EXAM 3 TBI Assessment/TX Flashcards
Early TBI Assessment
- Glasgow Coma Scale (GCS)
- Post Traumatic Amnesia (PTA)
- Galveston Orientation and Amnesia Test (GOAT)
- Children’s Orientation & Amnesia Test (COAT)
Benefits to Standardized Assessment for TBI
- Compare a patient’s results to age/gender norms
- Follow consistent test rules
- Provide a clear, numerical diagnosis.
TBI Screenings
- Mini Mental Status Exam (MMSE)
- Montreal Cognitive Assessment
(MoCA) - Saint Louis University Mental Status
Exam (SLUMS) - Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
- Cognitive Linguistic Quick Test (CLQT)
Attention Assessment in TBI
(Test of Everyday Attention: TEAS)
Administration Time: 45 to 60 minutes
Ages: 18-80 yrs
Measures three aspects of attention:
- selective attention
- sustained attention
- attentional switching
Memory Assessment: Rivermead Behavioural Memory Test (RBMT)
Administration Time: 25-30 minutes
Ages: 16-96 yrs
Uses 14 subtests assessing aspects of
visual, verbal, recall, recognition,
immediate, delayed everyday
memory, prospective memory skills and the ability to learn new information
Executive Functioning Assessment: Behavioral Assessment of the Dysexecutive System (BADS)
Age range: 16 to 87 years
Administration: 40 minutes
Recommended for frontal lobe damage to detect disorders of planning, organization, problem solving, setting priorities, and attention
Multi-Domain Formal Assessment: Scales of Cognitive Ability for Traumatic Brain Injury
Administration Time: 30 to 120 min
Ages: Adolescent and adult
Subtests: Perception/Discrimination,
Orientation, Organization, Recall, and
Reasoning
Multi-Domain Formal Assessment: Brief Test of Head Injury
Administration Time: 20-30 min
Ages: Adolescents and Adults with TBI
(>16)
Subtests: Orientation and Attention,
Following Commands, Linguistic
Organization, Reading Comprehension, Naming, Memory,
Visual-Spatial Skills
Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES) (for SLPs)
Ages: 18 through 79
Testing Time: Approx. 60 minutes: 15 minutes per task.
Areas: checks how well someone thinks, understands, talks, and plans while doing difficult tasks.
Scale of Cognitive and Communicative
Ability (for SLPs)
Ages: 18 through 91 years
Testing Time: 30 to 45 minutes
- identify patients with cognitive and communication problems,
- Measure how severe the problems are,
- Set treatment goals and create personalized plans
Assessment of Language-Related
Functional Activities (ALFA)
Ages: 16-0 through 95-0
Testing Time: 30 minutes to 2 hours
Requires use of all language modalities: auditory comprehension, verbal expression, reading and writing, cognitive and motor skills.
Communication Activities of Daily
Living, Second Edition (CADL-2)
Ages: 18 through 95+
Testing Time: 30 minute
Assesses functional skills such as phone skills, searching a directory, bills, shopping lists, appointments, etc
Discourse Analysis (Informal)
helps measure different problems, from less affected areas like grammar to more affected areas like staying on topic and organizing ideas.
Non-interactive: retelling stories, personal events, or giving instructions.
Conversational: regular conversation.
Observational reports (informal)
Observes Social skills, fatigue, Emotions, Motivation, Awareness
Use scales for data:
Pragmatics: La Trobe Communication Questionnaire
Awareness: Awareness Questionnaire
Cognitive Communication TX
Strengthen old skills, teach new skills with compensatory strategies, help adapt to changes
Improve success with:Repetition, Errorless learning, Gradual increase in task difficulty
Metacognitive Strategy Training TX
Direct teaching to help control behavior and self monitor task performance
Comprehensive Holistic Approach TX
- Treat cognitive, emotional, and social skills
- Use individual and group therapy
- Focus on functional improvement
- Improve quality of life
Interventions for Processing Speed TX
Compensatory strategies
- Verbal mediation
- Self pacing
- Self monitoring of mental effort
- Management of secondary
emotional reaction during task
Assistive Technology for Cognition
Smart phones, smart pads, tablets, recording devices, headphones/ear buds, and applications for devices that assist in organizing etc
Self-Report QOL Measures in TBI
Behavior Rating Inventory of Executive Functioning (BRIEF-A)
Quality of Life after Brain Injury (QOLIBRI)
National Institute of Health Toolbox Measures
Brain Injury Screening Questionnaire (BISQ)
Mayo-Portland Adaptability Inventory (MPAI)
Motivational Interview Technique
Informal Assessments in TBI
- Discourse Analysis
- Observational Reports
Direct Therapy Treatment in TBI
Planned, goal-based therapy activities that are made to help with how the brain affects behavior—based on what the patient is struggling with.
Treating Memory in TBI
A three-stage approach:
- Acquisition (e.g., listing contents and use of different sections)
- Application (e.g., completing role-play activities using the aid)
- Adaptation (e.g., using aid in a community setting)
Recovery Scales and Observational Checklists in TBI
- Disability Rating Scale
- Rancho Los Amigos Scale, also
known as Levels of Cognitive
Functioning (LCF) - Coma Recovery Scale (CRS), Wessex Head Injury Matrix
- Functional Independence Measures (FIM Scores)
