Moderate to severe TBI

Question 1

what education does OT require

Answer 1

masters or doctorate
-board exam
-licensed in CO through DORA

Question 2

what education does speech language pathologist require

Answer 2

masters in 7-8 years
-fellowship
-board exam
licensed in CO through DORA

Question 3

define dysphagia

Answer 3

disordered swallowing

Question 4

what are the overlapping disciplines for OT and PT

Answer 4

-functional mobility
-activity tolerance

Question 5

what are the overlapping disciplines for OT/SLP

Answer 5

cognition

Question 6

for the glascow coma scale, what is verbal response?

Answer 6

5. oriented
6. confused orientation
7. inappropriate words
8. incomprehensible words
9. no response

Question 7

for the glascow coma scale, what is eye opening?

Answer 7

4. spontaneous
5. to speech
6. to pain
7. no response

Question 8

for the glascow coma scale, what is motor response?

Answer 8

6. obeys simple commands
7. localizes (pushes away from pain)
8. withdraws to pain
9. abnormal flexion to pain (decorticate: flex UE and lower)
10. abnormal ext to pain (decerebrate)
11. no response

Question 9

for the pediatric glascow coma scale, what is verbal response?

Answer 9

5. coo/babble
6. irritability/cry
7. cries to apin
8. moans to pain
9. no reply

Question 10

for the pediatric glascow coma scale, what is eye opening?

Answer 10

4. spontaneous
5. to speech
6. to pain
7. no reply

Question 11

for the pediatric glascow coma scale, what is motor response?

Answer 11

6. moves spontaneously
7. withdraw to touch
8. withdraw to pain
9. abrnoaml flexion to pain
10. abnormal ext to pain
    1.. no reply

Question 12

what are the coma scale classifications of severity?

Answer 12

mild 13-15
moderate 9-12
severe 3-8

Question 13

what are I-III rancho los amigos?

Answer 13

I- no response
II- generalize response
III- localized response

disorders of consioucness

Question 14

what are Iv-VI rancho los amigos

Answer 14

IV: confused agitated
V: confused inappropriate
VI: confused appropriate

can be in therapy and are hard to treat

Question 15

what are VII and VIII rancho los amigo

Answer 15

VII: automatic appropriate
VIII purposeful appropriate

Question 16

what are the disorders of consciousness

Answer 16

1. coma
2. veg state
3. minmally conscious

Question 17

takl about level IV: confused agitated

Answer 17

-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

Question 18

talk about level V: confused inappropriate

Answer 18

-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

Question 19

talk about level VI: confused appropriate

Answer 19

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

Question 20

talk about level VII: automatic appropriate

Answer 20

-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

Question 21

talk about level VIII: purposeful appropriate

Answer 21

-patient can recall and integrate past and recent events
-shows carryover for new leraning and needs no supervision