TABLE 4

Signs and Symptoms of a Concussion and the Strategies to Help in the School Setting

Sign/SymptomPotential Adjustments in School Setting
HeadacheFrequent breaks
Identifying aggravators and reducing exposure to them
Rests, planned or as needed, in nurses office or quiet area
DizzinessAllow student to put head down if symptoms worsen
Give student early dismissal from class and extra time to get from class to class to avoid crowded hallways
Visual symptoms: light sensitivity, double vision, blurry visionReduce exposure to computers, smart boards, videos
Reduce brightness on the screens
Allow the student to wear a hat or sunglasses in school
Consider use of audiotapes of books
Turn off fluorescent lights as needed
Seat student closer to the center of classroom activities (blurry vision)
Cover 1 eye with patch/tape 1 lens if glasses are worn (double vision)
Noise sensitivityAllow the student to have lunch in quiet area with a classmate
Limit or avoid band, choir, or shop classes
Avoid noisy gyms and organized sports practices/games
Consideration of the use of earplugs
Give student early dismissal from class and extra time to get from class to class to avoid crowded hallways during pass time
Difficulty concentrating or rememberingAvoid testing or completion of major projects during recovery when possible
Provide extra time to complete nonstandardized tests
Postpone standardized testing (may require that 504 plan is in place)
Consider 1 test per day during exam periods
Consider the use of preprinted notes, notetaker, scribe, or reader for oral test taking
Sleep disturbancesAllow for late start or shortened school day to catch up on sleep
Allow rest breaks