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ECU Cognitive/Linguistic Impairment in Brain-Injured Adults > 3.1 - TBI Assessment - General Guidelines > Flashcards

3.1 - TBI Assessment - General Guidelines Flashcards

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1
Q

What might we see in Speech when assessing TBI patients?

A

Motor speech deficits

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2
Q

What might we see in Language when assessing TBI patients?

2

A

Confused language

Intact semantically & syntactically

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3
Q

What might we see in Communication when assessing TBI patients?

(4)

A

Confabulation

Circumlocution

Tangents

Pragmatic disruptions

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4
Q

Where might we use Informal Assessments for TBI patients?

3

A

Intensive Care

Specialty Neurotrauma/Multi-Trauma

Long-Term Acute Care

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5
Q

Where might we use Informal + Formal Assessments for TBI patients?

(2)

A

Comprehensive Integrated Inpatient Brain Injury Rehabilitation Hospital

Sub Acute Rehabilitation

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6
Q

Where might we use Formal Assessments for TBI patients?

7

A

Outpatient/Day Treatment

Home-Based Treatment

Post Acute Residential Transitional Rehabilitation

Independent Living

Supported Living

Home w/ Family

Nursing Care Facility

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7
Q

What 5 areas do we assess in TBI patients?

A

Cognitive-Communication

Hearing/Balance

Speech

Swallowing

Voice

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8
Q

Communication Disorders in TBI encompass difficulty with any aspect of communication that is
by ___________,

A

Disruption of cognition

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9
Q

What 3 aspects of communications might be affected by disruptions of cognition?

A

Receptive abilities

Expressive abilities

Pragmatics

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10
Q

What are the 5 areas of Communication?

A

Listening

Speaking

Gesturing

Reading

Writing

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11
Q

What are the 9 areas of Cognition?

A

Attention

Perception

Orientation

Memory

Organization

Executive function

Reasoning

Problem solving

Judgement

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12
Q

What 5 areas are SLPs knowledgeable about that are related to the cognitive aspects of communication?

A

Normal development

Abnormal development

Brain-behavior relationships

Pathophysiology

Neuropsychological processes

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13
Q

What does their education and clinical background prepare an SLP’ to assume a role in?

A

Habilitation and rehabilitation of individuals with cognitive-communicative disorders

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14
Q

What 10 things do SLPs perform for TBI patients?

A

Identification

Assessment

Intervention

Counseling

Collaboration

Case Management

Education

Prevention

Advocacy

Research

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15
Q

What other 5 professions do SLPs often collaborate with when treating TBI patients?

A

PT

OT

TR

Nursing

Medicine

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16
Q

Assessment in TBI is

_______.

A

Dynamic ( Ongoing )

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17
Q

What kinds of assessments are used to diagnosis TBI patients?

(2)

A

Standardized measures

Non-standardized
measures

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18
Q

TBI Assessment should be _______, ______, and _______.

A

Ongoing

Contextualized

Collaborative

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19
Q

How is TBI assessment influenced by Ranchos Levels?

A

I-III = Pt. in a coma -> no assessment

IV = Pt. agitated -> no assessment except perhaps a bedside screening

V = Very short assessment, one subtest

VI+ = Formal assessments ok but keep it short

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20
Q

What Cognitive + Communicative Problems can result from a TBI?

(5)

A

Difficulty concentrating for varying periods of time

Difficulty trouble organizing thoughts

Easily confused or forgetful

STM problems.

Difficulty solving problems, making decisions, and planning.

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21
Q

What causes Cognitive + Communicative problems to vary in TBI patients?

(3)

A

Individual personality

Pre-injury abilities

Severity of brain damage

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22
Q

What are the 5 Assessment Factors in TBI?

A

NoSeverity of injury

Current level of cognitive functioning

Physical injuries

Emotional state

Other

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23
Q

Do SLPs rate patients on the Glasgow Coma Scale (GCS)?

A

No

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24
Q

At what Glasgow Coma Scale (GCS) level do patients need lots of stimulation?

A

I-III (pre-agitation)

25
Q

What kinds of stimulation should we give those a low Glasgow Coma Scale (GCS) level?

