3.2 - TBI - Informal Assessment Flashcards
What 5 factors do we need to consider in informal assessments of TBI?
Environment
Cognitive Level
Level of Agitation
Co-existing Medical Complications
Schedule
What is the general outline of a TBI informal assessment?
4
Introduction yourself
Set the environment
Core questions
Wrap-Up + Inform
How do we introduce ourselves to TBI patients during an informal assessment?
(2)
Say you are from the speech or rehabilitation department
State what you are planning on working on (why you are there)
How do we Set the Environment during an informal TBI assessment?
(2)
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.)
What Core Questions should we ask during an informal TBI assessment?
(3)
Patient’s perception of deficits
Patient’s ability to orientate
Any memory issues
What should we always do during an informal TBI assessment?
2
Allow the patient to talk to get a speech sample
This also lets us understand comprehension + memory
During which Ranchos Levels are patients considered to be in a coma?
I-III
What kind of stimulation should we give patients who are functioning on Ranchos Levels I-III?
High stimulation
How long should our sessions be for patients who are functioning on Ranchos Levels IV-VI?
10 minutes or less
What kind of stimulation should we give patients who are functioning on Ranchos Levels IV-VI?
Why?
Low stimulation
Due to agitation
At what Ranchos Levels are patients ready for formal assessments?
VII or higher
What kind of stimulation should we give patients who are functioning on Ranchos Levels VII or higher?
Why?
Increasing levels of stimulation
To transition to everyday life
What 4 domains do we measure in informal TBI assessments?
Expressive Language
Receptive Language
Motor Speech
Cognition
What 3 aspects of Expressive Language can we measure in informal TBI assessments?
Language of confusion
Word retrieval deficits
Coherence/cohesion
What 3 aspects of Receptive Language can we measure in informal TBI assessments?
Sentence processing
Paragraph processing
Discourse processing