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TABLE 4

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

Sign/SymptomPotential Adjustments in School Setting
Headache Frequent breaks 
 Identifying aggravators and reducing exposure to them 
 Rests, planned or as needed, in nurses office or quiet area 
Dizziness Allow 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 vision Reduce 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 sensitivity Allow 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 remembering Avoid 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 disturbances Allow for late start or shortened school day to catch up on sleep 
 Allow rest breaks 
Sign/SymptomPotential Adjustments in School Setting
Headache Frequent breaks 
 Identifying aggravators and reducing exposure to them 
 Rests, planned or as needed, in nurses office or quiet area 
Dizziness Allow 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 vision Reduce 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 sensitivity Allow 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 remembering Avoid 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 disturbances Allow for late start or shortened school day to catch up on sleep 
 Allow rest breaks 
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