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Concussion Management

Returning to School

Symptomatic students may require active supports and accommodations in school, which may be gradually decreased as their functioning improves. Inform the student's teacher(s), the school nurse, psychologist/counselor, and administrator of the student's injury, symptoms, and cognitive deficits. Students with temporary yet prolonged symptoms (i.e. longer than several weeks) or permanent disability may benefit from referral for special accommodations and services, such as those provided under a Section 504 Plan.

School personnel should be advised to monitor the student for the following signs:

  • Increased problems paying attention/concentrating
  • Increased problems remembering/learning new information
  • Longer time required to complete tasks
  • Increase in symptoms (e.g., headache, fatigue) during schoolwork
  • Greater irritability, less tolerance for stressors

Until a full recovery from concussion is achieved, students may need the following supports:

  • Time off from school
  • Shortened day
  • Shortened classes (i.e., rest breaks during classes)
  • Allowances for extended time to complete coursework/assignments and tests
  • Reduced homework/class work load
  • No significant classroom or standardized testing at this time
  • Rest breaks during the day

Physicians and school personnel should monitor the student's symptoms with cognitive exertion (mental effort such as concentration, studying) to evaluate the need and length of time supports should be provided.


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