11.3 Rehabilitation for TBI

Question 1

prognosis are related to ______ factors

Answer 1

various

Question 2

depth of lesion in MRI/CT imaging in the first few weeks =

Answer 2

poorer outcome

Question 3

lower GCS scales =

Answer 3

poorer outcomes

Question 4

duration of coma affects on prognosis

Answer 4

less than 2 weeks = unlikely severe disability

more than 4 weeks = unlikely of mild disability

Question 5

duration of post-traumatic amnesia

Answer 5

longer duration = poorer outcoming

Question 6

older adults vs. younger

Answer 6

older = poorer outcome

Question 7

for penetrating injury: bilateral or transventricular injury =

Answer 7

poorer outcomes

Question 8

the cause of TBI does/does not predict outcome

Answer 8

does not

Question 9

when starting rehab, the more dependent patients will … than less dependent patients

Answer 9

make more progress at discharge
remain more dependent at discharge
slower recovery rate
if TBI is due to blast may have complications

Question 10

policy consideration

Answer 10

TBI is very common and requires a lot of resources and factors that say whether or not individual is appropriate for therapy

Question 11

individual considerations

Answer 11

educational disruptions - special education provision
social disruptions - family, peer group support
vocational disruptions - job training
disrupting emerging independence

Question 12

TBI peoples have common underlying conditions predisposing them to injury, such as

Answer 12

substance abuse
learning disabilities
behavioral or psychiatric disorder

Question 13

TBI can result in combination of impaired …

Answer 13

cognitive, behavioral, and emotional functioning

Question 14

those with less severe motor/sensory impairments may not be considered candidates for

Answer 14

traditional rehab

Question 15

types of service settings

Answer 15

emergency medical centers
acute care/acute care hospitals
then discharged to
- subacute care/subacute rehabilitional
- inpatient rehabilitation (hospital)
- home w/ treatment recommendations through outpatient centers, day treatment programs, home programs

Question 16

end goal

Answer 16

improving a persons communication reintegration

Question 17

goals should be influenced by

Answer 17

what would facilitate a pt’s return to home/independence

Question 18

what can help a patient return to their previous conditions

Answer 18

vocational rehabilitation services may help
TBI education services
organized and managed via case managers and other health professionals