Lecture: Arousal, Attention, Cognition and Sensory Assessment

Question 1

what pt populations should you especially screen cognition for

Answer 1

CVA, MS, TBI, parkinson’s, alzheimers, dementia, diabetes, normal pressure hydrocephalus

Question 2

act of knowing

Answer 2

cognition

Question 3

planning, manipulating, information, problem-solving, abstract/conceptual thinking, self-monitoring

Answer 3

executive functions

Question 4

A&Ox4 and what are the 4 items

Answer 4

orientation
(person, place, time, circumstance)

Question 5

is the person awake, aroused, attentive

Answer 5

alterness

Question 6

physiological readiness for activity, levels of consciousness

Answer 6

arousal

Question 7

what are the different levels of consciousness

Answer 7

lethargic, delirium, obtunded, stupor, coma

Question 8

can the pt focus on specific information

Answer 8

attention

Question 9

superficial peripheral sensory processes

Answer 9

crude touch, temp, sharp/dull, protective sensation
- ALS

Question 10

deep discriminative sensory processing

Answer 10

proprioception, kinesthesia, vibration, pressure

Question 11

position sense and joints at rest

Answer 11

proprioception

Question 12

awareness of movement, speed and direction

Answer 12

kinesthesia

Question 13

sensing pressure, weight

Answer 13

barognosis

Question 14

superficial receptors are skin deep, examples? and where do they send information

Answer 14

• free N endings, hair follicle endings, merkel’s discs, krause end-bulbs, meissner’s corpuscles, pacinian corpuscles
• information to DRG on small, mostly unmyelinated afferents

Question 15

deep receptor examples and what do they send information to

Answer 15

• muscle spindles, GTO, free N endings, pacinian corpuscles, joint receptors
• info to DRG on large, heavily myelinated afferents