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SLP > TBI > Flashcards

TBI Flashcards

0
Q

Coup and…

A

Contracoup

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1
Q

Classification of head injuries based on

A

Open or closed
Penetrating or blunt
Depressed or no depressed skull fracture

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2
Q

Shearing causes

A

Diffuse atonal injury
Contusion
Hemorrhages

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3
Q

PTA with concussion

A

Transient, acute

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4
Q

Range of mild to severe based on

A

Degree of force
Multiple trauma
Neurological complications
Speed of assistance

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5
Q

Mild TBI

A

13-15 GCS
Less than 1 hour loss of consciousness
Less than 24 hours PTA

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6
Q

Moderate TBI

A

9-12 GCS
1-24 hours LOC
1-7days PTA

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7
Q

Severe TBI

A

3-8 GCS
Over 24 hours LOC
More than 7 days PTA

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8
Q

Greatest degree of recovery occurs within

A

6 months

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9
Q

Rancho Los amigos scale

A

1-3 beginning stages of recovery
4-6 middle
7-8 later
9-10 new recovery stages

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10
Q

Persistent vegetative state when…

A

12 months post trauma
Or
3 months post anoxic incident

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11
Q

Rancho level 1

A

No response
Give stimulation
Speak as if they understand

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12
Q

Rancho level 2

A

Generalized response
Reacts inconsistently, non purposeful, nonspecific to the stimuli.
Limited, repeated responses

Facilitate purposeful movement
Stimulate sensory, increase rate, variety, quality of pt response

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13
Q

Rancho level 3

A

Localized response
Pt reacts specifically but not consistently
May follow specific commands , ie open your eyes
Inconsistent, delayed

Maintain attention
Establish means of communication
Matching objects
Sensory stimulation
Use of objects
Common commands
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14
Q

Rancho level 4

A 
Confused, agitated
Heightened activity, low processing of info
Non purposeful behavior
May overreact to stimuli
Aggression
Confabulations, hostile
Inappropriate verbal
Brief gross attn, 
needs help w activities
Automatic motor tasks but not purposeful or on request
Establish Comm system
Increase attn to environment
Decrease agitation
Improve orientation
Sequencing and temporal tasks
Discrimination of pics and objects
Expression and comprehension , yes-no questions
Set up routine, structure. Avoid touch and restraint if possible.
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15
Q

Rancho level 5

A 
Confused, inappropriate
Looks alert
Responds consistently w simple commands but more complex ones w less structure get answers that are non purposeful, fragmented
Gross attn to environment
Lack of initiation
Inappropriate use of objects
Verbal inappropriate, confabulations
Needs supervision for tasks
Out of proportion agitation to stimuli
Compensate for memory deficits
Increase attn, orientation, cognitive fx
Problem solving, judgment
Increase Awareness of inappropriate behaviors
Enhance communication
Memory notebook
Calendars and clocks
Maintain topic
Sequence
Reading and writing tasks
Association and categorization
16
Q

Rancho level 6

A

Confused, appropriate
Goal directed behavior but needs outside direction
Able to tolerate unpleasant stimuli
Consistently follows commands
Carry over for learned tasks
Memory deficit but answers questions appropriately
Inconsistently oriented to time and place
Memory is better than before,deeper
Selective attn impaired
Better self awareness and recognition of others

Cognitive linguistics
Word retrieval
Community reentry
Address memory
Thought formulation
Processing, reasoning, executive fx
17
Q

Rancho level 7

A 
Automatic, appropriate
Minimal to absent confusion
Oriented, appropriate
Automatic with daily tasks
Doesn't fully understand his condition
Decreased judgement and problem solving
Lack realistic planning
Carryover present but slow
Increase insight
Maximize community functioning
Sequential thought processing
Organization, planning
Memory long and short term
Social skills
Decrease dependence
Abstract thinking
Role playing
18
Q

Rancho level 8

A

Purposeful, appropriate
Alert, able to recall past events
Doesn’t need supervision
May still have trouble with processing speed, abstracts, stress, and judgement in an emergency

Attention
Memory devices
Social

19
Q

Rancho level 9

A 
Aware of deficits
Able to think of consequences with assistance
Can acknowledge others feelings w help
Easily frustrated
Depression
Can self monitor socially

Memory devices
Social interaction
Divided, alternating, sustained attn

20
Q

Rancho level 10

A

Can multitask in all environments but may need breaks
May need more time for activities
Aware of deficits impact and can compensate
Periodic depression
Independently gets others emotions and consequences to actions

No therapy

21
Q

Response hierarchy

A

Response
Consistent response
Accurate response

22
Q

For arousal, consider…

A

Medications and pain level

SLP (10 decks)

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