17 JULY : TBI

Question 1

concussion:

Answer 1

blow to the head resulting in loss of consciousness and / or amnesia of events surrounding the injury

Question 2

grade 1 concussion

Answer 2

mild concussion - when person does not lose consciousness - may seem dazed

Question 3

grade 2 concussion

Answer 3

person doesn’t lose consciousness but has a period of confusion and does not recall events

Question 4

grade 3

Answer 4

when person loses consciousness / no memory of event

Question 5

which level of concussion do you lose consciousness

Answer 5

grade 3

Question 6

hematoma def;

Answer 6

blood leak collects in confined area of the brain or skull

Question 7

how many layers do you have in the skull/ brain

Answer 7

four

Question 8

name the four layers of the brain / skull

Answer 8

subdural
epidural
intracerebral
sbarachnoid

Question 9

two most common layers of brain/ skull

Answer 9

intracerebral = inside the skull 
subdural = right under the dural

Question 10

anoxia/ hypoxia:

Answer 10

cell death resulting from brain cells receiving no oxygen or lack of oxygen

Question 11

diffuse axonal injury:

Answer 11

occurs from rotational / torsional twisting of the brain

Question 12

locked-in syndrome:

Answer 12

a person is conscious but can only communicate with eye movements

Question 13

what would you set up for locked-in sydnrome?

Answer 13

computer technology to communicate

Question 14

what is a diffuse axonal injury NOT :

Answer 14

LOCALIZED

Question 15

coup

Answer 15

injury at the site of impact

Question 16

coup/ contrecoup

Answer 16

impact caused from the opposite side of the brain

Question 17

can a person can hear you in a veggie/ locked in state?

Answer 17

YES

Question 18

list like four problems with a TBI:

Answer 18

unilateral neglect
skin breakdown
positioning/ orthotics
communication issues

Question 19

coma

Answer 19

on arousal / awareness
no interaction with the environment
no sleep wake cycle

Question 20

vegetative state:

Answer 20

sleep wake cycles yes

no interaction with ext. environment

Question 21

stage 1 of coma

Answer 21

no response

Question 22

stage 2 of coma

Answer 22

decorticate rigidity / extensor positioning

Question 23

stage 3 of coma

Answer 23

pt decerebrate / flexor positioning

Question 24

stage 4 of coma

Answer 24

massive withdrawal from stimulus and j

non purposeful movement of limbs

Question 25

stage 5 of coma

Answer 25

localize to stimulus

Question 26

stage 6 of coma

Answer 26

responds appropriately to stimulus?

Question 27

how many stages of coma progression are there?

Answer 27

6

Question 28

what would you evaluate with TBI/ COMA

Answer 28

state of consciousness 
quality of reflexes 
sensory awareness 
PROM /muscle tone 
cognition 
feeding / ADLs

Question 29

glasgow coma scales levels

Answer 29

severe = less than 8 
moderate = 9-12 
mild = 13

Question 30

primary goal

Answer 30

restore optimum level of function through therapeutic intervention

Question 31

most helpful method of therapy for new learning:

Answer 31

repetition of the same task: do it the exact same way

Question 32

as a pt becomes more engage the therapist

Answer 32

becomes less engage - lets the pt do more

Question 33

therapist role is dictated by

Answer 33

patient’s abilities

Question 34

rancho level 1

Answer 34

no response

Question 35

rancho level 2

Answer 35

generalized response

Question 36

rancho level 3

Answer 36

localized response

Question 37

rancho level 4

Answer 37

confused agitated

Question 38

rancho level 5

Answer 38

confused inappropriate

Question 39

rancho level 6

Answer 39

confused appropriate