Exam 3

Question 1

TBI treatment - level 1: coma stim

Answer 1

Auditory, smell
PROM, stretching, positioning
Sternal rub, nail bed pressure, traps squeeze
Suborbital pressure
Family/friends in area

Question 2

TBI treatment - Level 2: generalized response

Answer 2

Encourage participation
Bed mobility -> sitting, EOB, balance
Continue sensory stimulation

Question 3

TBI treatment - level 3: localized response

Answer 3

Sensory stim
Communication (family and friends)
Continue bed mobility (position changes)
Transfers and PARTICIPATION
Prevent contractures, skin ulcers
Respiratory infection

Question 4

TBI treatment - levels 1-3: general treatment strategies/goals

Answer 4

Bed mobility
Head control
Balance
Alertness

Question 5

TBI treatment: level 4

Answer 5

Encourage simple self-care
Familiar tasks w/ structure
Be aware of triggers (noise, people, lights)
Have a flexible environment
Allow free movement if safe FOR PT
-get help if not

Question 6

TBI treatment - level 5

Answer 6

Begin functional training
Repetition
Simple instructions (PROMOTE RECALL)
Use familiar tasks/objects/people
Increase complexity w/ increase # of steps, decreased cues, increase distractions
Re-direct inappropriate behavior

Question 7

TBI treatment - level 6

Answer 7

Maximize functional mobility
Keep structure
More cognitive elements (MEMORY, SPEECH, INTERACTION)

Question 8

TBI treatment: levels 4-6 general treatment strategy/goals

Answer 8

Transfers, balance, gait, cognitive

Question 9

TBI treatment: levels 7-10

Answer 9

High level mobility
Coordination
Community ambulating
Return to independence
Dual tasking
Organization
Judgement
Problem solving
Sport/job specific task practice
Driving

Question 10

Glasgow coma scale - 3 general assessment areas

Answer 10

Eye- open
Verbal
Motor response

Question 11

Glasgow Coma Scale - range for minor brain injury

Answer 11

13-15

Question 12

Glasgow coma scale - range for moderate brain injury

Answer 12

9-12