Location, changes, associated conditions, prognosis, treatment Flashcards

1
Q

frontal lobe pt 1

A

inability to sequence

loss of spontaneously in interacting with others

loss of flexibility of thinking

perseveration

highly distractable

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2
Q

frontal lobe pt 2

A

confabulation

emotionally labile

changes in personality/social behavior

disinhibition

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3
Q

frontal lobe pt 3

A

difficulty w/ problem solving

broca’s aphasia –> expressive speech

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4
Q

parietal lobe

A

inability to attend to more than one object at a time

anomia

agraphia

alexia

apraxia

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5
Q

parietal lobe pt 2

A

difficulty drawing objects

difficulty distinguishing left from right

difficulty calculating

inability to focus visual attention

difficulties with eye and hand coordination

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6
Q

occipital lobe

A

defects on vision (visual field cuts)

difficulty locating objects in environment

identifying colors

production of hallucinations

visual illusions

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7
Q

occipital lobe pt 2

A

word blindness

difficulty in recognizing drawn objects

inability to recognize the movement of objects

difficulty with reading and writing

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8
Q

temporal lobe

A

STM loss

interference with LTM loss

increased aggressive behavior

inability to categorize

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9
Q

temporal lobe pt 2

A

difficulty recognizing faces

wernike’s aphasia

disturbance in selective attention to what we see and hear

difficulty with identification of and verbalization about objects

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10
Q

brainstem

A

decreased vital capacity

dyshpagia

difficulty with organization/perception of the environment

sleeping difficulties

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11
Q

cerebellum

A

loss of ability to coordinate fine movements

loss of ability to walk

poor balance

dizziness

tremors

slurred speech

ataxia

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12
Q

physical changes post TBI

A

fatigue/loss of stamina

sleep disorders

headaches

chronic pain

sensory changes

dizziness

nausea

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13
Q

physical changes pt 2

A

unsteady gait

decreased balance

dysregulation of temp

hormonal changes

blurred vision

seizures

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14
Q

cognitive changes

A

perseverations

impulsiveness

language difficulties

executive fxn

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15
Q

perseverations

A

attention

concentration

memory

orientation

processing speed

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16
Q

social/behavioral changes

A

agitation

aggression

denial/lack of awareness of problem

disinhibition

irritability

anxiety

17
Q

social/behavioral changes pt 2

A

sleep disturbance

depression

emotional lability

loss of initiative

changes in role w/in family, work and society

18
Q

associated orthopedic conditions

A

skull and other fx

myositis ossificans/ heterotopic ossification

contractures

trauma

19
Q

prognosis –> pre injury factors

A

age

pre morbid health

education

intellect

substance abuse history

previous TBI

socioeconomic status

family/social support

20
Q

injury factors –> prognosis

A

coma > 1 wk

PTA > 2 wks

co-existing injuries

secondary injuries

delayed access to trauma care

presence of DAI or hypoxia/anoxia

little to no change is GCS/RLCFS score 4 wks post

positive imagine findings several weeks post (little resolution)

21
Q

post injury factors –> prognosis

A

access to and continuity of rehab services

access to case mgmt

consistent communication b/w family/patient and the team

family/pt acceptance and understanding of TBI

22
Q

treatment

A

cognitive remediation

SAFETY

family ed/training

home and vocational considerations

community re-integration

23
Q

screening is

A

crucial for TBI

24
Q

if symptoms are noted

A

quick referral for eval/treatment

25
Q

educations of pts

A

physical

emotional

cognitive changes

26
Q

communication tips

A

speak slowly and clearly

interview in calm, non-distracting environment

repeat instructions

give one step directions/requests

avoid open ended questions

give reminders or cues

provide written info if possible