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Accommodating Brain Injury Tip Sheet

Acquired brain injury: An injury to the brain that is not hereditary, congenital, degenerative, induced by birth trauma or traumatic brain injury caused by external physical forces to the head. Injuries result in a change in neuronal activity affecting physical integrity, the metabolic activity, or the functional ability of nerve cells in the brain.

Common Challenges

  • Mental Inflexibility
  • Emotions
  • Language
  • Attention
  • Memory
  • Sleep
  • Fatigue
  • Organization
  • Self-awareness
  • Processing
  • Impulsivity
  • Physical/Sensorimotor


Use the acronym "ROWBOATS" when presented with a challenge.

R Reduce amount of information
O One instruction at a time
W Written and verbal when possible
B Breaks are helpful
O Often is better, routines help
A Ask person for paraphrase/repeat
T Take time, go slowly
S Simple and organized info is best