DOC review

Question 1

Special considerations and red flags

Answer 1

Improper use of monitoring equipment (HR, RR, BP)
Lack of mobility leading to MSK, respiratory and vascular comorbidities (Pressure injuries)
Low variation in positioning leading to dermatological (pressure injuries) and MSK complications
Issues with communication between medical staff and care givers
Inappropriate precautions related to hygiene and contamination risk for patient and/or therapist.

Question 2

Main immediate signs of severe encephalic injury

Answer 2

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

Question 3

Coma

Answer 3

1h-5 weeks
-> no sleep-wake cycle (no processing, no memory consolidation)
-> no BSRS (mostly not)
-> no respiratory function
-> no verbal communication
-> no Thermoregulation

Question 4

Unresponsive Wakefulness Syndrome

Answer 4

1 month: persistent, little likelihood of recovery
3 months: permanent, minimal likelihood of recovery
-> sleep-wake cycles
-> BSRS mostly present (deficit) (Brainstem can recover)
-> thermoregulatory/respiratory function
(adapts) (starts to recover)

Question 5

Minimal consciousness state

Answer 5

-> can communicate (verbal or through movements)
-> inconsistent sign of awarness (confusion)
-> able to express and feel motions

Question 6

Rehabilitative goals

Answer 6

Improve the level of consciousness
-> awareness of environment and self
- sensory stimulation and integration of sensory inputs.
-> responsiveness
- stimulation and facilitation of active motor function when present