chapter 3 Assessing adults who have neuro comm disor

Question 1

Describe the 7 step of the of the CLINICAL METHOD

Answer 1

1. Gather info (case history &referral etc)
2. Evaluate pts. subjective reports (symptoms) and objective tests (signs)
3. determine a syndrome
4. correlations among symptoms. Identify the parts of the body responsible
5. outcome of patient’s condition & decide on prognosis.
6. Conclusion about the effects of the pt’s condition on the pts daily life competence & independence.
7. Estimate potential effects of treatment & if treatment is indicated, the nature of an appropriate treatment program.

Question 2

Describe the 5 sections of MEDICAL RECORDS

Answer 2

1. Patient identification
2. Medical History
3. Physical and neurologic examination
4. Doctor’s orders
5. Progress notes

Question 3

Who writes the Doctor’s orders?

Answer 3

The patient’s primary physician.

Question 4

Who writes the Progress notes?

Answer 4

Patient care personnel

Question 5

What does Premorbid means?

Answer 5

Before the “problem”

Question 6

what is perseveration and how is it different from echolelia?

Answer 6

Repetition of their own responses when no longer appropriate. Echolalia repetition of someone else’s response

EX: may have named an object in testing (pen) and continues to name other following objects a “pen”.

Question 7

What are some of the symptoms seen in a patient after a stroke?

Answer 7

1. Perseveration
2. Diminished Response Flexibility (difficulty changing response when needed)
3. Concrete and difficulty with abstract concepts
4. Disturbances of Personality and emotion (emotional lability: inappropriate emotion for the situation)

Question 8

what are catastrophic reactions?

Answer 8

inappropriate outbursts, low frustration tolerance

Question 9

What are some of the general principles for testing adults with brain injuries?

Answer 9

1. Use standardized tests and test procedures judiciously and purposefully.
2. consider the adequacy of norms for standardized tests
3. obtain a large enough sample of the patient’s behavior to ensure test-retest stability
4. select tests that are appropriate for the patient

Question 10

What are the purposes of testing a patient with neurogenic cognitive communicative disorder?

Answer 10

1. Diagnose the impairment
2. Arrive at a prognosis
3. Determine nature and severity of impairment
4. Appropriateness & potential focus of treatment
5. Measure their recovery
6. Measure efficacy of treatment

Question 11

What is diagnostic Therapy?

Answer 11

Giving therapy before coming up with diagnostic this is due because screening was not sufficient.

Question 12

What is differential diagnosis?

Answer 12

Differentiating your pts problem from other problems that are similar. Ex. Ahasia vs. Apraxia

Question 13

What are three variables that affect prognosis?

Answer 13

1. Neurologic Findings
2. Associated conditions
3. Patient Considerations

Question 14

What are some of the NEUROLOGIC FINDINGS affecting the prognosis?

Answer 14

1. if the disorder is predictable then prognosis is more predictable
   2.