TBI: OT ADL Intervention - Inpatient Rehabilitation Phase

Question 1

TBI rehab for dysphagia and feeding should begin where?

Answer 1

in an isolated and quiet area to prevent distraction and then be graded to include social situations.

Question 2

Adaptive equipment for TBI feeding rehab may include

Answer 2

rocker knife, plate guard, and nonspill mug.

Question 3

What strategies are effective for reducing impulsivity in during feeding rehab?

Answer 3

requiring the client to place the fork down after each bite to ensure that a full chew-and-swallow routine is completed.

Question 4

What is the proper progressing for training in bed mobility skills?

Answer 4

scooting up and down in bed to rolling, bridging, and moving from and to supine and from and to sitting and standing positions.

Question 5

Considerations for increasing independence in wheelchair use in TBI rehab?

Answer 5

Pelvic and trunk alignment is supported through proper positioning and adaptive supports.

Question 6

True or false: Rehab for individuals with TBI during the inpatient phase should include management of wheelchair parts and ability to functionally propel wheelchair.

Answer 6

True

Question 7

Functional ambulation rehab includes high-level activities including both _________________

.

Answer 7

lower and upper extremities such as advanced IADLs (e.g., sweeping, raking, child rearing).

Question 8

Compensatory devices for functional ambulation includes

Answer 8

walkers with bags and baskets, canes, and reachers.

Question 9

The ability to negotiate the community environment is ______

Answer 9

client dependent.

Question 10

Electric scooters or wheelchairs may be recommended to assist clients who have __________

Answer 10

extended mobility requirements.

Question 11

Why is it necessary to ensure consistent transfer training among all care providers?

Answer 11

Due to client’s memory impairments and carryover difficulties

Question 12

T or F: Family members and caregivers should also be trained to promote consistency

Answer 12

True

Question 13

T or F: Some clients can prepare simple meals in a microwave, and others are able to perform higher-level activities including meal planning and budgeting.

Answer 13

True

Question 14

Give an example of a strategy that can be used to facilitate community reintegration

Answer 14

Community trips to practice IADLs in natural environments.

Question 15

Community trips give individuals who have experiences TBIs that ability to:

Answer 15

Practice IADLs in natural environments.

Question 16

For interactive interventions with clients who have experienced a TBI, how should therapists speak?

Answer 16

Calm, concise, and deliberate.

Question 17

______ programs may be necessary to promote appropriate behavior.

Answer 17

Behavioral management

Question 18

_____ is essential during TBI rehabilitation

Answer 18

Family support/education