11.5 Evidence-Based Practice: TBI Treatment

Question 1

SLP scope of practice

Answer 1

tx of cognitive processes as they relate to communicative behavior and language

Question 2

standard assessments have different goals and tools depending on

Answer 2

stage of rehbailitation

Question 3

clinicians must

Answer 3

clarify need of assessment and choose appropriate tools (show there is change in function level)
use caution with standardized tests with TBI
standardized tests should not be in isolation
consider premorbid factors
integrate other health professional assessments

Question 4

non standardized assessments are important to

Answer 4

address areas without std assessment
reduce structure to give more real life context
discourse analysis
need for hypothesis-driven collaborative and context sensitive assessments when planning tx

Question 5

discourse analysis may include

Answer 5

monologues

conversation

Question 6

interventions

Answer 6

attention training
external memory aids
instructing people with acquired memory impairments

Question 7

attention training

Answer 7

stimulus driven approaches
best tx gains with generalization: 
approaches that use individualized attn exercises
1 hour tx sessions
various outcome measure
activity based measures
self report data

Question 8

external memory aids

Answer 8

compensation for memory impairment
lower processing demands
can be used appropriately

Question 9

internal memory aids

Answer 9

not affective for people with moderate or severe; affective for mild

Question 10

instructing people with memory impairments

Answer 10

provide sufficient and distributed practice
vary stimuli
appropriate to individuals daily life

Question 11

executive function tx targets

Answer 11

1. self awareness, self monitoring, self regulation
   - strategy training (more generalization)
   - increase awareness and educate individual on injury
2. problem solving and planing can be targeted
   - self regulating techniques for problem solving in personally relevant situations
   - metacognitive strategies have been supported empirically

Question 12

behavioral intervention

Answer 12

traditional contingency management

positive behavior interventions

Question 13

don’t forget

Answer 13

involve and educate family members and caregivers
provide education of nature of TBI
provide support