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ECU Cognitive/Linguistic Impairment in Brain-Injured Adults > 2.6 - TBI - Intro to Cognitive- Communicative TBI Assessment > Flashcards

2.6 - TBI - Intro to Cognitive- Communicative TBI Assessment Flashcards

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1
Q

Communication Disorders in TBI encompass difficulty with any aspect of________ that experiences ____________, specifically _______ abilities, _______ abilities, and _______.

A

Communication

Disruption of cognition

Receptive

Expressive

Pragmatics

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2
Q

What are 5 COMMUNICATION difficulties the can be experienced by those with TBI?

A

Listening

Speaking

Gesturing

Reading

Writing

(Can be both verbal + non-verbal)

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3
Q

What are 5 COGNITIVE difficulties the can be experienced by those with TBI?

A

Attention

Perception

Memory

Organization

Executive function

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4
Q

What do SLPs need to know about the cognitive aspects of communication?

(4)

A

Normal + abnormal development

Brain-behavior relationships

Pathophysiology

Neuropsychological processes

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5
Q

What is the road of SLPS in TBI?

10

A

Identification

Assessment

Intervention

Counseling

Collaboration

Case Management

Education

Prevention

Advocacy

Research

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6
Q

What other fields do SLPs collaborate with when treating TBI patients?

A

PT

OT

TR

Nursing

Medicine

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7
Q

What 5 things should assessment in TBI be?

A

Dynamic

Contain both standardized and non-standardized measures

Ongoing

Contextualized

Collaborative

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8
Q

What are 5 generalized principles for treating TBI patients?

A

Review medical information carefully

Identify appropriate test environment

Schedule eval to maximize patient performance

Provide atmosphere of support and understanding

Select tests appropriate for the patient

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9
Q

What are 5 cognitive + communication problems that can result from a TBI?

A

Difficulty concentrating for varying periods of time.

Difficulty trouble organizing thoughts.

Become easily confused or forgetful.

STM problems.

Difficulty solving problems, making decisions, and planning

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10
Q

What can cause cognitive + communication problems resulting from a TBI to vary?

(3)

A

individual personality

Pre-injury abilities

Severity of brain damage

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11
Q

What five factors should we assess in patients with TBI?

A

Severity of injury

Current level of cognitive functioning

Physical injuries

Emotional state

Other

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12
Q

What are 4 types of responses to stimulation?

A

Auditory

Visual

Tactile

Olfactory

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13
Q

What types of Emotional + Motivational Disturbances can be associated with a TBI?

(14)

A

Irritability

Agitation

Restlessness

Inappropriate social response

Anxiety

Paranoia

Tires easily

Belligerence

Anger

Spontaneity

Depressed

Impulsiveness

Rapid mood changes

Loss of drive or initiative

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14
Q

What Cognitive Domains should be assessed in TBI patients?

7

A

Alertness/Attention

Perception

Orientation

Memory

Organization

Reasoning

Problem Solving and Judgement

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15
Q

What are 2 types of Alertness?

A

Tonic

Phasic

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16
Q

What is Tonic Alertness?

What is it important for?

A

Intrinsic arousal that fluctuates on the order of minutes to hours

Important to sustaining attention and functions such as working memory and executive control

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17
Q

What is Phasic Alertness?

What is it the basis for?

A

Rapid change in attention due to a brief event

Basis for operations such as orienting and selective attention

18
Q

What are the 4 types of attention?

A

Sustained

Selective

Divided

Alternating

19
Q

What is Concentration?

A

Combining both alertness and attention

20
Q

When is Profound Disorientation evident in TBI patients?

A

The early phases of recovery

21
Q

When are non-standardized measures frequently used to assess Orientation in TBI patients?

A

Early phase recovery

22
Q

What 4 types of Non-Standardized Orientation Measures do we assess in TBI patients?

A

Person

Place

Time

Situtation

23
Q

What is the limit of standardized measures in assessing orientation in TBI patients?

A

They may only include orientation sections

24
Q

What are 2 standardized orientation measures?

A

Galveston Orientation and Amnesia Test

Mini Mental State Examination (MMSE)

25
Q

What are the 6 types of memory?

A

Retrospective

Prospective

Declarative

Procedural

Episodic

Semantic

26
Q

What is Retrospective Memory used for?

2

A

Past events + experiences

Information previously acquired

27
Q

What is Prospective used for?

2

A

Remembering to do things at certain times

“Remembering to remember”

28
Q

What is Declarative Memory?

A

What we know about things

29
Q

What is Procedural Memory?

A

What we know about how to do things

30
Q

What is Episodic Memory?

A

Memory for personally experienced events

31
Q

What is Semantic Memory?

A

Our organized knowledge of the world

32
Q

What are the 2 parts to Retrospective Memory?

A

Declarative memory

Procedural memory

33
Q

What are the two parts to Declarative Memory?

A

Episodic memory

Semantic memory

34
Q

What is another name for Pre-Traumatic Memory Loss

A

Retrograde amnesia

35
Q

What is Pre-Traumatic Memory Loss?

A

Inability to remember events that occurred before the

incidence of trauma or the onset of the disease that caused the amnesia

36
Q

What is another name for Post-Traumatic Memory Loss?

A

Anterograde amnesia

37
Q

What is Post-Traumatic Memory Loss?

A

Inability to remember ongoing events after the incidence of trauma or the onset of the disease that caused the amnesia

38
Q

What is Reasoning?

3

A

Capacity for logical thinking

Appreciation of relationships

Practical judgment

39
Q

What is Abstract Thinking?

A

Ability to think in useful generalizations, at the level of ideas, or about persons, situations, events not immediately present

40
Q

What are 7 examples of Abstract Thinking?

A

Proverb interpretation

Similarities and differences

Categorization and sorting tasks

Thinking ahead

Understanding future consequences of present actions

Considering alternatives

Making choices

ECU Cognitive/Linguistic Impairment in Brain-Injured Adults (23 decks)

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