TBI Flashcards
what is an ABI
acquired brain injury
may be casued from drug overdose, anoxia, infections
how is TBI classsified?
mild, moderate, severe
what is a mild TBI?
any trauma inducded disruption of brain fucntion with loss of consciousmess, memory and alteratom in mental state or focal deficit
what is a moderate TBI?
A GVS of 9-12, traumatic amnesia of 1 to 24 hours
what is a severe TBI
loss of consiousness more than sicx hours. GCS score of 8 or less
what impacts recovery and prognosis?
motivation and meotioanl regulation, severity of injury, wuality of intervetniona nd follow up, Age, pre injury capabilities, reoccurnces, prevention of secondary copmlications, social support
rnachos level 1
no resposne
ranchos level 2
generalized response
ranchos level 3
localized resonse
ranchos level 5
confused, inappropiate response not agitated
ranchos level 4
confused agitated
ranchos level 6
confused appropiate resposne
ranchos level 7
autoomatic, appriopate response
ranchos level 8,9,10
purposeful appropriate
what stages are levels 1,2,3
coma emergent phase
what stages are levels 4,5,6
rehab phase
doing more - actionsa re pruposefu, getting read to transition to com phase
what stages are 7,8,9,10
community phase
motor deficits may still be observed
levels 1-3 approach?
preventing co-morbitidies
restorative: sensory stimulation, alterness, goal directed behavior responses
OT tips and lower level TBI (1-3)
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!!
OT INTERVENTION: 1-3
splinting/support
PROM
positioning
serial casting
provide each stimulus with an intended motor repsonse
positioning program
casts and splints
coordination of sessions
maintain ROM
GOALS: LEVEL 4
GOAL: decrease client’s confusion
limit lethargy
orient to place/time/you each session
quiet environment, decrease, tasks
OT INTERVENTION: Confused and Agitated State (4)
Basic ADLs
groos motor
- swatting balloons
walking with assist, push in wc
help them move
work with familiar objects
environment
GUIDELINES: LEVELS 5-6
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
OT focus for levels 7-10
training pt to anticipate
demonstrate goal directed behavior
planning within reasonable time period
EF focus