(4)

A

Auditory

Visual

Tactile

Olfactory

26
Q

What 14 Emotional + Motivational Disturbances are associated with a TBI?

A

Irritability

Agitation

Restlessness

Inappropriate social response

Anxiety

Paranoia

Tires easily

Belligerence

Anger

Aspontaneity

Depressed (high risk)

Impulsiveness

Rapid mood changes

Loss of drive or initiative

27
Q

What should we consider when assessing Emotional + Motivational Disturbances in TBI patients?

A

Is this a new trait, a premorbid trait, or a magnified trait?

28
Q

What are the 6 types of Attention?

A

Alertness

Sustained attention

Selective attention

Divided attention

Alternating attention

Concentration

29
Q

What are the two types of Alertness?

A

Tonic

Phasic

30
Q

What is Tonic Alertness?

What is it important for?

A

Intrinsic arousal that fluctuates on the order of minutes to hours

Sustaining attention and functions such as working memory and executive control

31
Q

What is Phasic Alertness?

What is it the basis for?

A

Rapid change in attention due to a brief event

Operations such as orienting and selective attention

32
Q

How is Orientation in early stages of TBI recovery?

A

Profound disorientation

33
Q

What 2 types of assessments do we use to gauge Orientation in TBI patients?

A

Non-Standardized

Standardized

34
Q

When do we use Non-Standardized measures to assess Orientation in TBI patients?

A

Most frequently in the early recovery phase

35
Q

What do Non-Standardized Orientation Assessments measure in TBI patients?

(4)

A

Person

Place

Time

Situation

36
Q

What are 2 Standardized Orientation Assessments for TBI patients?

A

Galveston Orientation and Amnesia Test

Mini–Mental State Examination (MMSE)

37
Q

What does Galveston Orientation and Amnesia Test measure?

A

Post-Traumatic Amnesia (PTA)

38
Q

How is the Galveston Orientation and Amnesia Test scored?

2

A

It begins w/100 points

Points subtracted for each failed test

39
Q

What is an Average score on the Galveston Orientation and Amnesia Test?

A

80-100

40
Q

What is a Borderline score on the Galveston Orientation and Amnesia Test?

A

66-79

41
Q

What is an Impaired score on the Galveston Orientation and Amnesia Test?

A

0-65

42
Q

What to What is an average score on the Galveston Orientation and Amnesia Test scores correlate with?

A

Severity of brain injury

43
Q

What are the 6 subcategories of memory?

A

Retrospective

Prospective

Declarative

Procedural

Episodic

Semantic

44
Q

What is Retrospective Memory?

3

A

Past events

Past experiences

Information previously acquired

45
Q

What are the 2 components of Retrospective Memory?

2

A

Declarative

Procedural

46
Q

What is Declarative Memory?

A

What we know about things

47
Q

What are the 2 components of Declarative Memory?

A

Episodic

Semantic

48
Q

What is Episodic Memory?

A

Memory for personally experienced events

49
Q

What is Semantic Memory?

A

Our organized knowledge of the world

50
Q

What is Procedural Memory?

A

What we know about how to do things

51
Q

What is Prospective Memory?

2

A

Remembering to do things at certain times

“Remembering to remember”

52
Q

What is another name for Pre-Traumatic Memory Loss?

A

Retrograde amnesia

53
Q

What is Retrograde Amnesia?

A

Inability to remember events that occurred BEFORE the

incidence of trauma/disease that caused the amnesia

54
Q

What is another name for Post-Traumatic Memory Loss?

A

Anterograde amnesia

55
Q

What is Anterograde Amnesia?

A

Inability to remember ongoing events AFTER the incidence of trauma/disease that caused the amnesia

56
Q

What is Reasoning?

1+3

A

Capacity for…

  • Logical thinking
  • Appreciation of relationships
  • Practical judgment
57
Q

What is Abstract Thinking?

A

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

58
Q

What 3 things are contained in Abstract Thinking?

A

Proverb interpretation

Similarities + differences

Categorization + sorting tasks

59
Q

What 4 things are included in Problem Solving?

A

Thinking ahead

Understanding the future consequences of present actions

Considering alternatives

Making choices

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

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