Observational Checklist for TBI

Domain
Problem Observed
Memory
____ Cannot recall previous day's events
____ Difficulty finding locations/items
____Unable to remember schedule
____Struggles to learn new information
Attention/Concentration
____ Loses track of conversations
____ Constantly repeats self
____ Demonstrates difficulty listening
____ Does not complete assigned tasks
Executive Functioning

____ Becomes confused with changes in daily routine

____ Disorganized, unable to complete simple tasks
____ Cannot give directions to others
____ Difficulty initiating and completing tasks
Self-Awareness

____ Believes they already know material being presented

____ Does not give self ample time to complete tasks
The following reference was used when creating the above information: Keyser-Marcus, L., Briel, L., Sherron-Targett, P., Yasuda, S., Johnson, S., Wehman, P. (2002). Enhancing the Schooling of Students with Traumatic Brain Injury. Teaching Exception Children, March/April, 62-67.
University of Nebraska Lincoln Traumatic Brain Injury Homepage