Neuro II Lecture 1 - History/Documentation Flashcards
what are the 7 essential domains in entry level neuro compentency
- participation
- communication/collaboratoin
- health promotion and wellness
- movement science
- assistive technology and equipment
- EBP
- provider health & wellness
how many hours of therapy does a pt need to tolerate per day in acute rehab
3 hours, needs to have 2 disciplines (PT, OT, SLP)
what level of rehab is designed for patients with TBIs in a minimally conscious state?
acute - slow to recover
what are the “requirements” or characteristics of acute - slow to recover rehab?
pts are unable to tolerate 3 hours/day of therapy
initial goals include arousal, response to stimuli, tone management
progress to conventional acute rehab
what are the “requirements” or characteristics of LTAC (long-term acute care)?
- pts w/ medical needs limiting progress or participation w/ therapy
- pt’s treatments divided into short sessions mult. times/day
- ***anticipated length of stay >25 days
what are the “requirements” or characteristics of sub-acute SNF?
- length of stay longer than sub-acute
- for pts that are slow to progress or only have fair rehab potential
what are the two approaches to improving function after TBI
- efforts limit severity of initial injury to minimize loss of function (medical management)
- efforts to reorganize the brain to restore/compensate for function thats already compromised or lost
ten principles of neuroplasticity?
- use it or lose it
- use it and improve it
- specificity
- intensity matters
- time matters
- salience matters
- age matters
- repetition matters
- transference
- interference
motor recovery vs. compensation?
reaquisition of movement skills lost through injury vs. behavorial substitution
whats included in a systems review?
musculoskel
neuromusc
cardiopulmonary
integument
communication ability
cognitive ability
endocrine
what are you looking for in a cog/comm. systems screen?
- arousal level
- stimuli response
- ability to follow commands
- orientation
ability to retain info
attention span
safety awareness
what are you looking for in a integumentary systems screen?
skin color/temp
integrity
presence of wounds
surgical incisions/ lines or tubes
positioning
what are you looking for in a cardiopulm systems screen?
- vitals
- activity tolerance
- pulmon. assessment (cough, secretions, breathing pattern)
what are you looking for in a musculoskel systems screen?
gross symmetry
ROM
Ottawa ankle/knee
reasons for referral out for musculoskel?
- symptoms out of proportion for injury
- sx persisting beyond expected time or nature of injury
- severe/progressive back pain accompanied by sx
- new onset of joint pain following surgery w/ inflamm. signs
