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Christina-Summer 25 > Neuro: ICF levels > Flashcards

Neuro: ICF levels Flashcards

(57 cards)

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1
Q

DRS-disabillity rating scale

A

participation

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2
Q

CHART

craig handicap assessment and reporting technique

A

participation

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3
Q

POPS

participation objective/participation subjective

A

participation

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4
Q

supervision rating scale

A

participation

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5
Q

discharge placement

A

participation

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6
Q

employment

A

participation

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7
Q

universal data system-functional independence measure
UDS-FIM

A

activity

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8
Q

UDS-FIM+FAM

functional assessment measure

A

activity

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9
Q

glasgow coma scale
GCS

A

body and structure

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10
Q

rancho levels of cognitive function

A

body and structure

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11
Q

JFK coma recovery scale revised

A

body and structure

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12
Q

agitated behavior scale

A

body structure and function

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13
Q

moss attention rating scale

A

body structure and function

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14
Q

-used to track individuals from coma to community
-addresses impairment, disability, and handicap
-total score from 0(no disability)-30 death

A

disability rating score

DRS

-participation

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15
Q
  1. physical independence
    2.mobility
    3.occupation
    4.social integration
  2. economic self sufficiency
    6.cognitive independence
A

CHART

craig handicap assessment and reporting technique
-participation

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16
Q

what are the 5 categories of POPS

A

26 items in 5 categories

  • domestic life
    -major life activities
    -transportation
    -interpersonal interactions and relationships
    -community recreation and civic life
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17
Q

overnight supervision

A

confusion at night

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18
Q

part time supervision

A

prepare food in fridge can leave

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19
Q

full time indirect supervision

A

in house; listen for them dont need to immediately be there

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20
Q

full time direct supervision

A

in same room

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21
Q

discharge placement

A

patient cant live alone by themselves because issues

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22
Q

predictors of outcome

A

-location of injury
-size
-local vs global
-degree and duration of LOC
-post traumatic amnesia PTA
-age
-first TBI vs previous ones
-premorbid intelligence/enrichment

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23
Q

does concussion count as a brain injury

24
Q

HiMAT

Hi-level mobility assessment tool

Study These Flashcards
A

reliable and valid scale designed to assess high level motor performance in pt with TBI

25
what is the minimum mobility requirement
independent walking 20m without gait aide -orthosis allowed
26
Rancho level 1
no response: unresponsive to simulus
27
Rancho level 2
generalized response: limited, inconsistent, non purposeful response; often to pain only
28
Rancho level 3
localized response: purposeful respondes; may follow simple commands, may focus on presented object
29
coma vs PVS
coma: appears asleep' no eye opening, even spontaneously, nor mvmt or vocalization. usually no longer than 2 wks PVS: can have eyes open, move spontaneously but cant follow commands or speak. Can have sleep wake cycle. can last indefinetly
30
JFK Coma/Near Coma Scale
monitor lvls of alertness for pts in coma/PVS -shows emergence from coma/PVS into MCS -measure important to accurately doc MCS (frequent misdiagnosis without JFK) huge implication for DC placement from acute care
31
what scale is more senstitive than rancho,GCS
JFK Coma/Near Coma Scale
32
what is post traumatic amnesia PTA
time after accident to time that pt starts to have ongoing STM -pt dont rememeber the accident and events immediately preceding it -last 3-4 times length of unconsciousness
33
GOAT purpose galveston orientation and amnesia test
determine when a pt is progressing out of PTA
34
GOAT test to be out of PTA
must have 3 consecutive scores of >75 to be out of PTA
35
Rancho level 4
confused,agitated: heightened state of activity; confused, disorientation, aggressive behavior;unable to do self care;unaware of present events;agitation appears related to internal confusion -combative
36
causes of agitation sites
actual site of injury -frontal- oribital, anterior temporal lobes, sylvian fissue -temporal lobe seizures -DAI, esp Corpus callosum, dorsolateral columns of midbrain -secondary effects of hypoxia, compression, neurohormonal effects -pre-morbid personality -environment -reversible factors
37
Agitated behavior scale
observational tool to access the extent of agitation during acute phase of recovery from TBI min score 14 max 56
38
agitated behavior scale 21 or less
within normal limitsa
39
agitated behavior scale 22-28
mild agitation
40
agitated behavior scale 29-35
mod agitation
41
agitated behavior scale >35
severe agitation
42
Moss attention rating scale
observational tool to measure attention related behaviors after TBI scores range 22-110 higher score-better attention -appropriate for mod to severe brain injury
43
is moss attention rating scale appropriate for coma or PVS
NO
44
rancho level 5
confused, inappropriate, non agitated: appears alert; responds to commands;distracible; does not concentrate on task; verbally inappropraite, does not learn new info
45
rancho level 6
confused, appropriate: good directed behavior, needs cueing; can relearn old skills (ADL); serious memory problems; some awareness of self and others
46
rancho level 7
automatic, appropriate; robot like appropriate behavior with minimal confusion; shallow recall; poor insight into condition; initiates tasks but needs structure; poor judgement, problem solving and planning skills
47
rancho level 8
purposeful, appropriate: alert, oriented, recalls and integrates past events, learns new activities and can continuw w/o supervision, cognitively indendent in living skills, capable of driving, defects in stress tolerance, judgement, abstract reasoning persist; many function at reduced levels in soceity
48
rancho level 9
purposeful and appropriate- stand by assitance on request
49
rancho level 10
purposeful and appropriate-modified indepndent
50
mild traumatic brain injury
defined by a traumatically induced disruption of brain function, as manifested by at least one of these -any period of loss of consciousness -any loss of memory for events immediately pre or post accident -any change in mental state at time of accident -focal neuro deficits (transcient or lasting)
51
mild traumatic brain injury severity of injury does not exceed
LOC ~30 mins after 30 mins an initial GCS of 13-15 PTA not greater than 24 hrs
52
what is most commonly reported symptom in mild traumatic brain injury
HA
53
symptoms of mild traumatic brain injury physical:
HA, n/v, dizzy, sleep disturbance, fatigue, lethargy, tinnitis, blurred vision, diplopia
54
symptoms of mild traumatic brain injury cognitive
attention, concentration,perception, memory, executive function
55
symptoms of mild traumatic brain injury behavioral
irritability disinhibition emotional lability
56
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Christina-Summer 25 (30 decks)

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