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CCD > 3.1 - TBI Assessment - General Guidelines > Flashcards

3.1 - TBI Assessment - General Guidelines Flashcards

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
What kinds of stimulation should we give those a low Glasgow Coma Scale (GCS) level? (4)
Auditory Visual Tactile Olfactory
26
What 14 Emotional + Motivational Disturbances are associated with a TBI?
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
What should we consider when assessing Emotional + Motivational Disturbances in TBI patients?
Is this a new trait, a premorbid trait, or a magnified trait?
28
What are the 6 types of Attention?
Alertness Sustained attention Selective attention Divided attention Alternating attention Concentration
29
What are the two types of Alertness?
Tonic Phasic
30
What is Tonic Alertness? What is it important for?
Intrinsic arousal that fluctuates on the order of minutes to hours Sustaining attention and functions such as working memory and executive control
31
What is Phasic Alertness? What is it the basis for?
Rapid change in attention due to a brief event Operations such as orienting and selective attention
32
How is Orientation in early stages of TBI recovery?
Profound disorientation
33
What 2 types of assessments do we use to gauge Orientation in TBI patients?
Non-Standardized Standardized
34
When do we use Non-Standardized measures to assess Orientation in TBI patients?
Most frequently in the early recovery phase
35
What do Non-Standardized Orientation Assessments measure in TBI patients? (4)
Person Place Time Situation
36
What are 2 Standardized Orientation Assessments for TBI patients?
Galveston Orientation and Amnesia Test Mini–Mental State Examination (MMSE)
37
What does Galveston Orientation and Amnesia Test measure?
Post-Traumatic Amnesia (PTA)
38
How is the Galveston Orientation and Amnesia Test scored? | 2
It begins w/100 points Points subtracted for each failed test
39
What is an Average score on the Galveston Orientation and Amnesia Test?
80-100
40
What is a Borderline score on the Galveston Orientation and Amnesia Test?
66-79
41
What is an Impaired score on the Galveston Orientation and Amnesia Test?
0-65
42
What to What is an average score on the Galveston Orientation and Amnesia Test scores correlate with?
Severity of brain injury
43
What are the 6 subcategories of memory?
Retrospective Prospective Declarative Procedural Episodic Semantic
44
What is Retrospective Memory? | 3
Past events Past experiences Information previously acquired
45
What are the 2 components of Retrospective Memory? | 2
Declarative Procedural
46
What is Declarative Memory?
What we know about things
47
What are the 2 components of Declarative Memory?
Episodic Semantic
48
What is Episodic Memory?
Memory for personally experienced events
49
What is Semantic Memory?
Our organized knowledge of the world
50
What is Procedural Memory?
What we know about how to do things
51
What is Prospective Memory? | 2
Remembering to do things at certain times “Remembering to remember”
52
What is another name for Pre-Traumatic Memory Loss?
Retrograde amnesia
53
What is Retrograde Amnesia?
Inability to remember events that occurred BEFORE the | incidence of trauma/disease that caused the amnesia
54
What is another name for Post-Traumatic Memory Loss?
Anterograde amnesia
55
What is Anterograde Amnesia?
Inability to remember ongoing events AFTER the incidence of trauma/disease that caused the amnesia
56
What is Reasoning? | 1+3
Capacity for... - Logical thinking - Appreciation of relationships - Practical judgment
57
What is Abstract Thinking?
The ability to think in useful generalizations, at the level of ideas, or about persons, situations, events not immediately present
58
What 3 things are contained in Abstract Thinking?
Proverb interpretation Similarities + differences Categorization + sorting tasks
59
What 4 things are included in Problem Solving?
Thinking ahead Understanding the future consequences of present actions Considering alternatives Making choices

CCD (16 decks)

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