Unit 6

Question 1

PTA - Post Traumatic Amnesia, also referred as….

Answer 1

Anterograde Amnesia

Question 2

3x parts to assess GCS?

Answer 2

1. Eye opening
2. Verbal response
3. Motor response

Question 3

What is the Glasgow Coma Scale?

Answer 3

Initial assessment of a client’s level of consciousness

Question 4

Classification of BI severity: Mild -

Answer 4

GCS: 13-15
Duration of Uncon: 30 mins or less
Post TA: 5-60 Mins

Question 5

Classification of BI severity: Mod -

Answer 5

GCS: 9-12
Duration of Unconsciousness: 30m - 6hrs
Post TA: 1-24 hrs

Question 6

Classification of BI severity: Severe -

Answer 6

GCS: 3-8
Duration of Unconsciousness: 6+ hrs
Post TA: 1-7+ days

Question 7

LOC defintion…

Answer 7

Level of awareness of 1self + 1’s surroundings; continuum of consciousness

Question 8

LOC assessed by RLA…

Answer 8

Ranchos Los Amigos Scale - out of 8

Question 9

Treatment for Altered LOC: (1-4)

Answer 9

a) Client Interaction (Speak 2cli’s like they have fill awareness).
b) Sensory Stimulation (stimuli 2evoke cli.’s senses) = OAT OV!
c) Education

Question 10

Treatment for higher LOC (5-7)

Answer 10

a) Modification of Environment (monitor fatigue+over stimulation)
b) Strategies (Memory bookes)

Question 11

Conditions with altered LOC:

Answer 11

Post CVA can experience altered consciousness as well as in some progressive neuro disorders such as dementia

Question 12

Cog. Def?

Answer 12

The use + processing of perceived information to think + act

Question 13

What are the concepts associated with Cognition?

Answer 13

• Intelligence
• Memory
• Planning
• Problem-solving
• Learning
• Attention

Question 14

Cog. functions can deteriorate in the following instances “FOPS”

Answer 14

• Fatigue
• Over Stimulation
• Participation or Unstructured Activity
• Stress

Question 15

Cognition impairments include:

Answer 15

• Attention + concentration
• Memory + learning
• Executive Function

Question 16

Treatment 4decreased cog.

Answer 16

a) Liaise w other t.members to ensure that tx is consistent
b) Comm. w cli at approp cog. level
c) Avoid situations that may contribute 2deterioration in cog.

Question 17

Clients with Behavioural Challenges…

Answer 17

• BI: Damage 2Frontal lobe
• Emotional lability is common
• Lack of insight + self-awareness

Question 18

Treatment of Behavioural Challenges

Answer 18

a) Counseling
b) Education to fam + peers
c) Communication

Question 19

Emotional Challenges: 5 stages of grief “BAD DA”

Answer 19

Bargaining
Anger
Denial
Depression
Acceptance.

Question 20

LOC is assessed by RLA scale, what is the scale?

Answer 20

1-3: Limited response 2external stimuli
4-6: Confused
6-8: Approp behaviour,becoming purposeful - full awareness

Question 21

LOC terminology for:
Coma
Veg. State
Persistent Veg. State
Minimally Conscious State

Answer 21

C: RLA 1
Veg. State: RLA 1-2
Persistant Veg. State: 0ver 1 year
Minimally Conscious State: RLA 2-3