Communication and Behavioral Deficits - TBI Flashcards

1
Q

communication deficits

A

receptive aphasia

expressive aphasia

voice quality

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2
Q

receptive aphasia

A

deficits w/ comprehension

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3
Q

expressive aphasia

A

deficits w/ producing words

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4
Q

voice quality

A

TBI = Trach

whisper

breathy voice

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5
Q

how do we treat someone w/ communication deficits

A

speak clear, concise and directly to the pt

decrease noise in the environment

use visual cues. tactile cues &/or gestures

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6
Q

behavioral/emotional impairments

A

anxiety

depression

denial

liability

disinhibition

apathy

impulsiveness

irritability

agitation

sexual dysfxn

diminished social skills

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7
Q

anxiety

A

fear and anxiety are normal reactions to the unknown

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8
Q

what may increase anxiety

A

confusion

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9
Q

what should we do to settle a pt with anxiety

A

remind the pt what has happened

constantly reassure the pt

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10
Q

what may depression occur w/

A

increased awareness

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11
Q

denial

A

pt will not acknowledge deficits caused by the brain injury

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12
Q

what may a pt w/ denial do

A

come up w/ excuses as to why an activity is not going right or is difficult

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13
Q

liability

A

unstable emotions

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14
Q

what does someone w/ liability experience

A

cry easily

laugh at wrong time

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15
Q

hints to treating someone w/ liability

A

ignore appropriate behavior

change topic

give many rest periods

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16
Q

disinhibition

A

decreased self regulation

will say what is on their mind

17
Q

apathy

A

flat affect

lack of interest in therapy

18
Q

impulsiveness

A

the pt will move or talk w/o thinking

little regard to safety

19
Q

hints to treating someone w/ impulsiveness

A

point of negative results of behavior

help person to think through a situation

praise good judgement

20
Q

irritability

A

decreased pt

over reactions

21
Q

when does irritability increase

A

when pt is fatigued

22
Q

agitation

A

aggression

the TBI’s pt world is no longer “normal” causing confusion and fearing leading to agitation

23
Q

what is a form of agitation

A

restlessness

24
Q

what occurs if agitation continues

25
sexual dysfxn
change in sexual interest change in body image change in sex drive inappropriate sexual behavior
26
what do sexual dysfxn changes lead to
may lead to problems w/ relationships and intimacy
27
diminished social skills
pt focuses on self decreased sensitivity to others