TBI assessment Flashcards
Considerations with assessment TBI
•Level of consciousness/arousal
•Neurobehavioral deficits that may impact participation
•Motor deficits (e.g., postural limitations, limb apraxia) that affect participation
•Sensory deficits (e.g., visual concerns, hearing loss)
•Consider how performance on structured tasks may (or may not) translate into real-world setting
•Influence of cultural and linguistic diversity
•Consider how you can work within a broader team
•Consider timing of assessment (e.g., informal v. formal)
A TBI assessment should…
•Evaluate strengths and weaknesses and their effect on pre-morbid abilities
•Guide the development and implementation of short- and long-term treatment goals
•Guide the development of remedial and compensatory strategies
•Steer discussion with patients and family members regarding challenges within the recovery process
•Serve as an anchor for future changes resulting from recovery and treatment
Case history (from ASHA) TBI
•Nature and onset of TBI and related hospitalizations
•Medical status—current and prior to injury (also related to comorbidities)
•Current medications (meds can alter mental status, drowsiness, etc.)
•Review of auditory, visual, motor, and cognitive status
•Review of emotional and mental status
•Educational and occupational background
•Reported areas of concern (e.g., memory, speaking, swallowing) and contexts of concern (e.g., social interactions, work activities)
•Language(s) used in contexts of concern
•Impact of current condition on the individual and their family/caregivers
•Goals and priorities of the individual and their family/caregivers
Early assessment tools TBI
•GCS (Glasgow coma scale)
•PTA (post traumatic amnesia)
•GOAT (Galveston Orientation and Amnesia Test)
Observations/checklists for TBI
•DRS (Disability Rating Scale)
•Rancho
•FIM (Functional Independence Measure)
Examples of self-report measures TBI
•BRIEF (or BRIEF-A) (how often are you bothered by certain things
•QOLIBRI
Standardized tests TBI pros and cons
Pros?
•Compares you to peers
•Baseline to track progress
Cons?
•Less patient feedback
•Stressful (anxiety, agitation)
•Cause
•Other issues can complicate interpretation
