Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BPT14 - Neuro Rehab > Disorder of consciousness after ABI - management > Flashcards

Disorder of consciousness after ABI - management Flashcards

1
Q

Visual field assessment

A
  • for CN 2,3,4,6
  • confrontational visual test -> assess diff in visual field (sensory &/or perceptive) on the right left side
  • automated perimetry test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CN1 assessment

A

Smell identification test (eg: hydroalcoholic gel -> do you know this smell?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CN2 assessment

A

Swinging light test
- dilatation & constriction pupils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CN3,4,6 assessment

A

Swinging light
- accomodation reflex
- eye pursuit
- cover test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CN5 assessment

A
  • LTT & PPT on forehead, cheek & jaw
  • corneal reflex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CN7 assessment

A

mvt :
- Raised eyebrows
- closed eyes
- blown out cheeks
- smiling
- pursed lips
- closed lips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CN8 assessment

A

Gross hearing test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CN9,10 assessment

A
  • Gag reflex
  • observe uvula
  • symmetry
  • cough
  • swallow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CN11 assessment

A

Resisted shoulder elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CN12 assessment

A

Protude tongue symmetry observation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Glascow coma scale (GCS)

A
  • assessing 3 domains w/ pts, total from 3 pts= deep coma or death to 15 pts= fully alert & oriented
    1. Eye opening
    2. Best verbal response
    3. Best motor response
    /!/ always assessing the best response!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Glascow coma scale : Eye opening response

A
  • Spontaneous -> 4pts
  • To speech -> 3 pts
  • To stimulation -> 2pts
  • None -> 1 pts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Glascow coma scale : Best verbal response

A
  • Oriented -> 5pts
  • Confused -> 4 pts
  • Inappropriate -> 3 pts
  • Incomprehensible -> 2 pts
  • None -> 1 pts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Glascow coma scale : Best motor response

A
  • Request -> 6 pts
  • Localizing -> 5pts
  • Withdrawal -> 4 pts
  • Flexing -> 3pts
  • Extending -> 2 pts
  • None -> 1 pts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

FOUR assessment

A

= Full outline of unresponsiveness rating score
- to replace GCS bcause verbal response can not be assessed on intubated patients
- makes diff between UCS & MCS
- evaluate
1. Eye response
2. Motor Response
3. BSRS
4. Respiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the BSRS in the FOUR test assess ?

A
  • Pupil
  • Corneal
  • Cough
    -> On a score to 0 to 4
17
Q

CRS-R

A

= Coma recovery scale
- assesses auditory, visual, verbal & motor repsonses, BSRS & communication

18
Q

Preventive goal : Why do you want to maintain or improve the ROM?

A

To avoid musculoarticular adaptation due to procedure or inadequate positioning

19
Q

Preventive goal : Why do you want to maintain or improve the Skin integrity?

A

To avoid pressure ulcers & deep tissues injuries caused by inadequate positioning

20
Q

Preventive goal : Why do you want to maintain or improve the Respiratory function ?

A

To avoid the dvlp of respiratory infections & complications related to the immobility, poor ventilation & inadequate positioning

21
Q

Preventive goal : Why do you want to maintain or improve the cardiovascular function?

A

To avoid the dvlp of infections & complications related to the immobility, poor ventilation & inadequate positioning

22
Q

Adaptative goal : Why do you want to promote the care giver education?

A

To Facilitate the understanding about the patient’s condition (coping) + Performance of rehabilitation exercise in the absence of therapy

23
Q

Adaptative goal : Why do you want to promote the environmental accomodation?

A

To achieve Stimulatory context + Safe and comfortable environment

24
Q

Rehabilitative goals : Why do you want to improve the level of consciousness?

A
  • To improve the awarness of environment & self
  • To improve responsivness
25
Q

What can cause a DOC?

A
  • Trauma
  • Stroke
  • Drog abuse
  • Malignancy (obstruction of space)
26
Q

Red Flags & special considerations

A
  • Improper use of monitoring equipment (HR, RR, BP)
  • Lack of mobility => MSK, respiratory & vascular comorbidities
  • Low variation in positioning leading to PI & MSK complications
  • Issues w/ communications btw medical staff & care givers
  • Inappropriate precautions related to hygiene & contamination risk for patient and/or therapist
27
Q

Main immediate signs of severe encephalic injury

A
  • Convulsion
  • Somnolence
  • Worsening headache
  • Diplopia
  • Vomiting
  • Personality changes
  • Disorientation
  • Memory gaps or amnesia
28
Q

Complications of DOC

A
  • Central fever
  • Bladder (UTI, bladders stones..)
  • Bowel (constipation <=> immobility)
  • Corneal eye damage
  • Heterotrophic ossification
  • Joint swelling/oedema
29
Q

Preventive goals

A
  1. ROM
  2. Skin integrity
  3. Respiratory function
  4. CV function
30
Q

Adaptative goals

A
  1. Care givers education
  2. Environmental accomodation
31
Q

Rehabilitative goals

A
  1. Improve level of consciousness to
    - Improve awarness of environment & self
    - Improve responsivness
32
Q

Rehabilitative goals : improve level of consiousness

How do you improve the awarness of environment & self?

A

By implemating sensory stimulation & the integration of sensory inputs

33
Q

Rehabilitative goals : improve level of consiousness

How do you improve responsiveness?

A

By using stimulation & facilitation of active motor function when present

BPT14 - Neuro Rehab (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions