NP: Chapter 5 Recovery and treatment

Question 1

acquired brain injury 5 types

Answer 1

traumatic brain injury
verebrovascular accident
brain tumor
lack of oxygen
encephalitis

Question 2

3 congenital disorders

Answer 2

adhd
downs syndrome
autism

Question 3

3 soorten consequences of acquired brain injury ABI

Answer 3

emotional, cognitive, behavioural

Question 4

on what three factors does spontaneous recovery depend

Answer 4

1. type of injury/ethiology
2. severity of injury
3. location

Question 5

recovery =

Answer 5

progress in functioning in comparison with the time of brain injury, not a full retunr to premorbid functioning

(neurological or psychological recovery)

Question 6

after … there is usually little further cognitive improvement

Answer 6

a year

Question 7

how about behavioural functioning improvement?

Answer 7

this can keep on progressing! people can train themselves to adapt better to their limitations. = coping

(maar echt de cognitieve vaardigheden kunnen niet perse meer verbeteren)

Question 8

direct neuropsychological symptom =

Answer 8

loss or change in behaviour or cognitive processes as a direct consequence of damage

Question 9

indirect neuropsychological symptom =

Answer 9

attempt by the patient to deal with this impairment

Question 10

welk level hoort bij welke symptom

Answer 10

neurological = direct
psychological = indirect

Question 11

welke approach hoort bij welke recovery level

Answer 11

direct = neuro = restorative approach
indirect = psych = compensatory approach

Question 12

welke approach kan het langste duren

Answer 12

compensatory approach

Question 13

Kennard principle =

Answer 13

principle that recovery from the consequences of brain damage is better at young age than at adulthood.

but….. this is not backed up by research

Question 14

neural plasticity is a …. process

Answer 14

continuous (involves all areas of thre brain and throughout life)

Question 15

restitutive reconnection

Answer 15

after injury, the neurons in areas adjecent to the damaged area quickly create new neural connections to replace the lost connections

Question 16

learning in recovery of brain injury =

Answer 16

learn old skills that are lost and new skills to cope/adapt

Question 17

learning definition =

Answer 17

relatively permanent change in behavioural repertoire that is the result of experience

Question 18

ICDIH model kleine definitie

Answer 18

international classification of
1. impairments,
2. disabilities and
3. handicaps

Question 19

impairments =

Answer 19

manifestations of disorders at an organ level, their description relates to the function of an organ.

impaired leg function

Question 20

disabilities =

Answer 20

consequences of impairments at a personal level

impaired leg -> geen voetbal meer kunnen spelen

Question 21

handicap =

Answer 21

adverse effect of societal functioning due to the impairment.

bv geen been meer is impairment voor footballplayer, maar minder voor secretaresse

Question 22

ICF kleine definitie

Answer 22

international classification of function, activities, participation

Question 23

ICF model van boven naar beneden

Answer 23

health condition
body functioning & structures - activities - participation
environmental factors - personal factors

Question 24

functions =

Answer 24

mental properties of the human organism

Question 25

disorders =

Answer 25

impairments/loss of mental functions

Question 26

activities =

Answer 26

components of a persons actions

Question 27

activity restrictions =

Answer 27

reduction or loss of the ability to carry out an activity

Question 28

participation =

Answer 28

a persons participation in society (role fulfilment)

Question 29

participation restrictions =

Answer 29

the adverse position of a person that results from a disorder or restriction that hampers or prevents their normal societal role fulfilment

Question 30

hierarchy of neuropsychological methods Gross & Schutz linker rij

Answer 30

environmental control
S-R conditioning
skill training
strategy training
cognitive cycle

Question 31

hierarchy of neuropsychological methods Gross & Schutz bovenste rij

Answer 31

learning
generalisation
self-monitoring
goal setting
change in…

Question 32

hierarchy of neuropsychological methods Gross & Schutz change in rij van boven naar beneden

Answer 32

behavior
behavior routine
skill
strategic ability
attitude

Question 33

the restorative model uitleg

Answer 33

assumes that training had to be focused on the recovery of the damaged congitive function and underlying brain structure.

Question 34

the compensatory model uitleg

Answer 34

currently the most popular model in rehabilitation

assumes that damage is irreversible, but that the consequences of this damage should be compenstaed for as much as possible by using intact functions and abilities

Question 35

dus restorative model doel

Answer 35

recover brain function via training
let patient repeatedly perform the same task, calling on the damaged function, so that it can become stronger

Question 36

kritiek op restorative model =

Answer 36

too nonspecific, too simplistic + no evidence

Question 37

the compensatory model doel

Answer 37

not to improve damaged function or to eliminate impairments, but to improve functioning with regard to activities and participation level by using intact abilities

= make the best out of intact brain functions!