TBI and SC rehab Flashcards
4 elements of rehab prescription
- physical
- cognitive
- behav/psych
- functional/community
what is tetra and para plegia
tetra- all
para - arms spared
*what is the diff between skeletal and neuro level of injury
skeletal - level at which by radiology the most damage is found
neuro - the most caudal segment of cord with normal function on both sides of body
why is difference important
one level can make a big diff. in function
- C6 is better than C5 because still have wrist extension
*list at least 4 SCI complications
- autonomic dysreflexia
- neurogenic bowel
- neurogenic bladder
- presssure ulcer
- pain
- spacticity
- osteopenia/porosis
- Sex
- depression
3 levels of TBI
mild - GCS 13-15, LOC 6hrs
- list 4 complication post TBI
- siezures
- hemiplegia
- diplopia
- hormonal
- vertigo
- HA/pain
- depression
- delerium
- psychosis
- arousal and attention
- learning and memory
is autonomic dysreflexia important
medical emergency!
*** what are SSx of auto dys
para above lesion - nasal congestion, sweating, chest tightness, flushing
sym below the lesion - cold, clammy skin
other - 20-30 rise in SBP, pounding HA
2 main triggers of AD
bowel and bladder distension
Tx of AD
- sit patient up
- releive the cause
- monitor BP
- treat with anti-hypertensive- get BP
how to prevent AD
bowel - diet, laxative, digital
bladder -cath
** 3 common causes of cog. decline in TBI
- cerebral complications
- delerium
- mood disorder
4 common cog. issues post TBI
- arousal and attn
- learning and memory
- lang and comm.
- exec. function
common behavioral imparments
- apathy
- agitation
- disinhibition
- mental inflexibility
