Brain Injury Resource Center of Wisconsin
- BIRCofWI Resource and Reference Library (Database)
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Checklist for Gauging Independence after a Brain Injury
Physical Changes:
| Does the Person have… | Always | Mostly | Some | Never | |||
| headaches | |||||||
| fatigue | |||||||
| seizures | |||||||
| sleep disorder | |||||||
| paralysis | |||||||
| one-sided weakness | |||||||
| awkwardness or clumsiness | |||||||
| change/loss of taste and smell |
Vision and Hearing
| Is the person… | Always | Usually | Some | Never | ||||
| sensitive to noise | ||||||||
| bothered by bright lights | ||||||||
| affected by dizziness | ||||||||
| able to hear on the right side | ||||||||
| able to hear on the left side | ||||||||
| have ringing in the ear | ||||||||
| able to judge distance | ||||||||
| able to judge the height | ||||||||
| able to see objects on the left side | ||||||||
| able to see objects on the right side | ||||||||