PT management of sev-mod TBI Flashcards
what is RLA Level IV
confused agitated
what is the description of Level IV
-heightened state of activity
-bizarre behavior
-unable to cooperate direction with treatment efforts
-verbalizations incoherent or inappropraite to environement
-no selective attention
-no short or long term recall
what is the Pt role for Level IV?
-mobilize with considerations
-low stimulation environement
-structured therapy times
-assist with sleep-wake cycle
-short sessions
what is RLA Level V
confused inappropriate
what is the description of RLA level V
-follows simple commands
-without structure and complicated- responses less purposeful
-highly distractable
-lacks ability to focus on specific task
-verbalization inappropriate
-memory imparied
-may use objects inappropriately
-may perform previously learned tasks
-difficulty with new info
what are the PT roles with level V
-environmental modification
-progress mobility
-structured, short sessions
-directed tasks vs automatic
-implicit learning
what is RLA Level VI
confused appropriate
what is the description of RLA Level VI
-shows goal directied behavior
-dependent on external input
-follows simple directions
-shows carryover
-multiple reps and guidance needed
-past memories more in depth than recent
-responses may be incorrect due to memroy but appropriate to situation
what is the PT role in Level VI
-prevent learned non-use
-constrained induced therapy may be inititated
-BW support TM training
-incorporate goal-directed tasks
what is ELL
errorless learning
-cog ther techinuq for those w severe memory impairments
-if explicit, cant be corrected
-use verbal and visual cues
-hand over hand assistance
-discouragement of guessing
-gradual fading of prompts
-part task practice of disecrete portions of a larger skill
what is retrograde amnesia
partial or total loss of ability to recall events that have occurred during the times immediatley before hte injury
what is anterograde memory
abiity to form more complete new memories, complicated by decreased attention and perception
what is posttraumatic amnesia
time betwen injury and point at which functional memory returns
what is RLA Level VII
automatic appropriate
what is the desription of Level VII
-min A needed
-patient appears appropriate and oriented within hospital and home settings
-goes through daily routine
-has shallow activity recall]
-shows structure
-judgment remains impaired
what is the PT role in level VII
-add more complex environmental tasks
-community interaction
-stimulation and problem solving
-more self directed and trail and error learning
what is level VIII
purposeful appropraite
what is the description of level VIII
SBA needed for cog-behavior
-pt can recall and integrate past and recent events
-shows carryover for new learning
-may continue to show dereased ability relative to premorbid ability, tolerance for stress and judgement
whats the pt role in level VIII
-community re-entry
-increasing levels of problem solving w stress exposure
-increase independence
what is the goal with ranchos L II-III
stimulation
what is the goal with ranchoes levels IV-V
allowing
what is the goal with ranchos VI-VIII
initiation, more stucture, new learning, gaining independence
what is the goal wtih ranchoes IX-X
return to optimal lvel of function and participation
Which of the following is a reason why children may have poorer outcomes after moderate to severe TBI than adults?
Children have less physical and developmental infrastructure for recovery
Which of the following is a poor prognostic sign after moderate to severe traumatic brain injury?
Intracranial pressure 25 mm Hg
The Monroe-Kelly Doctrine contributes to the fact that if the volume of edema, CSF and/or blood in the skull increases, potentially damaging pressure will be placed on the brain, causing secondary injury. What is another possible and serious consequence of increased pressure in the brain/skull?
Brain herniation or midline shift
Which of the following is the most diffuse type of brain injury?
Anoxic brain injury
Which of the following scales is the most comprehensive and complete test of disorders of consciousness?
Coma Recovery Scale-Revised
Which type of traumatic brain injury brings the greatest risk of infection?
open
Which of the following is a type of generalized seizure?
Bilateral convulsive seizure with tonic and/or clonic manifestations
