Managment of Mild Brain Injury VII-VIII

Question 1

GCS

Answer 1

13-15

Question 2

Rancho Los Amigos Level of Cognitive Functioning Scale
7

Answer 2

7. Automatic, Appropriate
   -out of PTA
   -robot like
   -minimal confusion
   -shallow recall
   -needa structure
   -problem solving and poor judgment

Question 3

Rancho Los Amigos Level of Cognitive Functioning Scale
8

Answer 3

8. Purposeful, Appropriate
   -alert, oriented
   -cognitively independent
   -function at reduced levels in society
   -integrates past events

Question 4

Outcome Measures: Mild Brain Injury

Answer 4

Body Structure
-Rancho
-MAS
-MOS

Activity
-FIM
-HiMAT, 5TSTS
-6MWT, 10MWT,
-BERG
-FGA

Participation
-CHART

Question 5

General Goals: Mild Brain Injury

Answer 5

Participation restrictions > Activity Limitations > impairments

-functional mobility
-balance
-problem solving
-physical endurance

Question 6

Awareness

Answer 6

-improved attention and memory for one’s own performance

Question 7

Sustained Attention

Answer 7

maintain focus on a continuous activity

Question 8

Selective Attention

Answer 8

focus on a particular task in the presence of distractions

Question 9

Alternating Attention

Answer 9

switching between tasks

Question 10

Divided Attention

Answer 10

performance of multiple tasks simultaneously

Question 11

Dual Tasking

Answer 11

-concurrent performance of 2 tasks
-tasks can be performed and measured independently with differing goals

Question 12

Figure Ground Perception

Answer 12

inability to distinguish foreground from background

Question 13

Position in Space Disorders

Answer 13

Midline orientation
Pusher Syndrome

Question 14

Executive Function and Problem-Solving Components

Answer 14

-goal selection
-planning and sequencing
-purposeful action
-awareness of deficits
-self-monitoring

Question 15

Limb Apraxia: Ideomotor

Answer 15

-inability to formulate correct movement sequence in response to a demand
-performance problem

Question 16

Limb Apraxia: Ideational

Answer 16

-Purposeful movement not possible on command or automatically
-loss if knowledge of items function

Question 17

Gait Apraxia

Answer 17

-inability to walk in standing
-can mimic walking while lying down
-magnetic gait

Question 18

Verbal Apraxia

Answer 18

-aphemia
-muteness, but can write

Question 19

Positive Factors to Return to Work

Answer 19

-previous employment
-short length of time since injury
-<40
-greater cognitive abilities
-lack of behavior issues