Flashcards in Lecture 2: BSF Exam- Cognition, ACOM, Sensation Deck (54)
What are important questions to ask during subjective history?
prior level of function, living environment, work?, resources available, current limitations, client goals
What are main components of neuro systems review?
gross movement, motor function
What are areas of gross movement?
balance, transfer, gait/ wc mobility
What are areas of motor function?
motor control/ muscle tone
What are two different approaches that can be taken for a neuro exam?
1. impairment or body structure based/ function oriented
2. activity oriented
What factors influence what method you choose?
setting, pt status, level of expertise
What are components of BSF oriented exam?
ROM, MMT, muscle tone, consciousness, sensation, cognition, motor control/ACOM, reflexes, cranial nerve integrity
What do you do during an activity based exam?
examine and analyze activities then formulate list of hypothesized contributing factors (HCF)
then perform tests specific to HCF to refute or confirm
What are components of activity based exam?
balance, trunk control, reaching, bed mobility, transfers, ambulation, stairs, sit to stand
What is consciousness and level of arousal?
determines level of readiness for activity
What is alert?
awake, attentive, interactive
What is lethargic?
drowsy, brief response to stimuli, poor attention
What is obtunded?
difficult to arouse, confused when alert
What is stupor/ semicoma?
not self alerting, responds to vigorous or noxious stimuli
What is a coma?
can't be aroused, unconscious, no sleep wake cycle
What is a vegetative state?
irregular sleep wake cycle, can be aroused but no awareness of environment
What is persistent vegetative state?
remain in vegetative state for greater than 3 months(anoxia) or 1 year (TBI)
What is locked in syndrome?
alert and unable to respond to environment, no speech or active movements
What are two standardized tests for consciousness?
glasgow come scale
rancho los amigos scale
What are different areas of cognition?
orientation - AO x 3
attention, memory, executive functions
What are components of attention?
ability to screen and process sensory info
ability to concentrate and dual task
document: speed of response, duration
What are components of memory?
register, retain and recall
short vs long term, ability to follow multi step commands
What is retrograde amnesia?
can't recall past info
What is anterograde amnesia?
can't learn new info
What are executive functions?
awareness, reasoning, planning, judgement, intuition, decision making
What are two standardized test and measures for cognition and what scores are needed to "pass"?
mini mental state exam- 24/30
Montreal cognitive assessment 26/30
What is Wernicke's aphasia?
receptive or unable to understand language
What is Broca's aphasia?
expressive, trouble with speaking
What is dysarthria?