Cognitive Problems - TBI

Question 1

cognitive problems

Answer 1

arousal

attention

memory

judgement

awareness

initiation

distractibility

visual-spatial deficits

executive fxns

Question 2

arousal

Answer 2

level can be assessed by ability to keep eyes open

Question 3

what do we want to optimize

Answer 3

arousal

upright postures

consider environment

provide stimulation

Question 4

what should we question –> arousal

Answer 4

fatigue

could be decreased arousal system

Question 5

attention

Answer 5

to be able to focus and carry out an activity or idea

Question 6

types of attention

Answer 6

sustained

selective

divided

Question 7

sustained attention

Answer 7

maintain a consistent behavioral response overtime

vigilance = mental control

Question 8

selective attention

Answer 8

maintain focus in the face of competing stimuli

Question 9

divided attention

Answer 9

respond simultaneously to multiple tasks

Question 10

how do we increase a pts attention

Answer 10

reducing noise

decreasing movement in the room

keep eye contact

one person speaking at a time

direct the pt back to task

Question 11

memory

Answer 11

3 phases

Question 12

3 phases of memory

Answer 12

acquisition (learning)

storage (retention)

retrieval (recognition/recall)

Question 13

3 types of memory

Answer 13

immediate recall

short term memory

long term memory

Question 14

immediate recall

Answer 14

1 min after learning

Question 15

short term memory

Answer 15

1 min - 1 hr after

Question 16

long term memory

Answer 16

1 hr to days/weeks

Question 17

judgement

Answer 17

ability to understand limitations

reason sequence of events/activities

determine consquences

Question 18

awareness

Answer 18

lack of insight of deficits

impaired safety

have decrease ability to use compensatory strategies

Question 19

3 levels of awareness

Answer 19

intellectual

emergent

anticipatory

Question 20

intellectual –> awareness

Answer 20

ability to understand at some level that a particular disability exists

Question 21

emergent –> awareness

Answer 21

recognize a problem while it is actually occurring

Question 22

anticipatory –> awareness

Answer 22

foresee that a problem is likely to occur under certain circumstances b/w of a deficit

Question 23

initiation

Answer 23

ability to start an activity may be impaired

verbal or manual cues may needed

decrease motivation v. decrease initiation

Question 24

distractibility

Answer 24

pt w/ decrease attention

no filter

Question 25

visual spatial deficits

Answer 25

unilateral neglect

decreased depth perception

spatial problems

Question 26

unilateral neglect

Answer 26

ignore one side

sit on neglected side

touch neglected side

place objects on neglected side

Question 27

decreased depth perception

Answer 27

misjudge height of stairs

over reach

Question 28

spatial problems

Answer 28

decreased ability to understand relation among objects in space

Question 29

executive fxns

Answer 29

goal completion activities

Question 30

decreased ability –> executive fxn

Answer 30

ability to anticipate, set goals, plan, initiate, self-regulate, self monitor and use feedback to complete a goal

manage time

Question 31

what do pts need –> executive fxn

Answer 31

structure to be successful