TBI Part 3 Flashcards
components of GCS
eye opening, motor response, verbal response
discuss scoring in GCS
lowest: 3
highest: 15
mild: 13-15
mod: 9-12
severe: <8
RLA 1
no response - coma
PT approaches:
- signs of consciousness
- OI, palp, PROM, FMT, FA, reflexes
RLA 2
generalized response - vegetative state
PT approaches:
- loud voice
- diff stim produce similar responses: chewing, posturing, breathing
RLA 3
localized response - minimal conscious
PT approaches:
- calm and soothing voice
- exp the exams
- give time to respond: 10 secs
- small stim: TV
- plenty of rest
RLA 4
confused agitated - hitting, yelling, foul language
PT approaches:
- simple and familiar activities
- do not force pt
- inc rest
- FA muna
- low stim
- safe distance and protect
RLA 5
confused inappropriate - post-traumatic confusional state
PT approaches:
- step by step and repeat
- dont assume they remember
- dont quiz
- quiet and less distractions
RLA 6
confused appropriate - PTA
PT approaches:
- establish routines
RLA 7 and 8
automatic appropriate and purposeful appropriate
PT approaches:
- promote independence
- use compensatory strats
criteria for cerebellum exam
BAWAL RLA 1-4
RLA 5 dpat - pt should follow commands
criteria for CN exam
for pt RLA 1-4 and unable to follow commands u can test for reflexes
TBI CN 1 testing
leakage of CSF in one nostril
metallic taste
feeling of drainage in mouth
indicates basal skull fx and CSF rhinorrhea
TBI CN 2 testing
testing for visual field - scotoma
TBI CN 3 testing
2nd most commonly injured - ptosis
PLR and EOM
TBI CN 4,5,6
done as usual
