Ch 23: Outcome Measurements

Question 1

Glasgow Coma Scale (GCS)

Answer 1

Measure of level of consciousness which also serves as a level of brain injury

Score range between 3 and 15

3 components: eye opening, verbal response, and motor response

Question 2

Which factor of TBI is a good predictor of long term issues following brain injury?

Answer 2

PTA

the longer the the period of PTA, the more likely the it is that the person will experience long term issues

Question 3

Abbreviated injury scale (AIS) for the head

Answer 3

1 time measure of the severity of head injury

Ranges from 1 (minor) to 6 (unsurvivable)

Part of the Injury Severity Score (0-75)

Question 4

Loss of Consciousness

Answer 4

Communicates severity of injury and related short term prognoses.

LOC <30 min = mild
LOC >30 min but <24 hours = moderate
LOC >24 hours = severe

LOC ends when GCS motor score = 6 (TBIMS)

Question 5

JFK Coma Recovery Scale- revised

Answer 5

Used with individuals who have an extended disorder of consciousness (vegetative or minimally conscious state)

Question 6

Disability Rating Scale (DRS)

Answer 6

Older measure of brain injury (research instrument)

8 item assessment of impairment, disability, and handicap or participation

Can be used from coma to community

Participation section has an item on employability (public domain)

Question 7

The Rancho Los Amigos Level of Cognitive Functioning Scale (LCFS)

Answer 7

Assessment of cognitive function

1 No response
2 Generalized
3 Localized  
4 Confused-agitated 
5 Confused inappropriate 
6 Confused appropriate 
7 Automatic appropriate 
8 Purposeful appropriate

Question 8

CHART (SF)

Answer 8

Measures participation (roles of individual in larger community) after disability

6 domains:
Physical independence, cog independence, mobility, occupation, social integration, and economic self-sufficiency

Question 9

Mayo Portland Adaptability Inventory (MPAI-4)

Answer 9

Measures problems after brain injury

Can be self rated or rated by a clinician/S.O.

Ability index, adjustment index, and participation index

Designed to measure physical, cognitive, emotional, behavior, and social issues

Question 10

The Participation Assessment with Recombined Tools- Objective

Answer 10

Objective measure of participation for individuals with mod-severe brain injury

3 domains:
Out and about, productivity, and social relations

Question 11

What percent of brain injury patient’s have depression?

Answer 11

15-77%

Question 12

McMaster family assessment device

Answer 12

Measures overall family functioning, as well as:

problem solving, communication, roles, affective responsiveness, affective involvement, and behavioral control.

Question 13

Pediatric TBI Checklist

Answer 13

Gives framework for the areas of difficulty educators should be considering

Can be completed by parents, teacher, or 1:1 staff working with the child

Question 14

Pediatric test of brain injury

Answer 14

Standardized test

Assesses the skills children need to return to school and function in the general education curriculum.