3.2 - TBI - Informal Assessment

Question 1

What 5 factors do we need to consider in informal assessments of TBI?

Answer 1

Environment

Cognitive Level

Level of Agitation

Co-existing Medical Complications

Schedule

Question 2

What is the general outline of a TBI informal assessment?

4

Answer 2

Introduction yourself

Set the environment

Core questions

Wrap-Up + Inform

Question 3

How do we introduce ourselves to TBI patients during an informal assessment?

(2)

Answer 3

Say you are from the speech or rehabilitation department

State what you are planning on working on (why you are there)

Question 4

How do we Set the Environment during an informal TBI assessment?

(2)

Answer 4

Decide if it’s more helpful for the family to remain in the room or to leave

Reduce external stimuli (tv, windows, movement, noise, etc.)

Question 5

What Core Questions should we ask during an informal TBI assessment?

(3)

Answer 5

Patient’s perception of deficits

Patient’s ability to orientate

Any memory issues

Question 6

What should we always do during an informal TBI assessment?

2

Answer 6

Allow the patient to talk to get a speech sample

This also lets us understand comprehension + memory

Question 7

During which Ranchos Levels are patients considered to be in a coma?

Answer 7

I-III

Question 8

What kind of stimulation should we give patients who are functioning on Ranchos Levels I-III?

Answer 8

High stimulation

Question 9

How long should our sessions be for patients who are functioning on Ranchos Levels IV-VI?

Answer 9

10 minutes or less

Question 10

What kind of stimulation should we give patients who are functioning on Ranchos Levels IV-VI?

Why?

Answer 10

Low stimulation

Due to agitation

Question 11

At what Ranchos Levels are patients ready for formal assessments?

Answer 11

VII or higher

Question 12

What kind of stimulation should we give patients who are functioning on Ranchos Levels VII or higher?

Why?

Answer 12

Increasing levels of stimulation

To transition to everyday life

Question 13

What 4 domains do we measure in informal TBI assessments?

Answer 13

Expressive Language

Receptive Language

Motor Speech

Cognition

Question 14

What 3 aspects of Expressive Language can we measure in informal TBI assessments?

Answer 14

Language of confusion

Word retrieval deficits

Coherence/cohesion

Question 15

What 3 aspects of Receptive Language can we measure in informal TBI assessments?

Answer 15

Sentence processing

Paragraph processing

Discourse processing

Question 16

What 2 aspects of Motor Speech can we measure in informal TBI assessments?

Answer 16

Dysarthria

Apraxia

Question 17

What 5 aspects of Cognition can we measure in informal TBI assessments?

Answer 17

Alertness

Attention

Orientation

Memory

Problem Solving/Reasoning

Question 18

What are we looking for in Alertness in informal TBI assessments?

(3)

Answer 18

What do you see initially?

What happens during the session?

What do others say?

Question 19

At what Ranchos Levels do we measure Alertness in informal TBI assessments?

Answer 19

I-III

Question 20

What are we looking for in Attention in informal TBI assessments?

(3)

Answer 20

How focused are they on you?

What happens during the session?

Is agitation elicited?

Question 21

What are we looking for in Orientation in informal TBI assessments?

(2)

Answer 21

Can they answer indirect questions

Ask questions about their relationship to their primary environment

Question 22

What are we looking for in Memory in informal TBI assessments?

(2)

Answer 22

Long Term Memory –> What do they remember before their injury

Short Term Memory –> How much do you have to repeat, can they summarize the session

Question 23

At what Ranchos Levels do we measure Problem Solving/Reasoning in informal TBI assessments?

(2)

Answer 23

Verbal at IV-VI

Written at VII or higher