Moderate to severe TBI Flashcards
what education does OT require
masters or doctorate
-board exam
-licensed in CO through DORA
what education does speech language pathologist require
masters in 7-8 years
-fellowship
-board exam
licensed in CO through DORA
define dysphagia
disordered swallowing
what are the overlapping disciplines for OT and PT
-functional mobility
-activity tolerance
what are the overlapping disciplines for OT/SLP
cognition
for the glascow coma scale, what is verbal response?
- oriented
- confused orientation
- inappropriate words
- incomprehensible words
- no response
for the glascow coma scale, what is eye opening?
- spontaneous
- to speech
- to pain
- no response
for the glascow coma scale, what is motor response?
- obeys simple commands
- localizes (pushes away from pain)
- withdraws to pain
- abnormal flexion to pain (decorticate: flex UE and lower)
- abnormal ext to pain (decerebrate)
- no response
for the pediatric glascow coma scale, what is verbal response?
- coo/babble
- irritability/cry
- cries to apin
- moans to pain
- no reply
for the pediatric glascow coma scale, what is eye opening?
- spontaneous
- to speech
- to pain
- no reply
for the pediatric glascow coma scale, what is motor response?
- moves spontaneously
- withdraw to touch
- withdraw to pain
- abrnoaml flexion to pain
- abnormal ext to pain
1.. no reply
what are the coma scale classifications of severity?
mild 13-15
moderate 9-12
severe 3-8
what are I-III rancho los amigos?
I- no response
II- generalize response
III- localized response
disorders of consioucness
what are Iv-VI rancho los amigos
IV: confused agitated
V: confused inappropriate
VI: confused appropriate
can be in therapy and are hard to treat
what are VII and VIII rancho los amigo
VII: automatic appropriate
VIII purposeful appropriate
what are the disorders of consciousness
- coma
- veg state
- minmally conscious
takl about level IV: confused agitated
-heightened state of activity; restless
-bizarre, non-puporseful behavior
-unable to cooperate directly
-verbalizations incoherent and inappropriate to environ
-confabulation
-non existent select attention
-lacking short and long term recall
still in a state of post-traumatic amnesia
talk about level V: confused inappropriate
-follows simple commands fairly consistently
-when lacking structure or increasing complexity, responses are less purposeful
-highly distractable, lacks ability to focus attention
-can converse on social-automatic level
-verbalization is inappropriate and confabulatory
-memory imparied
-inappropriate use of objects
-difficulty with new info
talk about level VI: confused appropriate
emerging from post traumatic amnesia and can strat creating new memories
-goal-directed behavior but dependent on external input
-follows simple directions and shows carry over
-responses can be incorrect due to memory problems but appropraite for the situation
-past memories more in depth than recent
talk about level VII: automatic appropriate
-oriented w hospital and home settings
-goes through daily routine automatically
-has shallow recall of activity
-shows carryover for new learning but slowly
-with structure can initiate social/rec activity
-judgment still impaired
talk about level VIII: purposeful appropriate
-patient can recall and integrate past and recent events
-shows carryover for new leraning and needs no supervision
