It’s one thing to understand that the brain injury is causing the behavior, it’s another to know what to do about it. This tip card describes “rules of engagement” or guidelines for interacting with survivors of brain injury who have cognitive and behavioral challenges. Strategies for positive interactions include using short phrases, taking turns talking, avoiding repeated disagreements, explaining actions in advance, redirecting attention and mood, and “sandwiching” negative feedback.
How instructions and requests are given contributes to refusals to participate in therapy, take medications, or join activities. Tips for optimal ways of presenting requests will help increase the survivor’s participation in meaningful activities.
A final section addresses difficulty with initiative and motivation. This section for caregivers gives strategies that can be used at home and are easy to follow in a daily routine.