TBI Flashcards
(11 cards)
types of TBi
open vs. closed
open head injury
high velocity missiles, low velocity impact
closed head injury
acceleration-deceleration, nonacceleration
Standard assessments for TBI
- Coma-Recovery Scale
- Glasglow Coma Scale
- Racho Los Amigos
Coma-Recovery Scale
helps asses auditory, visual, motor, and oral communication
Glasglow coma scale
helps make an initial assessment of eye opening, motor, and verbal responses
Rancho Los Amigos levels of cognitive function
helps assess cognition and behavior at the levels of no response, generalized response, localized response, confused-agitated, confused-inappropriate, confused-appropriate, automatic-appropriate, and purposeful-appropriate
2 treatment approaches that are advocated for patients with TBI are…
cognitive rehabilitation and direct communication training
cognitive rehabilitation
Training in attention, visual processing, and memory
Communication treatment
- Involves direct behavioral procedures
- Training communication partners as well as patient
- Goals should be functional, with the initial focus on effective communication, not grammatical correctness
communication treatment goals
- Increase pt’s orientation and attention to place, person, and time
- Increase pt’s memory for daily routines
- Teach narrative skills
- Topic maintenance, topic initiation -Select client-specific work or school-related vocab
- Teach self-monitoring skills
- Train family members and communication partners