Cog+lang Disorders/TBI Flashcards
Coup/Contrecoup
Head hits front back and front
Diffuse axonal shearing
Tears of the axons themselves
Blast injuries in the military
Lacerations
cuts
Contusions
Bruising
Hematomas
collection of blood
Hypoxia/anoxia
reduced oxygen
Hypotension
low blood pressure
Brain swelling
increased blood volume
Edema
increased CSF
Precentral gyrus
initiation of movement
Speak and swallow
Premotor cortex
coordination of mvmt.
Writing, speech, swallowing
Broca’s area
coordination of speech mvmt
Speech production
Prefrontal cortex
behavior, personality, higher level cognition including: executive functions of anticipation, attention, initiation and planning of ideas, internal and external monitoring (insight), interpretation and application of feedback, reasoning and problem solving
TBI areas that could be affected
Attention
Memory
Executive Function
Language
Visuospatial Skills
COGNITION
Emotional stability
Extreme response w/correct emotion
Inhibition
suppressing unacceptable tendencies; waiting to respond
Wearing emotions on their face
Yelling things out
Emotional stability
proportionate to stimuli
Extreme response w/correct emotion
Pragmatics and language
may do well with structure, but a breakdown in actual situations.
They need to be in the real world with strategies
Group therapy is great here
Discourse
Narrative, procedural, conversation
Narrative
Who, what, where, when,
Procedural
Describing how to do something
Injury Recovery & Assessment Process
Early, Middle, end
Early phase
Levels II and III (alertness, arousal, attention)
Respond to sounds, cold compress
Brief sessions (15-30 minutes)
Checklists to document observed changes
Sensory stimulation perhaps
Cold compress touched to cheek, do you respond to that (cold response)
SLP checks: comprehension, ability to make needs known, educate family, staff education needs
