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Documentation v1.0

TBI Recovery
Operating System

Medical-grade stabilization system. Not a habit tracker. Not a wellness app. Enforced rest, external regulation, and escalation when self-advocacy fails.

5
System States
3
Escalation Tiers
0
Gamification

Core Principles

These truths override all other design decisions. They're non-negotiable.

Energy Is Finite

Cognitive capacity doesn't refill daily. Debt accumulates across days, not hours.

Crashes Are Delayed

Overexertion today causes meltdown 1-3 days later. You can't feel the damage in real-time.

📊

Self-Assessment Fails

Calendar predicts crashes better than "I feel fine." Trust data over sensation.

🎯

No Willpower Required

Executive dysfunction blocks initiation, not intent. System cannot require motivation.

😴

Sleep Rebound = Recovery

Oversleeping after crashes is expected, not failure. It's the brain healing.

🔇

Nonverbal Is Neurological

Not psychological, not controllable. System must work without requiring speech.

🤝

External Regulation Required

Replacing the service dog's regulatory role with technology and trusted people.

📡

Misses Are Signals

Not failures. Missed prompts mean capacity is low. System adapts, never punishes.

System States

Five distinct states determine prompts, escalation, and support behavior.

🔵
Baseline
🟡
Yellow
🔇
Mute
🔴
Red
💙
Recovery
🔵Baseline

Stable capacity. Rare state given current severity.

3 check-ins per day
🟡Low Capacity

Default state. Reduced cognitive bandwidth.

5-7 micro prompts
🔇Nonverbal

Speech shutdown active. No verbal response expected.

3-5 prompts (no response)
🔴Overload

Meltdown imminent or active. Crisis mode.

Recovery prompts only
💙Recovery

Post-meltdown. Minimum stimulation required.

Minimal prompts

Recovery Timeline

Non-negotiable daily structure. Stability before productivity.

☀️
Morning — Stabilize

Stabilize Before Spending

Prevent early spoon debt. No planning, no decisions until stabilized.

💧 Hydration 🍎 Nutrition 🧘 Posture 📵 No scrolling
🌤️
Midday — Contain

Contain Damage

Avoid crossing meltdown threshold. Mandatory rest block is non-negotiable.

😴 Rest block 💧 Hydration 🍽️ Food check
🌅
Afternoon — Prevent

Crash Prevention Window

Historically the most dangerous period. No "just one more thing."

🧘 Posture reset ⏸️ Micro-breaks
🌙
Evening — Downshift

Stop Borrowing From Tomorrow

Sensory downshift. Collapse at bedtime means protocol failed earlier.

🔅 Dim lights 🔇 Reduce sound 🛏️ Wind down

App Design

Single screen. 5 giant buttons. No navigation, no scrolling, no reading required.

🟡 Low Capacity
Last update: 5 min ago
OK
LOW
🔇MUTE
OVERLOAD
🆘HELP

Owner View

🟡 Low Capacity
Reason: Missed 2 prompts
Support Instructions
  • Lower lights, reduce noise
  • Offer water
  • Yes/no questions only
  • Allow quiet recovery

Caregiver View

Escalation Flow

Push-first architecture. SMS/calls only as fallback.

1

Alexa Prompt

Audio check-in via Echo

Free
2

Push to C

"I'm on it" or "Can't"

Free
3

Push to D

If C can't respond

Free
4

SMS / Call

If no ack or HELP

Build Plan

Mockups must be approved before any code is written.

0

Mockup & Approval

Create visual mockups of all screens. Get explicit approval. No code until approved.

Approval Required
1

Foundation

Laravel project, database schema, migrations, state machine.

Code Phase
2

API Layer

Endpoints for state, check-ins, protocol, caregiver access.

Code Phase
3

Frontend

Vue single-screen with 5 buttons, caregiver view.

Code Phase
4

Scheduler

Job scheduler, missed detection, auto-transitions.

Code Phase
5

Calendar

Google Calendar sync, load score, event buffers.

Code Phase
6

Escalation

Push notifications, Twilio SMS/call, acknowledgment flow.

Code Phase
7

Alexa

Audio prompt delivery via Echo devices.

Code Phase

What This System Must NOT Do

These anti-patterns are explicitly forbidden. They cause harm.

Gamification or badges
Streaks or chains
Productivity metrics
Complex dashboards
Multiple screens
Text-heavy UI
Green color scheme
Motivation features
Compliance scoring
Caregiver "nag" button
Assuming consistency
Punishing misses

Activity Energy Costs

Using Spoon Theory to understand and manage cognitive load.

Understanding the Ratings

Every activity has multiple dimensions of cost. After TBI, the brain works much harder to handle anything that deviates from routine.

Cognitive (1-10)

  • Mental effort
  • Concentration
  • Decision-making

Physical (1-10)

  • Body exertion
  • Balance
  • Stamina

Sensory (1-10)

  • Noise levels
  • Light intensity
  • Visual stimulation

Unpredictability (1-10)

  • Routine deviation
  • Real-time adaptation
  • Unexpected changes
1 🥄
Very Low

Activities

Taking medicationBrushing teethDrinking waterCalm music
Recovery
None - 5 min
2-3 🥄
Low

Activities

Getting dressedMaking bedFeeding petsFamiliar TVShowering
Recovery
5-20 min
4-5 🥄
Moderate

Activities

Doing dishesSimple mealVacuumingReading 15 minEmails
Recovery
20-45 min
6-7 🥄
Mod-High

Activities

Grocery (small)Full mealMedical apptDriving
Recovery
1-2 hours
8-9 🥄
High

Activities

Bathing dogsLarge groceryHosting visitorsDeep cleaning
Recovery
2-4 hours
10+ 🥄
Very High

Activities

Long driveLarge eventAirportCrisis
Recovery
Rest of day - 3 days

⚠️ Things That Cost Extra

New or unfamiliar+1-2
Noisy/crowded+1-2
Time pressure+1-2
Multitasking+2-3
Poor sleep+1-3 per task

✨ Activities That Restore

Dark, quiet roomVery High
Power napVery High
Sitting in natureHigh
MeditationHigh
Cuddling petsMedium

Recovery Takes Longer

A 30-minute task might need 2-3 hours of recovery. This is normal.

Pushing Through = Worse

"Borrowing spoons" usually means 1-3 days of recovery instead of hours.

Real Rest Only

Scrolling your phone doesn't count. Your brain needs actual downtime.

One Thing At A Time

Multitasking drains energy much faster. Sequential, not parallel.