What should be included in discharge planning and family education after traumatic brain injury?

• A. Home safety and follow-up care only
• B. Home safety, cognitive strategies, daily living supports, school/work reintegration, driving restrictions, follow-up care, and access to resources
• C. Medication reconciliation only
• D. Discharge to skilled nursing facility without planning

Answer: (B)

Discharge planning after traumatic brain injury should be a comprehensive, coordinated plan that prepares the patient for safe return home and ongoing rehabilitation in the community. It must address safety at home to prevent accidents, strategies to cope with cognitive changes (memory, attention, problem-solving), and practical supports for daily living. Planning also needs to include how the patient will reintegrate into school or work, with accommodations and clear communication with educators or employers. Driving restrictions may be necessary until the person is fully evaluated and cleared, and a clear follow-up schedule with rehab, primary care, and specialists ensures continuity of care. Access to resources—financial help, transportation, social work, and education materials for families—helps sustain recovery and reduce readmission risk. This broad, multi-faceted approach is essential because TBI affects physical, cognitive, and emotional function, and successful recovery hinges on preparation, coordination, and ongoing support.

Shortcomings of narrower options include missing cognitive strategies, daily living supports, and reintegration planning; focusing only on medication reconciliation omits rehabilitation and safety education; and sending someone home to a skilled nursing facility without planning neglects family education and community reintegration.