Location, changes, associated conditions, prognosis, treatment Flashcards
frontal lobe pt 1
inability to sequence
loss of spontaneously in interacting with others
loss of flexibility of thinking
perseveration
highly distractable
frontal lobe pt 2
confabulation
emotionally labile
changes in personality/social behavior
disinhibition
frontal lobe pt 3
difficulty w/ problem solving
broca’s aphasia –> expressive speech
parietal lobe
inability to attend to more than one object at a time
anomia
agraphia
alexia
apraxia
parietal lobe pt 2
difficulty drawing objects
difficulty distinguishing left from right
difficulty calculating
inability to focus visual attention
difficulties with eye and hand coordination
occipital lobe
defects on vision (visual field cuts)
difficulty locating objects in environment
identifying colors
production of hallucinations
visual illusions
occipital lobe pt 2
word blindness
difficulty in recognizing drawn objects
inability to recognize the movement of objects
difficulty with reading and writing
temporal lobe
STM loss
interference with LTM loss
increased aggressive behavior
inability to categorize
temporal lobe pt 2
difficulty recognizing faces
wernike’s aphasia
disturbance in selective attention to what we see and hear
difficulty with identification of and verbalization about objects
brainstem
decreased vital capacity
dyshpagia
difficulty with organization/perception of the environment
sleeping difficulties
cerebellum
loss of ability to coordinate fine movements
loss of ability to walk
poor balance
dizziness
tremors
slurred speech
ataxia
physical changes post TBI
fatigue/loss of stamina
sleep disorders
headaches
chronic pain
sensory changes
dizziness
nausea
physical changes pt 2
unsteady gait
decreased balance
dysregulation of temp
hormonal changes
blurred vision
seizures
cognitive changes
perseverations
impulsiveness
language difficulties
executive fxn
perseverations
attention
concentration
memory
orientation
processing speed
social/behavioral changes
agitation
aggression
denial/lack of awareness of problem
disinhibition
irritability
anxiety
social/behavioral changes pt 2
sleep disturbance
depression
emotional lability
loss of initiative
changes in role w/in family, work and society
associated orthopedic conditions
skull and other fx
myositis ossificans/ heterotopic ossification
contractures
trauma
prognosis –> pre injury factors
age
pre morbid health
education
intellect
substance abuse history
previous TBI
socioeconomic status
family/social support
injury factors –> prognosis
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)
post injury factors –> prognosis
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
treatment
cognitive remediation
SAFETY
family ed/training
home and vocational considerations
community re-integration
screening is
crucial for TBI
if symptoms are noted
quick referral for eval/treatment
educations of pts
physical
emotional
cognitive changes
communication tips
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
