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UPPER PERSIMMON HIGH SCHOOL Concussion Management and Return to Play Protocol Recognizing that sport related concussions pose a significant health risk for student athletes, the Upper Persimmon School
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How to fill out concussion management and return

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How to fill out concussion management and return:

01
Obtain the necessary forms: Begin by obtaining the concussion management and return forms from your healthcare provider or the appropriate sports organization. These forms are typically required for individuals who have suffered a concussion and need to undergo a specific protocol for their safe return to activity.
02
Provide personal information: The forms will generally require you to provide personal information such as your name, date of birth, contact details, and any relevant medical history. This information allows healthcare professionals to accurately assess your condition and monitor your progress.
03
Describe the injury: In this section, you will need to provide a detailed account of the concussion incident, including the date and time of the injury, the circumstances surrounding it, and any symptoms experienced. It is crucial to be as precise as possible to help healthcare providers understand the severity of the concussion.
04
List medical treatments and medications: If you received any medical treatments following the concussion, such as emergency care or visits to healthcare professionals, include them on the form. Additionally, document any medications you have been prescribed or are currently taking as part of your concussion management.
05
Document symptoms and progress: Keep track of your symptoms throughout the recovery process, and update the form accordingly. Symptoms may include headaches, dizziness, fatigue, memory problems, or difficulty concentrating. Recording your progress is essential for healthcare providers to assess your improvement and adjust your treatment plan accordingly.
06
Follow return-to-play guidelines: Concussion management forms often include a section outlining the step-by-step process for returning to physical activity. It is vital to adhere to these guidelines to ensure a safe and gradual return to sports or other strenuous activities. This may involve progressing through stages that test your tolerance to exercise and gradually increasing the intensity over time.

Who needs concussion management and return:

01
Athletes: Concussion management and return forms are primarily designed for athletes participating in sports or recreational activities. Athletes who experience a concussion need to follow a specific protocol to ensure they are fully recovered before returning to their respective sports, reducing the risk of exacerbating the injury or suffering long-term consequences.
02
Students: Concussions can also occur among students who engage in physical activities at school, such as during physical education classes or recess. In these cases, concussion management and return forms may be required to ensure the student can safely resume their activities at school.
03
Anyone who has suffered a head injury: Even if you are not an athlete or a student, if you have experienced a head injury resulting in a concussion, you may need to go through a concussion management and return process. This is essential for proper evaluation, treatment, and monitoring of symptoms to ensure a safe recovery. Consulting with a healthcare professional is recommended in these situations.
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Concussion management and return refers to the process of effectively managing and monitoring an individual's recovery from a concussion, and ensuring their safe return to activities.
Concussion management and return must be filed by healthcare professionals, coaches, and school officials who are involved in the care and monitoring of individuals with concussions.
Concussion management and return forms can be filled out by providing detailed information about the individual's concussion symptoms, treatment, and progress towards recovery.
The purpose of concussion management and return is to ensure the safety and well-being of individuals with concussions, and to facilitate their safe return to activities.
Information such as the date of concussion, symptoms experienced, treatment received, and clearance for return to activities must be reported on concussion management and return forms.
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