prognosis Flashcards

1
Q

severe stroke poor prognosis:

A
mod-severe cog. deficits
hemiplegia Brunnstrom stage 1-2
severe sensory def.
sitting balance impaired
bowel and bladder incontinence
barthel <60
tx focus: caregiver/pt education, compensations
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2
Q

mod stroke: fair prognosis

A
mod. cog. deficits
hemiplegia brunnstrom stages 2-3
mild sensory deficits
standing balance impaired
bladder incontinence
barthel >60
major comorbidities
tx focus: compensations
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3
Q

Mild stroke: good prognosis

A
mild/no cog. deficits
hemiplegia (brunnstrom stages 4-5)
mild/no sensory deficits
good standing balance
continent 
few comorbidities 
*all resources should go to this patient
tx focus: recovery
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4
Q

minimal stroke: excellent prognosis

A
good cognition
slight hemiparesis (brunnstrom stages 5-6)
no sensory deficits
good balance
continent
few comorbidities
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5
Q

Orpington prognostic scale

A

scores range from 1.6 (best) to 6.8 (worst) focuses on motor deficit in arm, proprioception, walking and balance and ….???

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6
Q

what are the cut off scores of the OPS and what do they mean?

A

???

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7
Q

pts with PD have worse prognosis if…

A
diagnosed older (57-78)
hypokinesia- rigidity upon initial presentation
don't respond to dopamine
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