2.6 - TBI - Intro to Cognitive- Communicative TBI Assessment Flashcards
Communication Disorders in TBI encompass difficulty with any aspect of________ that experiences ____________, specifically _______ abilities, _______ abilities, and _______.
Communication
Disruption of cognition
Receptive
Expressive
Pragmatics
What are 5 COMMUNICATION difficulties the can be experienced by those with TBI?
Listening
Speaking
Gesturing
Reading
Writing
(Can be both verbal + non-verbal)
What are 5 COGNITIVE difficulties the can be experienced by those with TBI?
Attention
Perception
Memory
Organization
Executive function
What do SLPs need to know about the cognitive aspects of communication?
(4)
Normal + abnormal development
Brain-behavior relationships
Pathophysiology
Neuropsychological processes
What is the road of SLPS in TBI?
10
Identification
Assessment
Intervention
Counseling
Collaboration
Case Management
Education
Prevention
Advocacy
Research
What other fields do SLPs collaborate with when treating TBI patients?
PT
OT
TR
Nursing
Medicine
What 5 things should assessment in TBI be?
Dynamic
Contain both standardized and non-standardized measures
Ongoing
Contextualized
Collaborative
What are 5 generalized principles for treating TBI patients?
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
What are 5 cognitive + communication problems that can result from a TBI?
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
What can cause cognitive + communication problems resulting from a TBI to vary?
(3)
individual personality
Pre-injury abilities
Severity of brain damage
What five factors should we assess in patients with TBI?
Severity of injury
Current level of cognitive functioning
Physical injuries
Emotional state
Other
What are 4 types of responses to stimulation?
Auditory
Visual
Tactile
Olfactory
What types of Emotional + Motivational Disturbances can be associated with a TBI?
(14)
Irritability
Agitation
Restlessness
Inappropriate social response
Anxiety
Paranoia
Tires easily
Belligerence
Anger
Spontaneity
Depressed
Impulsiveness
Rapid mood changes
Loss of drive or initiative
What Cognitive Domains should be assessed in TBI patients?
7
Alertness/Attention
Perception
Orientation
Memory
Organization
Reasoning
Problem Solving and Judgement
What are 2 types of Alertness?
Tonic
Phasic
What is Tonic Alertness?
What is it important for?
Intrinsic arousal that fluctuates on the order of minutes to hours
Important to sustaining attention and functions such as working memory and executive control
What is Phasic Alertness?
What is it the basis for?
Rapid change in attention due to a brief event
Basis for operations such as orienting and selective attention
What are the 4 types of attention?
Sustained
Selective
Divided
Alternating
What is Concentration?
Combining both alertness and attention
When is Profound Disorientation evident in TBI patients?
The early phases of recovery
When are non-standardized measures frequently used to assess Orientation in TBI patients?
Early phase recovery
What 4 types of Non-Standardized Orientation Measures do we assess in TBI patients?
Person
Place
Time
Situtation
What is the limit of standardized measures in assessing orientation in TBI patients?
They may only include orientation sections
What are 2 standardized orientation measures?
Galveston Orientation and Amnesia Test
Mini Mental State Examination (MMSE)
What are the 6 types of memory?
Retrospective
Prospective
Declarative
Procedural
Episodic
Semantic
What is Retrospective Memory used for?
2
Past events + experiences
Information previously acquired
What is Prospective used for?
2
Remembering to do things at certain times
“Remembering to remember”
What is Declarative Memory?
What we know about things
What is Procedural Memory?
What we know about how to do things
What is Episodic Memory?
Memory for personally experienced events
What is Semantic Memory?
Our organized knowledge of the world
What are the 2 parts to Retrospective Memory?
Declarative memory
Procedural memory
What are the two parts to Declarative Memory?
Episodic memory
Semantic memory
What is another name for Pre-Traumatic Memory Loss
Retrograde amnesia
What is Pre-Traumatic Memory Loss?
Inability to remember events that occurred before the
incidence of trauma or the onset of the disease that caused the amnesia
What is another name for Post-Traumatic Memory Loss?
Anterograde amnesia
What is Post-Traumatic Memory Loss?
Inability to remember ongoing events after the incidence of trauma or the onset of the disease that caused the amnesia
What is Reasoning?
3
Capacity for logical thinking
Appreciation of relationships
Practical judgment
What is Abstract Thinking?
Ability to think in useful generalizations, at the level of ideas, or about persons, situations, events not immediately present
What are 7 examples of Abstract Thinking?
Proverb interpretation
Similarities and differences
Categorization and sorting tasks
Thinking ahead
Understanding future consequences of present actions
Considering alternatives
Making choices
