Ch 11: Neurobehavioral Complications Flashcards
What is considered to be the most problematic consequence of brain injury by family members, employers, friends, and others?
Neural behavioral and personality changes
What triggers anger outbursts?
Frustration
Feeling misunderstood
isolation
decreased concentration
Pseudo-bulbar affect (PBA) or emotional incontinence
Demonstrating an involuntary labile mood
How many individuals pass through agitation as they emerge from coma?
33-70%
Usually brief, lasting less than 10 days
Patients cannot learn new information during this period.
What is the safest and most efficient technique for dealing with coma emergent agitation?
Environmental management where the focus is on offering a quiet, organized, and structured environment with limited and carefully managed stimulation.
What does it mean to understand the function of a behavior?
I understand the purpose that the behavior service for the individual in a particular situation
Indirect methods to assess behavior
Interviews and check lists
Bias**
Direct methods for assessment
More reliable since they include direct observations of the individual
Functionally equivalent alternative
Behavior that serves the same function as the target behavior but is safer or more appropriate, and that is more useful for the individual
Yelling during PT results in leaving gym
Alternatively teach the individual to ask for rest breaks
Latency
The amount of time between stimulus and response
Four term contingency
Used to classify understand relations between an individual, the behavior and the environment
Consequences
There are four different types of consequences:
Reinforcement (+,-)
Punishment (+,-)
Reinforcement
Refers to any process that increases the likelihood that a particular response will occur again in the future
Either positive or negative
Punishment
Refers to any process that decreases the likelihood that a particular response will occur again in the future
