TBI Flashcards
What is true about a closed head injury?
A closed head injury can be a fractured skull and intact meninges
Patients with TBI usually have issues with what?
Staying focused and producing appropriate and relevant responses
Intervention for comatose or semi-comatose conditions mainly consist of
sensory stimulation to see if they have some degree of cognitive ability. This is based on evidence that increases in consciousness, level of functioning, and basic cognitive sensory recovery happen in this patient population
What is the Glasgow Coma Scale?
an assessment used to measure a person’s consciousness after an injury; it does not measure range of motion, but rather it measures eye opening, motor responses, and verbal responses
What are some communication issues associated with TBI?
Mutism; vague speech; reading problems; naming issues; issues with conversational skills; struggle with abstract language; writing problems; motor speech disorders, typically dysarthria; issues with understanding nonverbal communication; difficulty with abstract language
What is the difference between a coup injury and a contrecoup injury?
coup injury is when the injury occurs at the site of contact; contrecoup injury is when the injury occurs at the oppsoite site of contact
What is the difference between a closed head injury and an open head injury?
closed head injury is damage to the brain in the skull, no fractured skull, no torn meninges; open head injury is open wound, fractured skull, torn menings, and damage that extends into the brain tissue
What is a concussion?
a mild TBI (mTBI) and a closed head injury in which a person loses consciousness for less than 20 minutes
What is the difference between an acceleration - deceleration injury and a non-deceleration injury?
acceleration deceleration injury is when a physical force causes the head to move and then the brain to move and strike the head; non-deceleration injury is when a restrained head is struck by a moving object
What standardized assessments may be used for a TBI assessment?
SCATBI, Glasgow Coma Scale, Galveston Orientation and Amnesia Test; CLQT
What is the main communication problems with TBI?
Social communication (e.g., telling stories, discourse, and conversation; turn-taking, eye-contact)
When assessing someone with TBI, be aware of the following issues:
reading and writing problems; functional communication; social communication; problems with auditory comprehension and confrontation naming; perseverate their responses; spastic dysarthria and mixed dysarthria, daily living
What type of training is appropriate when treatment does not resolve impairments that interfere with the daily life activities of an adult with TBI?
Compensatory treatment
What is an external compensatory strategy that may be used to assist a client?
memory aids
What is goal attainment scaling?
an approach in which professionals collaborate to create treatment objectives and individualized goals for clients.
