3.2 - TBI - Informal Assessment Flashcards

1
Q

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

A

Environment

Cognitive Level

Level of Agitation

Co-existing Medical Complications

Schedule

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2
Q

What is the general outline of a TBI informal assessment?

4

A

Introduction yourself

Set the environment

Core questions

Wrap-Up + Inform

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3
Q

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

(2)

A

Say you are from the speech or rehabilitation department

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

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4
Q

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

(2)

A

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.)

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5
Q

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

(3)

A

Patient’s perception of deficits

Patient’s ability to orientate

Any memory issues

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6
Q

What should we always do during an informal TBI assessment?

2

A

Allow the patient to talk to get a speech sample

This also lets us understand comprehension + memory

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7
Q

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

A

I-III

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8
Q

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

A

High stimulation

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9
Q

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

A

10 minutes or less

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10
Q

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

Why?

A

Low stimulation

Due to agitation

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11
Q

At what Ranchos Levels are patients ready for formal assessments?

A

VII or higher

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12
Q

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

Why?

A

Increasing levels of stimulation

To transition to everyday life

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13
Q

What 4 domains do we measure in informal TBI assessments?

A

Expressive Language

Receptive Language

Motor Speech

Cognition

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14
Q

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

A

Language of confusion

Word retrieval deficits

Coherence/cohesion

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15
Q

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

A

Sentence processing

Paragraph processing

Discourse processing

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16
Q

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

A

Dysarthria

Apraxia

17
Q

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

A

Alertness

Attention

Orientation

Memory

Problem Solving/Reasoning

18
Q

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

(3)

A

What do you see initially?

What happens during the session?

What do others say?

19
Q

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

A

I-III

20
Q

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

(3)

A

How focused are they on you?

What happens during the session?

Is agitation elicited?

21
Q

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

(2)

A

Can they answer indirect questions

Ask questions about their relationship to their primary environment

22
Q

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

(2)

A

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

23
Q

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

(2)

A

Verbal at IV-VI

Written at VII or higher