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Y2 Neurology > Rehabilitation > Flashcards

Rehabilitation Flashcards

1
Q

What is an impairment ?

A

problems in body function or structure such as a significant deviation or loss

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2
Q

what is a disability ?

A

difficulties an individual may have in executing activities in the range considered normal for people of the same age, sex and culture

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3
Q

what is a handicap ?

A

a disadvantage for a given individual that limits the fulfilment of a role that would otherwise be normal for that individual

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4
Q

what is rehabilitation ?

A

the restoration of patients to their fullest physical, mental and social capability

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5
Q

what is conceptual ?

A

A process of active change by which a person who has become disabled acquires the knowledge and skills needed for optimal physical, psychological and social function.

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6
Q

what is service definition?

A

The use of all means to minimise the impact of disabling conditions and to assist people with activity limitation to achieve their desired level of autonomy and participation in society

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7
Q

what is the definition of a long term neurological condition?

A

Disease of, injury or damage to the nervous system which will affect the individual and their family in one way or another for the rest of their life

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8
Q

give three examples of sudden onset long term neurological conditions?

A

acquired brain injury
spinal cord injury
stroke

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9
Q

give two examples of unpredictable long term neurological conditions?

A

epilepsy

early MS

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10
Q

give three examples of progressive long term neurological conditions?

A

motor neuron disease
parkinsons disease
later stages of MS

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11
Q

give three examples of stable long term neurological condition?

A

Post-polio syndrome
Cerebral palsy in adults
Spina bifida in adolescence/adults

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12
Q

give some symptoms of long term neurological conditions

A 
weakness 
loss of sensation 
increased/decreased tone 
visual disturbance 
loss of hearing/smell/taste 
swallowing problems 
bladder/bowel problems 
seizures 
epilepsy
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13
Q

give some examples of cognitive problems a patient may have after a brain injury?

A 
post-traumatic amnesia 
confusion 
memory problems 
slowed thinking 
poor concentration 
poor "executive functioning"
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14
Q

give some examples of psychiatric problems a patient may have after a brain injury?

A 
depression 
anxiety 
personality changes 
irritability 
behavioural changes 
- aggression
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15
Q

what are the “smart” goals ?

A 
Specific 
Measurable 
Achievable 
Relevant 
Time limited
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16
Q

state the stages of rehabilitation ?

A 
make a list of problems 
set goals 
identify potential barriers 
formulate a plan 
involve the MDT 
involve patient and family
17
Q

what can be assessed the extent of the patients disability ?

A 
mobility 
activities of daily living 
mood and cognition 
bladder and bowel problems 
communication and swallowing 
skin, vision, hearing
18
Q

state some people involved in the MDT working to rehabilitate a patient ?

A 
physiotherapist 
OT 
speech and language therapist 
nurses 
dietician 
doctors 
neuropsychologist 
social worker
19
Q

is spasticity velocity dependant ?

A

yes

20
Q

what is spasticity ?

A

intermittent or sustained involuntary activation of muscles

21
Q

state some complications of spasticity ?

A 
poor sitting and lying positions 
sleep difficulty 
dressing and hygiene issues 
pain associated 
communication and feeding problems 
pressure sores 
poor self image and relationship issues
22
Q

state some options of management of spasticity ?

A

physical therapy
exclude exacerbating factors
oral antispasticty agents
focal treatment of botulinum toxin

23
Q

where does rehabilitation occur ?

A 
acute hospital 
rehabilitation ward 
outpatient centre 
patients home 
community facilities
24
Q

what are some benefits of rehabilitation ?

A

greater

  • independence
  • chance of returning home
  • comfort and dignity
  • QOL
  • chance of returning to work

reduced
- need for care

25
Q

what does ABI stand for ?

A

acquired brain injury

26
Q

give some examples of ABIs?

A 
haemorrhage 
head injury 
infective 
hypoxic 
metabolic
27
Q

what GCS suggests a severe head injury?

A

3-8

28
Q

what GCS suggests a moderate head injury?

A

9-12

29
Q

what GCS suggests a mild head injury?

A

13-15

30
Q

what awesome secondary complications of head injuries ?

A 
pressure sores 
chest infections 
aspiration 
malnutrition 
constipation 
DVT 
depression 
musculoskeletal pain
31
Q

state some secondary social complications of brain injuries ?

A

social complications

  • relationship and family breakdown
  • childcare issues
  • unemployment
  • social isolation
32
Q

benefits of rehabilitation

A

reduce disability

earlier discharge

Y2 Neurology (52 decks)

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