TBI

Question 1

what is an ABI

Answer 1

acquired brain injury
may be casued from drug overdose, anoxia, infections

Question 2

how is TBI classsified?

Answer 2

mild, moderate, severe

Question 3

what is a mild TBI?

Answer 3

any trauma inducded disruption of brain fucntion with loss of consciousmess, memory and alteratom in mental state or focal deficit

Question 4

what is a moderate TBI?

Answer 4

A GVS of 9-12, traumatic amnesia of 1 to 24 hours

Question 5

what is a severe TBI

Answer 5

loss of consiousness more than sicx hours. GCS score of 8 or less

Question 6

what impacts recovery and prognosis?

Answer 6

motivation and meotioanl regulation, severity of injury, wuality of intervetniona nd follow up, Age, pre injury capabilities, reoccurnces, prevention of secondary copmlications, social support

Question 7

rnachos level 1

Answer 7

no resposne

Question 8

ranchos level 2

Answer 8

generalized response

Question 9

ranchos level 3

Answer 9

localized resonse

Question 10

ranchos level 5

Answer 10

confused, inappropiate response not agitated

Question 10

ranchos level 4

Answer 10

confused agitated

Question 11

ranchos level 6

Answer 11

confused appropiate resposne

Question 12

ranchos level 7

Answer 12

autoomatic, appriopate response

Question 13

ranchos level 8,9,10

Answer 13

purposeful appropriate

Question 14

what stages are levels 1,2,3

Answer 14

coma emergent phase

Question 15

what stages are levels 4,5,6

Answer 15

rehab phase

doing more - actionsa re pruposefu, getting read to transition to com phase

Question 16

what stages are 7,8,9,10

Answer 16

community phase

motor deficits may still be observed

Question 17

levels 1-3 approach?

Answer 17

preventing co-morbitidies
restorative: sensory stimulation, alterness, goal directed behavior responses

Question 18

OT tips and lower level TBI (1-3)

Answer 18

body language adn facial expressions
make eye contact
touch the patient adn speak directly
keep communication simple
allow time
dont raise voice
familiar tiems
celebrate success!!

Question 19

OT INTERVENTION: 1-3

Answer 19

splinting/support
PROM
positioning
serial casting
provide each stimulus with an intended motor repsonse
positioning program
casts and splints
coordination of sessions
maintain ROM

Question 20

GOALS: LEVEL 4

Answer 20

GOAL: decrease client’s confusion
limit lethargy
orient to place/time/you each session
quiet environment, decrease, tasks

Question 21

OT INTERVENTION: Confused and Agitated State (4)

Answer 21

Basic ADLs
groos motor
- swatting balloons
walking with assist, push in wc
help them move
work with familiar objects
environment

Question 22

GUIDELINES: LEVELS 5-6

Answer 22

FOCUS: re-insutte basic routines

activites:
- specific routine tasks
-patient not capable of wide variety of options
traisn with particular squence
train with written materials
step by step
organize environment

Question 23

OT focus for levels 7-10

Answer 23

training pt to anticipate
demonstrate goal directed behavior
planning within reasonable time period
EF focus

Question 24

community reintergration goals:

Answer 24

money mangement
community mobility
avocational, prevocational, educational areas
self management
technical aids
family education
suport groups
cogntive emtoinal challenges