Treatment for pt's at Racho Level 3 (localized response)

Question 1

Goals

Answer 1

• Increase awareness to surrounding with emphasis on motivating and increasing the consistency of responses without increasing tone or over-stimulation

Question 2

Start with ____ periods of time _-__ minutes

Answer 2

• Short

- 5-15

Question 3

Structure, Consistency, and Repetition are the key

Answer 3

1. Same simplified information presented
2. Same Time
3. Same Routine
4. Same PT, PTA
5. Calm quiet environment
6. Helps to Decrease Distractions, confusion
7. Gibe pt consistent and repetitive, orienting explanations as to the reasons for hospilization (where, why, when)
8. Response to commands inconsistent, but consistency improves during periods of alertness and attention

Question 4

Response to commands inconsistent, but consistency improves during periods of alertness and attention

Answer 4

• Simple Commands (1 step)
• Begin with over-learned functional activities
• Expect completion of task (no manipulation)
• All disciplines involved
• Reward Success

Question 5

Continue to work on ____ abnormal __ and maintain ___.

Answer 5

• Decreasing
• Tone
• ROM

Question 6

Avoid Restraintes

Answer 6

• Agitation now surfaces
• Re-direct pt’s attention away from source of distress
• Remain Calm, Pt’s poor memory will help for redirction