Unit 6 Flashcards
PTA - Post Traumatic Amnesia, also referred as….
Anterograde Amnesia
3x parts to assess GCS?
- Eye opening
- Verbal response
- Motor response
What is the Glasgow Coma Scale?
Initial assessment of a client’s level of consciousness
Classification of BI severity: Mild -
GCS: 13-15
Duration of Uncon: 30 mins or less
Post TA: 5-60 Mins
Classification of BI severity: Mod -
GCS: 9-12
Duration of Unconsciousness: 30m - 6hrs
Post TA: 1-24 hrs
Classification of BI severity: Severe -
GCS: 3-8
Duration of Unconsciousness: 6+ hrs
Post TA: 1-7+ days
LOC defintion…
Level of awareness of 1self + 1’s surroundings; continuum of consciousness
LOC assessed by RLA…
Ranchos Los Amigos Scale - out of 8
Treatment for Altered LOC: (1-4)
a) Client Interaction (Speak 2cli’s like they have fill awareness).
b) Sensory Stimulation (stimuli 2evoke cli.’s senses) = OAT OV!
c) Education
Treatment for higher LOC (5-7)
a) Modification of Environment (monitor fatigue+over stimulation)
b) Strategies (Memory bookes)
Conditions with altered LOC:
Post CVA can experience altered consciousness as well as in some progressive neuro disorders such as dementia
Cog. Def?
The use + processing of perceived information to think + act
What are the concepts associated with Cognition?
- Intelligence
- Memory
- Planning
- Problem-solving
- Learning
- Attention
Cog. functions can deteriorate in the following instances “FOPS”
- Fatigue
- Over Stimulation
- Participation or Unstructured Activity
- Stress
Cognition impairments include:
- Attention + concentration
- Memory + learning
- Executive Function
Treatment 4decreased cog.
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.
Clients with Behavioural Challenges…
- BI: Damage 2Frontal lobe
- Emotional lability is common
- Lack of insight + self-awareness
Treatment of Behavioural Challenges
a) Counseling
b) Education to fam + peers
c) Communication
Emotional Challenges: 5 stages of grief “BAD DA”
Bargaining Anger Denial Depression Acceptance.
LOC is assessed by RLA scale, what is the scale?
1-3: Limited response 2external stimuli
4-6: Confused
6-8: Approp behaviour,becoming purposeful - full awareness
LOC terminology for: Coma Veg. State Persistent Veg. State Minimally Conscious State
C: RLA 1
Veg. State: RLA 1-2
Persistant Veg. State: 0ver 1 year
Minimally Conscious State: RLA 2-3
