brought me a piece of metal back home that was embedded in the wall right behind him. He said it missed his head by a few inches. He said that he thanks God every day that he’s still alive, and that’s why he brought the piece of metal home, to show me that that’s how close he had come to dying." -  Lynn C-S.

Video

Close

Adobe Flash Player Required

Get Adobe Flash player