ADULT LANG Flashcards

1
Q

decreased lean body mass

A

normal aging

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2
Q

decreased elasticity and flexibility of muscles

A

normal aging

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3
Q

decreased total body water

A

normal aging

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4
Q

increased fat tissue

A

normal aging

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5
Q

heart muscles thicken; valves enlarge and stiffen; muscular contraction force decreases

A

normal aging

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6
Q

less efficient oxygen use

A

normal aging

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7
Q

lower ability to remain physically active

A

normal aging

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8
Q

atherosclerosis

A

fat hardening

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9
Q

decreased lung capacity, elasticity, cilia, vital capacity, and cough

A

normal aging

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10
Q

primary concern of WHO

A

how is quality of life affected by health conditions

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11
Q

6 main aspects of health related quality of life

A

physical, psychological, level of independence, social relationships, environmental, spiritual

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12
Q

body structure

A

the anatomy of the body

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13
Q

body function

A

the physiology of what is actually affected

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14
Q

activities/ participation

A

activities you may NOT do

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15
Q

personal factors

A

age, gender, race, education, confidence, self esteem WITHIN the human

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16
Q

environmental factors

A

where you live, friends, family, social economic status

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17
Q

capacity

A

individuals ability to execute a task or action in a regular environment

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18
Q

performance

A

individuals ability to execute a task or action in current environment or actual contest of what they live in

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19
Q

A FROM

A

Living with Aphasia: Framework for Outcome Management

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20
Q

severity of aphasia (understanding other people, speaking, reading, writing)

A

body function and structure

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21
Q

communication and language environment (services, systems, policies, attitudes of others to you and the aphasia, help with communication and conversation)

A

environmental factors

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22
Q

H&P

A

history and physical

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23
Q

PHO

A

personal history of

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24
Q

PMH

A

past medical history

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25
Q

CMH

A

current medical history

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26
Q

S in SOAP

A

subjective observation, what you notice about your patient

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27
Q

O in SOAP

A

objective observation, DATA and facts

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28
Q

A in SOAP

A

assessment your analysis and summary similar to clinical impressions

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29
Q

P in SOAP

A

plan, steps and measures to be taken

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30
Q

TIA

A

transient ischemic attack
at risk of bigger stroke

31
Q

brief focal cerebral event in which symptoms develop suddenly; part of the brain that has temporarily become ischemic

A

TIA

32
Q

a transient episode of neurological interruptions cause by temporary brain ischemia without acute infarction

A

TIA

33
Q

RND

A

reversible ischemic neurological deficit
stroke that gets completely better in 1 to 3 weeks

34
Q

stroke

A

sudden and severe onset of a prominent and frequently persistent neurological deficit

35
Q

an illness resulting from damage to the parenchyma (brain tissue) of the brain; brain death occurs (infarction)

A

stroke

36
Q

occlusive stroke

A

ischemic
blockage that causes low blood flow to the brain

37
Q

causes of occlusive stroke

A

thrombotic occlusion - stationary blockage along the arterial wall
embolic occlusion - particle that breaks away/ floats around in bloodstream

38
Q

hemorrhagic stroke

A

rupture of blood vessel anywhere in the brain or skull

39
Q

hemorrhagic stroke can occur in 4 different places

A

parenchyma (intracerebral), subarachnoid/ subdural/ epidural space (intracranial)

40
Q

vertebral arteries

A

two arteries on each side of the side

41
Q

basilar artery

A

vertebral artery branches into; supplies the brainstem

42
Q

problems w basilar artery

A

CN III - XII
diplopia (double vision)
hearing problems
dysarthria (slurred speech CN 12), dysphagia, dysphonia (speech production CN10), hemiplagia (no mvmt), hemiparesis (weakness), respiratory

43
Q

cerebellum

A

vertebral artery

44
Q

cerebellum problems

A

ataxia - balance and coordination, ataxic dysarthria, cognitive problems

45
Q

ANTERIOR lesion, nonfluent aphasia

A

MOTOR output

46
Q

POSTERIOR lesion, fluent aphasia

A

SENSORY input

47
Q

global aphasia

A

mixed aphasia
nonfluent
poor comprehension
poor repetition
poor naming

48
Q

conduction aphasia

A

very poor word recognition
fluent speech
paraphasic speech
good comprehension
poor writing
poor word finding
good self awareness

49
Q

lesion for conductive aphasia

A

arcuate fasciculus, supramarginal gyrus

50
Q

Wernicke’s aphasia

A

fluent, rapid speech
paraphasias
impaired comprehension
impaired repetition
impaired naming
no self awareness

51
Q

lesion of wernicke’s aphasia

A

posterior portion of the first temporal gyrus of the L hemisphere

52
Q

Anomic aphasia

A

fluent , grammatically well-formed often circumlocutionary speech
good comprehension and repetition

53
Q

anomic aphasia lesion

A

temporal, parietal injury

54
Q

transcortical sensory aphasia

A

fluent
good repetition
poor comprehension
poor reading
poor writing

55
Q

transcortical sensory aphasia lesion

A

watershed lesion cutting off Brocas Wernickes complex, posteriortemporalparietal junctoin

56
Q

transcortical motor aphasia

A

absence of spontaneous speech
good comprehension
excellent repetition
good reading comprehension

57
Q

transcortical motor aphasia lesion

A

multifocal or diffuse pathology anterior and posterior association cortex

58
Q

transcortical mixed aphasia

A

nonfluent with echolalia
poor comprehension
good repetition
good articulation

59
Q

transcortical mixed aphasia lesion

A

multifocal or diffuse pathology anterior and posterior association cortex

60
Q

Brocas aphasia

A

nonfluent, effortful speech
intact auditory comprehension
literal pharaphsia
poor repetition

61
Q

cortex

A

gray matter (groups of neurons)

62
Q

white matter

A

myelinated pathways (motor and sensory)

63
Q

extrathalamic

A

basal ganglia

64
Q

extrathalamic damage

A

basal ganglia
parkinson’s disease
huntington’s disease

65
Q

thalamic damage

A

high mortality rate
increased or decreased thresholds of sensations

66
Q

confused with broca’s aphasia

A

anterior syndrome

67
Q

confused with transcortical sensory aphasia

A

thalamic

68
Q

alert

A

awake and aware

69
Q

lethargic

A

drowsy/ groggy

70
Q

obtunded

A

requires continued stimulation

71
Q

stuporous

A

maximal stimulation (sternal rub or ear pinch)

72
Q

comatose

A

no voluntary responses no matter the stimulation

73
Q
A