(2) Behavior Management for TBI

Question 1

treatment of TBI may involve managment of potential behaviors including:

Answer 1

agitation, impulsivity, perseveration, distractibility, disinhibition

Question 2

how is behavior management PT?

Answer 2

Sometimes just being in a different/open environment–that can be therapy! Sometimes you just take a lap and pt manages being in new environment with/without losing it
This is a huge step! Brain is processing so many things at once from the ground up

Question 3

Agitation is characterized by 3 behaviors:

Answer 3

-agression (verbal or physical)
-akathsia (restlessness, need to be in motion)
-disinhibition (disregard for social conventions, poor judgement)

Question 4

tendency to act suddenly and spontaneously without planning or stopping to think of consequences

Answer 4

Impulsivity

Question 5

Perseveration vs distracttion

Answer 5

difficulty switching from one topic task to another “stuck”
re-orient and re-direct as needed

inability to attend or focus
can be internal or external (have to go to the bathroom, something on skin, bandaid)
DONT argue or rationalize

Question 6

unable to restrain oneself according to social norms

Answer 6

disinhibition

describe behavior to pt and why inappropriate, suggest alternatives

Question 7

unable to regulate or delay needs

Answer 7

damanding behavior
–aknowledge and recognize needs and reassure pt your desire to assist, plan goals with pt, adhere to schedule, follow thorugh!

Question 7

unable to regulate or delay needs

Answer 7

damanding behavior
–aknowledge and recognize needs and reassure pt your desire to assist, plan goals with pt, adhere to schedule, follow thorugh!

Question 8

what is the best way to manage agitation

Answer 8

manage your behavior and control environment
think LOW
Low stimulating environment
turn off lights
volume low
speak low

Question 9

Behavior managment for agitation

Answer 9

go SLOW
go with the FLOW
re-direct (its okay for them to walk around and explore environment, but must manage it)
be flexible (allow choices)
STOW (remove objects that cause interference)
SHOW (might not remember what you said but will remember how you said it, show respect, involve them in convos)
CO (co treat!)
KNOW (know their background

Question 10

Someone who should never be left alone requires

Answer 10

direct hand offs
only to family memebers with safety education, designated by a yellow sign on WC

Question 11

purpose of clubhouse

Answer 11

supervision for meals and assistance
supervision and activities who are unable to be safely left alone in room

Question 12

score for berg and FGA rules for walk/wheel program

Answer 12

46 berg, 22 FGA