Cassandra (riotguns) wrote in little_details,
Cassandra
riotguns
little_details

TBI: gunshot wound to the head + caretaking process and symptoms

Time: Present-day
Age: 25
Gender: Male
Location: Northeast US

I'm writing something where a character has been a victim of a gunshot wound to the head and is suffering from a Traumatic Brain Injury.

I have used Google and Wikipedia and have found out the basic way of categorizing TBIs, such as the Glasgow scores. I've read this article by Jim Macdonald, and have found other basic information about the textbook definitions of TBIs, like the actual medical jargon about the way the brain is affected. I understand that, but I am looking for more.

What I'm looking for primarily is the caretaking process. The character in this piece is dependent on another male, a few years older than he is. How would the patient be taken care of in the first few months? When would the patient be able to do the following independently: 
- bathe
- eat
- walk/other motor skills

This is not a surface wound, so would it be impossible for the TBI to be considered moderate? Or must it be severe? What parts of the brain should I be familiar with to properly explain just what the bullet could have hit to consider this injury moderate? Additionally, would it be ideal for the bullet to remain lodged or pass right through?

Finally, I am also wondering how frequently (if at all) the patient in question would deal with the following issues:
- headaches/migraines
- lack of muscle control in a particular limb or area (not sure if this applies to a gunshot victim)
- memory issues
- aphasia
- alexithymia

Any and all information pertaining to this general subject and the specific questions asked is greatly, greatly appreciated. Thank you!


Tags: ~medicine: injuries: gunshot wounds, ~medicine: injuries: head injuries
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