12-3 Neuro Rehab

Question 1

OBJECTIVE: rehabilitation strategies for the acute hospitalized stroke patient

Answer 1

Starts immediately, including ICU
—Education – for patients and family
—PT, OT, SLP therapies begin
—earlier PT gets people off the vent sooner

Question 2

impairment

Answer 2

related to how a body part functions

WHO: any loss or abnormality of psychological, physiological or anatomical structure or function.

Question 3

disability

Answer 3

related to the body as a whole and the individual’s ability to perform a specific activity

(WHO: any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being)

Question 4

handicap

Answer 4

consider the current environment and society

WHO: a disadvantage for a given individual that limits or prevents the fulfillment of a role that is normal

Question 5

difficulty in these areas indicate a pt should go to rehab before going home

Question 6

Aspiration Pneumonia
—Causes
—Assessment
—Interventions

Answer 6

CAUSES:

Question 7

Most common pain complaint s/p stroke?

Answer 7

“Shoulder Hand Syndrome” in ~72% pts

Question 8

Managing Neurogenic Bowel

Question 9

Managing Neurogenic bladder

Question 10

Spasticity

Question 11

FLAME Study of SSRIs

Answer 11

SSRIs may improve motor recovery s/p stroke

—since >50% of stroke pts meet MDD criteria, why not?