Managment of Moderate Brain Injury IV-VI Flashcards

1
Q

GCS Moderate Brain Injury

A

9-12

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2
Q

Rancho Los Amigos Level of Cognitive Functioning Scale 4

A
  1. Confused, Agitated
    -heightened state of activity, confusion, disorientation, aggressive behavior
    -internal confusion
    -lack short term recall
    -perseveration
    -violence
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3
Q

Rancho Los Amigos Level of Cognitive Functioning Scale 5

A
  1. Confused, Inappropriate, non-agitated
    -alert, distractable, verbally or sexually inappropriate
    -doesn’t learn new info
    -memory impaired
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4
Q

Rancho Los Amigos Level of Cognitive Functioning Scale 6

A
  1. Confused, appropriate
    -good goal-directed behavior
    -needs cueing but can relearn
    -memory problems
    -little carryover
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5
Q

Agitation

A

Delirium during PTA and excesses of behavior that include:
-aggression
-akathisia
-disinhibition
-emotional lability

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6
Q

Post Traumatic Amnesia

A

-time lapse between the accident and point of memory restoration
-GOAT test (<75) and Orientation Log

<5 min: very mild
5-60 min: mild
1-24h: Moderate
1-7 days: Severe
1-4 Week: Very Severe
>4 Week: Extremely Severe

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7
Q

PT Exam Moderate TBI and Rancho 4

A

Chart Review:
-vitals, Hx, Prior PT, Meds

Systems Review:
-skin, CV, neuro

Subjective:
-How long is PTA
-Culture
-Family support
-Prior function and participation
-activity limitations

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8
Q

Outcome Measures: Rancho 4

A

-Orientation Log
-Rancho
-Agitated Behavior Scale
-Moss Attention Rating Scale
-FIM
-Disability rating scale

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9
Q

General Goals: Rancho 4

A

-participation
-decrease confusion
-manage agitation
-increase tolerance
-education

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10
Q

Behavior Management: Rancho 4

A

-distraction
-increase structure
-decrease stimuli
-tech
-include family
-determine triggers
-reorient patient
-calm voice and body

Treatment:
-precise instructions
-patient control
-high structure
-freedom to move

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11
Q

Outcome Measure: Rancho 5-6

A

-Orientation Log
-Rancho
-Agitated Behavior Scale
-Moss Attention Rating Scale
-FIM
-Disability rating scale
-6MWT, 10MWT, BERG, 5STS

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12
Q

General Goals: Rancho 5-6

A

-increase awareness
-encourage appropriate behavior
-increase functional abilities
-education

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13
Q

PT Intervention: Rancho 5-6

A

-orientation
-structure
-allow processing time
-challenges but not to agitation
-behavior management
-spasticity
-gait training
-Pt/Family Education

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