Managment of Mild Brain Injury VII-VIII Flashcards
GCS
13-15
Rancho Los Amigos Level of Cognitive Functioning Scale
7
- Automatic, Appropriate
-out of PTA
-robot like
-minimal confusion
-shallow recall
-needa structure
-problem solving and poor judgment
Rancho Los Amigos Level of Cognitive Functioning Scale
8
- Purposeful, Appropriate
-alert, oriented
-cognitively independent
-function at reduced levels in society
-integrates past events
Outcome Measures: Mild Brain Injury
Body Structure
-Rancho
-MAS
-MOS
Activity
-FIM
-HiMAT, 5TSTS
-6MWT, 10MWT,
-BERG
-FGA
Participation
-CHART
General Goals: Mild Brain Injury
Participation restrictions > Activity Limitations > impairments
-functional mobility
-balance
-problem solving
-physical endurance
Awareness
-improved attention and memory for one’s own performance
Sustained Attention
maintain focus on a continuous activity
Selective Attention
focus on a particular task in the presence of distractions
Alternating Attention
switching between tasks
Divided Attention
performance of multiple tasks simultaneously
Dual Tasking
-concurrent performance of 2 tasks
-tasks can be performed and measured independently with differing goals
Figure Ground Perception
inability to distinguish foreground from background
Position in Space Disorders
Midline orientation
Pusher Syndrome
Executive Function and Problem-Solving Components
-goal selection
-planning and sequencing
-purposeful action
-awareness of deficits
-self-monitoring
Limb Apraxia: Ideomotor
-inability to formulate correct movement sequence in response to a demand
-performance problem
Limb Apraxia: Ideational
-Purposeful movement not possible on command or automatically
-loss if knowledge of items function
Gait Apraxia
-inability to walk in standing
-can mimic walking while lying down
-magnetic gait
Verbal Apraxia
-aphemia
-muteness, but can write
Positive Factors to Return to Work
-previous employment
-short length of time since injury
-<40
-greater cognitive abilities
-lack of behavior issues
