Rehabilitation in Neurology Flashcards
what is the who rehabilarito concepts
structre (pathology)
funcion (impariment
actiity/ skill limiation
particaption (restiction)
what does the who defcine as teh contecut factors
personal and enviromental
how to move form imparmet to limation
thoug learning
how to move from limitaiton ot restict
thouhg cirumstances
what are exampsl of suddnet on sent neruoloical condtions
strokes, acquired brain injures, spinal cord injures, storke
exmples of intermited, or unplredice nueroligcla injures
epilepsy, ms
exampesl of static neruolical condsion
polio
spina bidifd
cerbal palsy
examples of progessive condtiosn
ms
huntingtons
friederichs ataxia
what is the classifation of a sevre head injury
gcs 3-8 and post truamtic anmeis - 1-7 dyas
classifcaiont of modrate head injury
gcs 9-12
post truamtic anesa - 1 - 24 hours
classification of mild head injry
gcs 13- 15
post truam anes 1 hour of less
what does who difeine as imparment
loss of physological, psychologic or anatomicl structure or funciotn
exmaples of physiclal imparimetn after brain injures
weakness, - hemiparies, paraparenis
loss of sension
increased tone, or spacisity
bladder or bowel dyfusion
swallowing and communication difficulties
pain
seizures
neuoendocie distubance
physical fatigue
what are exampels of cognative imparmetns
post truamaitc amnesia
confusion
severe memory problesm- recalling memor or working memory
poor concentraion or attentions
slowed thinking
impaired reasoning
examples of sychiatic or behavnoural impairtne after brain injury
depression
anxiety
personality change
irratibily
childness
behaviour change
anhedonia
cerebarl function impairments
dysphagia,
dysarthria
dyspraxia
vissual chagne
loss of hearing, smell or taste
what are teh secondary causes of ltnc long term nurologicla condtions
pressure sores, infection, falls , dvt, malnutrition, consitpation, pain and spasiticiy, contracture, low morale and epres
what leads to contactures
increased spacisicity of teh musles
how to tterat spacity
Muscle relaxants (e.g. baclofen
physiopheratmy
surgyer
what does the who define as limitions
anyting that stops someone fro preforming an activity that would be seen for normal people of the same general criteria
what are some of the things limited by neuronal conditoisn
mobility
manual abilities such as fine motor skills
thinking and planning
reading and comprehension
speaking
non verbal communication
feeding self
continence and hygenein
personal care
acitivy of daily living
medication
what is defiend as a resitiction
stops someone form fulfilling a role
exmpales of resticiesion
loss of indapentn living
family role complicaont
relation ship brakednows
legal implication including guradisionahsop
social isolation
recreational restiiton
what are exampels of perosnal factors
premorbid healht
ideias and expectations
motivations
enotional health
family support
what are exampels of enviromenal factors
therapy provions such as gp and communito surfaces
domestic arrangement such as home setup and workplace adaptations
main benifits of rehabilt
reduces need for care
gives indiepence
increase comfort and dignity
improves qol
best ways to rehab someone
stroke wards
reduced career depency
efficany in truamitic brian injyr
care costs
reduced carer dependency
where can rehab occur
acute hospitla
homes
outpatient cnere
community faciels such as sports hoel
rehab wards
what is the smart goal setting stand for
specicifi
measurable
achiveable
realistyc
timley
what to include in assemstn of neurological patitien
history and exam
treat underlying medical conditons
preventative medicine
impariments such as physical and pyscolica and cognitive
identify there limitations
set goals with patient
