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ADULT LANG Flashcards

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1
Q

decreased lean body mass

A

normal aging

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2
Q

decreased elasticity and flexibility of muscles

A

normal aging

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3
Q

decreased total body water

A

normal aging

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4
Q

increased fat tissue

A

normal aging

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5
Q

heart muscles thicken; valves enlarge and stiffen; muscular contraction force decreases

A

normal aging

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6
Q

less efficient oxygen use

A

normal aging

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7
Q

lower ability to remain physically active

A

normal aging

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8
Q

atherosclerosis

A

fat hardening

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9
Q

decreased lung capacity, elasticity, cilia, vital capacity, and cough

A

normal aging

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10
Q

primary concern of WHO

A

how is quality of life affected by health conditions

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11
Q

6 main aspects of health related quality of life

A

physical, psychological, level of independence, social relationships, environmental, spiritual

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12
Q

body structure

A

the anatomy of the body

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13
Q

body function

A

the physiology of what is actually affected

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14
Q

activities/ participation

A

activities you may NOT do

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15
Q

personal factors

A

age, gender, race, education, confidence, self esteem WITHIN the human

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16
Q

environmental factors

A

where you live, friends, family, social economic status

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17
Q

capacity

A

individuals ability to execute a task or action in a regular environment

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18
Q

performance

A

individuals ability to execute a task or action in current environment or actual contest of what they live in

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19
Q

A FROM

A

Living with Aphasia: Framework for Outcome Management

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20
Q

severity of aphasia (understanding other people, speaking, reading, writing)

A

body function and structure

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21
Q

communication and language environment (services, systems, policies, attitudes of others to you and the aphasia, help with communication and conversation)

A

environmental factors

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22
Q

H&P

A

history and physical

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23
Q

PHO

A

personal history of

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24
Q

PMH

A

past medical history

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25
CMH
current medical history
26
S in SOAP
subjective observation, what you notice about your patient
27
O in SOAP
objective observation, DATA and facts
28
A in SOAP
assessment your analysis and summary similar to clinical impressions
29
P in SOAP
plan, steps and measures to be taken
30
TIA
transient ischemic attack at risk of bigger stroke
31
brief focal cerebral event in which symptoms develop suddenly; part of the brain that has temporarily become ischemic
TIA
32
a transient episode of neurological interruptions cause by temporary brain ischemia without acute infarction
TIA
33
RND
reversible ischemic neurological deficit stroke that gets completely better in 1 to 3 weeks
34
stroke
sudden and severe onset of a prominent and frequently persistent neurological deficit
35
an illness resulting from damage to the parenchyma (brain tissue) of the brain; brain death occurs (infarction)
stroke
36
occlusive stroke
ischemic blockage that causes low blood flow to the brain
37
causes of occlusive stroke
thrombotic occlusion - stationary blockage along the arterial wall embolic occlusion - particle that breaks away/ floats around in bloodstream
38
hemorrhagic stroke
rupture of blood vessel anywhere in the brain or skull
39
hemorrhagic stroke can occur in 4 different places
parenchyma (intracerebral), subarachnoid/ subdural/ epidural space (intracranial)
40
vertebral arteries
two arteries on each side of the side
41
basilar artery
vertebral artery branches into; supplies the brainstem
42
problems w basilar artery
CN III - XII diplopia (double vision) hearing problems dysarthria (slurred speech CN 12), dysphagia, dysphonia (speech production CN10), hemiplagia (no mvmt), hemiparesis (weakness), respiratory
43
cerebellum
vertebral artery
44
cerebellum problems
ataxia - balance and coordination, ataxic dysarthria, cognitive problems
45
ANTERIOR lesion, nonfluent aphasia
MOTOR output
46
POSTERIOR lesion, fluent aphasia
SENSORY input
47
global aphasia
mixed aphasia nonfluent poor comprehension poor repetition poor naming
48
conduction aphasia
very poor word recognition fluent speech paraphasic speech good comprehension poor writing poor word finding good self awareness
49
lesion for conductive aphasia
arcuate fasciculus, supramarginal gyrus
50
Wernicke's aphasia
fluent, rapid speech paraphasias impaired comprehension impaired repetition impaired naming no self awareness
51
lesion of wernicke's aphasia
posterior portion of the first temporal gyrus of the L hemisphere
52
Anomic aphasia
fluent , grammatically well-formed often circumlocutionary speech good comprehension and repetition
53
anomic aphasia lesion
temporal, parietal injury
54
transcortical sensory aphasia
fluent good repetition poor comprehension poor reading poor writing
55
transcortical sensory aphasia lesion
watershed lesion cutting off Brocas Wernickes complex, posteriortemporalparietal junctoin
56
transcortical motor aphasia
absence of spontaneous speech good comprehension excellent repetition good reading comprehension
57
transcortical motor aphasia lesion
multifocal or diffuse pathology anterior and posterior association cortex
58
transcortical mixed aphasia
nonfluent with echolalia poor comprehension good repetition good articulation
59
transcortical mixed aphasia lesion
multifocal or diffuse pathology anterior and posterior association cortex
60
Brocas aphasia
nonfluent, effortful speech intact auditory comprehension literal pharaphsia poor repetition
61
cortex
gray matter (groups of neurons)
62
white matter
myelinated pathways (motor and sensory)
63
extrathalamic
basal ganglia
64
extrathalamic damage
basal ganglia parkinson's disease huntington's disease
65
thalamic damage
high mortality rate increased or decreased thresholds of sensations
66
confused with broca's aphasia
anterior syndrome
67
confused with transcortical sensory aphasia
thalamic
68
alert
awake and aware
69
lethargic
drowsy/ groggy
70
obtunded
requires continued stimulation
71
stuporous
maximal stimulation (sternal rub or ear pinch)
72
comatose
no voluntary responses no matter the stimulation

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