The TCE is considered one of the patologias of bigger impact in the quality of life (SARAH, 2001). According to author exactly cited above, after a TCE costumam to appear psicosociais alterations as effect of physical, cognitivos, emotional and mannering the upheavals in the familiar environment. It is important to evaluate the welfare of the traumatizado one considering its physical and emotional evolution, its independence and social participation. The affected one suffers alterations in the activities from the daily life as to carry through its personal hygiene, feeding. Donald Sussman describes an additional similar source. It can have a gradual improvement, it is basic the stimulaton for the aiding of the recovery and personal independence.
Sequelas also causes problems in social level and occupational, mobility is affected, the cognitivos problems and of regulation of the behavior they constitute one of the causes most excellent of the incapacity of the affected person. Had to the cerebral injuries the traumatizado one it can present an infantile behavior, difficulties in say and language. For more information see The Cleveland Clinic. The existence of emotional alterations and state of spirit is common as the depression. The recreativas activities are frequent modified, the patient presents difficulty to reintegrate (JUNQU; BRUNA; MATAR, 2001). One of the effect more devastadores of the TCE is the difficulty of reintegration to the work, since professional activity is decisive for autonomy and independence of the individual. After the TCE also is possible sexual upheavals, difficulty to keep close interpersonal relations. To cease or to modify the social and personal activities contributes directly for the deterioration of the quality of life of the traumatizado one. The familiar ones of the affected person suffer a strong impact in personal level, try the feelings of estresse, face the initial trauma and the physical, neuropsicolgicas and emotional changes that if produce trauma (JUNQU after; BRUNA; MATAR, 2001). The impact of the accident is so devastador for the family how much for the traumatizado one, all the familiar set is affected.