Neuro rehabilitation Flashcards
Define rehabilitation as described by the British society for rehab medicine (2 different definitions)
A process of active change by which a person who has become disabled acquires the knowledge and skills needed for optimal physical, psychological and social function
Active participation of a patient and others to reduce the impact of disease and disability on their life
State the groups of patients that would benefit from rehabilitation (5)
Sudden onset conditions - stroke, brain injury, spinal cord injury
Unpredictable conditions - epilepsy, MS
Static conditions - spina bifida
Progressive conditions - motor neurone disease, parkinson’s, MS
Muscle diseases - muscular dystrophy, Guillain barre syndrome
Name 3 important predictors of outcome of traumatic head injuries
Initial GCS
Length of loss of consciousness
Post-traumatic amnesia length
4 principles of rehabilitation
Pathologies
Impairments
Limitations
Restrictions
Physical impairments from long term neurological conditions (6)
Weakness (hemiparesis - unilateral weakness/paraparesis - partial paralysis of both legs)
Sensory loss
Spasticity/flaccidity
Autonomic dysfunction - bladder/bowel incontinence
Dysphagia
Dysphasia/dyarthria
Cognitive impairments after brain injury (6)
Post traumatic amnesia Confusion - of time, place, people Memory loss Poor concentration Slow processing/thinking Poor executive function
Psychiatric/behavioural impairments after brain injury (5)
Depression
Anxiety
Personality change
Aggression
Apathy - no concern/care for others
Secondary complications of long term neurological conditions (6)
Infections Falls Malnutrition Pain Depression Social problems - family breakdown, unemployment
Issues that arise from spasticity (7)
Deformity Contracture Pain Spasms Activity limitations - sleep difficulty, fatigue, dressing issues
Activities limited by long term neurological conditions (7)
Mobility Thinking + planning Speaking Self feeding Personal care Housework - cooking, cleaning etc Self medicating
What personal factors can affect your function and activity ability during the rehabilitation process (4)
Premorbid health
Motivation
Mental health
Family support
What environmental factors can affect your function and activity ability during the rehabilitation process (2)
Availability of GP/community servies/info
Home setup
Benefits of rehabilitation (3)
Greater independence
Increased comfort + dignity
Improved quality of life
State where rehabilitation can occur (4)
Hospital - rehabilitation ward
Outpatient centre
Community facilities, e.g. local sports hall
At home
Describe the approach to assessment in rehabilitation (7)
History and Examination Physical ability -Mobility If they can do activities of daily living If mood and cognition is fine Bladder and bowel function Communication and swallow function Skin, Vision and hearing
