Interdisciplinary Rehab Team/Intro TBI

Question 1

Occupational Therapy

Answer 1

address the physical, cognitive, psychosocial, sensory and other aspects of performance in a variety of contexts to support participation in everyday meaning full life activities

Question 2

Speech pathology

Answer 2

identification, prevention, assessment and treatment of disorders of cognition- communication, speech, language, voice and swallowing

Question 3

Glasco Coma Scale rates 3 things
what is a good score

Answer 3

verbal response
eye opening
motor response

higher score the better

Question 4

GCS score 13-15

Answer 4

note CT abnormalities
complicated mild

Question 5

GCS score 9-12

Answer 5

moderate

Question 6

GCS score 3-8

Answer 6

severe

Question 7

Rancho Los amigos coma scale

Answer 7

widely accepted in rehab field
offers a quick description of cognitive-behavioral status
normally progressed from lower to higher levels with healing recovery and rehabilitation
a

Question 8

Can a person start or stop at any of these rancho level?

Answer 8

yes

Question 9

Rancho Los Amigos Scale 1

Answer 9

no respone

Question 10

Rancho Los Amigos Scale 2

Answer 10

generalize response

Question 11

Rancho Los Amigos Scale 3

Answer 11

Localized response

Question 12

Ranch Los Amigos Scale 4

Answer 12

Confused and Agitated

Question 13

Rancho Los Amigos Scale 5

Answer 13

Confused and inappropriate

Question 14

Rancho los amigos scale 6

Answer 14

Confused and appropriate

Question 15

Rancho Los amigos scale 7

Answer 15

automatic appropriate

Question 16

rancho los amigos scale 8

Answer 16

purposeful appropriate

Question 17

Do people typically plateu at rancho level 4

Answer 17

no typically progress

Question 18

Heightened state of activity
Behavior is bizarre and non-purposeful relative to immediate environment
Pt is unable to cooperate directly with treatment efforts
Verbalizations are incoherent or inappropriate to the environment
Gross attention to environment is very brief selective attention is often non existent

Answer 18

Ranch level IV 4

Question 19

Follows simple commands fairly consistently
when lacking structure or increasing complexity, responses become less purposeful or fragmented

Gross attention to the environment; highly distractible and lacks ability to focus attention on a specific task

May be able to converse on a social-automatic level of short periods of time
Memory is severely impaired often shows inappropriate use of objects; may perform previous learned tasks with structure had difficulty learning new info

Answer 19

Rancho Level V 5

Question 20

Patient shows goal directed behavior but is dependent on external input for direction
Follow simple directions consistently and shows carryover for re-learned tasks with little or no carryover for new tasks
Responses may be incorrect due to memory problems but are appropriate to the situation
Past memories show more depth and detail than recent memory

Answer 20

Rancho Level VI 6

Question 21

Patient appears appropriate and oriented within the hospital and home setting
Goes through daily routine automatically, but frequently robot-like with minimal-to-absent confusion
Has shallow recall of activities
Shows carryover for new learning, but at a decreased rate

Answer 21

Rancho level VII 7

Question 22

Patient is able to recall and integrate past and recent events and is aware of and responsive to environment
Shows carryover for new learning and needs no supervision once activities are learned
May contribute to show a decreased ability relative to premorbid abilities, tolerance for stress, and judgement in emergencies or unusual circumstances

Answer 22

Rancho Level VIII 8