What is Brain Injury

Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can resu...

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Advice:
Is there anything I can do for daughter
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I've asked advice about daughter being hit by a car on May 7. She was in a skilled nursing home and was discharged early as she wasn't listening to the rules. She has been drinking since she got out and has left home for days at a time. She is 43 and recently I tried to put in hospital because she was so drunk and out of control. No family member will take her in and frankly I don't want her either. Her Dr. sent a registered letter and said she will no longer be her dr. Please does anyone have any advice? She is supposed to have in home p.t. etc. and she is never here when they want to come.
Posted on 08/31/09, 12:08 pm
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Reply #1 - 08/31/09  6:02pm
" It sounds a lot like what happened to my partner's cousin. After her TBI no one could have her around due to her angry outbursts and drinking, facilities wouldn't keep her, doctors didn't want her..... after contacting the right people for her to become a ward of the state she is at least in a safe living environment. If she is TBI the first line of contact might be the Department of Mental Health for your state. It generally covers a lot of things, including TBI and substance abuse. Hope this is at least somewhat helpful. The biggest thing to remember, I think ,is that she does need and deserve a safe living environment where she can receive all the help she needs to return to as normal and productive a life as her potential allows, if this can not be achieved within the family then you must look outside the family for help. Kat "
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Reply #2 - 08/31/09  6:33pm
" As Katzanurse said, try to find her a neuropsych inpatient treatment option, a place that could address her drinking, plus her brain injury. "
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Reply #3 - 08/31/09  8:52pm
" Ouch! That's rough when family is giving up on her. I didn't know a doctor could refuse to treat someone anymore. Sounds unethical to me.

Now this sounds cruel~but as a last ditch (bad word there) effort perhaps, checking her into a facility that she cannot check herself out of might be considered.
She could be evaluated ~
Observed ~
Given proper medication ~
Education could be given for her and her family/caretakers
This could be expensive and may exaust yours/her medical insurance.
(It sorta sounds like I worked for a health clinic there didn't it? )

It's worth a shot if your at wits end. It would take a few phone calls and some research.
Please don't give up on her. She's not herself from what you've written. It sounds like a destructive cry for attention and help.
That's just how I see it, it is only how I feel. Please let us know how you and she are doing. peace/kim "
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Reply #4 - 08/31/09  11:12pm
" Well, I would like to say, I don't think her family is giving up on her. I think they just don't have the resources to help her, and asking for that help by having her placed in a facility that can better help her recovery should not ever be looked down upon. I also think maybe she is being "herself" from the fact of an abusive ex husband that brings her pills, to the fact of her drinking, makes me think that she had problems from before the TBI, my son was an addict before his TBI and fights those addictions still today. He doesn't even realize that drinking had anything to do with the wreck (granted he was in the passanger seat, but he did get in with a drunk driver). I just don't think we should make such harsh accusations as the family giving up on her. I know it is very difficult for family members and especially when the behaviours that were present before the incident continue as the person recovers. We all pray for the best for our loved ones, but sometimes we just don't know how to help them. I will say, if my son stops progressing and gives in to his addictions again.........I would have him placed in an institution where he could get the help he needs. Doesn't mean I don't love him or I have given up on him, means I do love him and will do what ever I have to in order to assure as full of a recovery for him as possible. Fortunatly at this point his dad and I can shuttle him back and forth between our homes where he remains compliant for awhile, when he no longer is, we send him to the other one. But if this no longer works we would have him placed somewhere for his best interests because we DO love him. Sorry this post is so long, but I just really don't want the original poster to think that putting her daughter where she can get the most help is "giving up on her" sometimes that is the ultimate sacrifice of a mothers love. Kat "
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Reply #5 - 08/31/09  11:26pm
" Oh BTW, discharging a patient from services is a very ethical practice. If their needs can not be met because of non-compliance then discharging them is the only alternative. "
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Reply #6 - 09/17/09  9:43am
" Your daughter has a better chance at getting ttreatment for her TBI since she is what they call "Dual Diagnosed" TBI and alcoholic. You need to get both a neuropsychiatist and a psychiatrist to evaluate her (separately) and they could help you get her into if nothing else a Day Hab program, but it sounds like she needs what they call a step-down program; one where she is in a facility (less invasive than an Acute care place).

I wish you luck!
Sheila "

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