Communication and Behavioral Deficits - TBI Flashcards
communication deficits
receptive aphasia
expressive aphasia
voice quality
receptive aphasia
deficits w/ comprehension
expressive aphasia
deficits w/ producing words
voice quality
TBI = Trach
whisper
breathy voice
how do we treat someone w/ communication deficits
speak clear, concise and directly to the pt
decrease noise in the environment
use visual cues. tactile cues &/or gestures
behavioral/emotional impairments
anxiety
depression
denial
liability
disinhibition
apathy
impulsiveness
irritability
agitation
sexual dysfxn
diminished social skills
anxiety
fear and anxiety are normal reactions to the unknown
what may increase anxiety
confusion
what should we do to settle a pt with anxiety
remind the pt what has happened
constantly reassure the pt
what may depression occur w/
increased awareness
denial
pt will not acknowledge deficits caused by the brain injury
what may a pt w/ denial do
come up w/ excuses as to why an activity is not going right or is difficult
liability
unstable emotions
what does someone w/ liability experience
cry easily
laugh at wrong time
hints to treating someone w/ liability
ignore appropriate behavior
change topic
give many rest periods
disinhibition
decreased self regulation
will say what is on their mind
apathy
flat affect
lack of interest in therapy
impulsiveness
the pt will move or talk w/o thinking
little regard to safety
hints to treating someone w/ impulsiveness
point of negative results of behavior
help person to think through a situation
praise good judgement
irritability
decreased pt
over reactions
when does irritability increase
when pt is fatigued
agitation
aggression
the TBI’s pt world is no longer “normal” causing confusion and fearing leading to agitation
what is a form of agitation
restlessness
what occurs if agitation continues
agitation
sexual dysfxn
change in sexual interest
change in body image
change in sex drive
inappropriate sexual behavior
what do sexual dysfxn changes lead to
may lead to problems w/ relationships and intimacy
diminished social skills
pt focuses on self
decreased sensitivity to others
