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Neuroconditions 2022 > TBI and Concussion > Flashcards

TBI and Concussion Flashcards

(45 cards)

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1
Q

What is RLA level IV

A

Confused agitated

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2
Q

describe RLA IV

A

confused agitated
heightened state of activity
bizarre behavior
patient is unable ot cooperate directly with treatment efforts
confabulation may be present
brief attention to environ,emt
no short or long term recall

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3
Q

What are the PT roles for RLA IV

A

mobilize with consideration
low stimulation environment with structured times for therapy
assist with sleep wak cycle
short sessions

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4
Q

What is RLA Level V

A

Confused inappropriate

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5
Q

describe RLA V

A

confused inappropriate
follows simple commands
gross attenton to the environment but highly distractable
lacks ability to focus on specific task
verbalization is often inappropriate and confabulatory
memory is impaired
difficultly learning new information

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6
Q

What are the PT roles for RLA V

A

environemental modification
progress mobility
structured short sessions
directed tasks vs automatic tasks
consider implicit learning over explicit

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7
Q

What is focused attention

A

focus on and respond to a specific stimulus

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8
Q

What is sustained attention

A

sustain attention over a period of time

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9
Q

What is selective attention

A

focus attnetion in the presence of distracting stimuli

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10
Q

What is alternating attention

A

Shift focus of attention from one task to another

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11
Q

What is divided attention

A

respond simultaneously to multiple tasks

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12
Q

at is RLA Level VI

A

confused appropriate

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13
Q

Describe RLA Level VI

A

confused appropriate
goal directed behavior but is dependent on external input for direction
follows simple directions
shows carryover
errorless learning (mmultiple reps and guidance needed)
past memories show more depth

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14
Q

What are the PT roles for RLA VI

A

prevent learneed non-use
constraint induced therapy may be initiated
BWSTT
incorporate goal directed tasks, ADLs

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15
Q

What is errorless learning (ELL)

A

cognitive therapy technique for those with sever memory impaitments
use verbal and visual cues
hand over hand assistance
discouragement of guessing
gradual fading of prompts
part task practice of discrete portions of larger skill
immediate timing of FB for correction if an error does occur

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16
Q

What is RLA VII`

A

automatic
appropriate
MIN A needed
goes through daily routine automatically, but ffreqeuntly robot like with minimal to ansent confusion
has shallow recall of activities
shows carryover for new learning, decreased rate
with structure able to initiate social or recreational activities

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17
Q

What is RLA VIII

A

purposeful
appropriate
SBA
able to recall and integrate past and recent revents and is aware of and responsive to environment
shows carryover for new learning and needs no supervision once actiities are learned

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18
Q

What is RLA IX/X

A

purposefuul
appropriate
SBA upon request/ Mod I

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19
Q

What is occupational medicine

Study These Flashcards
A

adresses the physial, cognitive, psychosocial, sensory, and other aspects of performance in a variety of contexts to support participation in everydat, meaningful life activities

20
Q

What do OTs focus on?

Study These Flashcards
A

instumental activities of daily livining
cognition
rest and sleep
education
work
play
leisure
social participation

21
Q

What does speech language pathology practice include?

Study These Flashcards
A

includes identification, prevention, assessment, and treatment of disorders of cognition communication, speech, language, voice, and swallowing

22
Q

what does SLP do for dysphagia?

Study These Flashcards
A

dysphagia= disordered swallowing
bedside exam
barium swallow exam

fiberoptioc endoscopic evaluation of swallowing (FEES)
assess vocal cord function

23
Q

SLP also help with speech, language anc voice with…

Study These Flashcards
A

aphasia
apraxia (oral and verbal planning)
dysarthria (motor function) speech produ tion

24
Q

What is consciousness?

Study These Flashcards
A

a state of awareness of self and environment that requires alertness and arousal

25
What is arousal
arousal is the level of consciousness
26
What is awareness
awareness is the content of consciousness
27
What is the goal of a consciousness assessment
goal is to provide accurate diagnosis develop treatment plan accurate prognosis
28
What is the gold standard for consciousness assessment?
behaviorial assessment
29
What is the coma recovery scaled revised (CSR_R)
standard adminstration and scoring excellent content validitiy susbstantial evidence of internal consistency and good inter-rater reliability contains 23 items that comprise 6 subscales
30
Who is appropriate for the CSR-R
patients who range from RLA II - V lvel II= gneralized response level III= localized response level IV: confused and agitiated level V- confused and inappropriate
31
What are the CRS-R subscales
auditory function scale vvisual function scale motor funiton scale oromotor/verba,, function scale communication scale arousal scale
32
What defines a coma?
no eye opening absence of sleep/wake cycle unable to follow instructions no speech or other forms of communication no purposeful movement behavior limited to reflexive activity
33
What is RLA level I
no reponse-- paitnet appears to be a deep sleep and is unresponsive to any stimuli
34
What are the PT roles for RLA Level I
no response consult provide supportive care bed and mattress positioning in bed pulmonary needs contracture prevention skin protection ROM initiated with caregiver education
35
What is vegetative state?
Return of sleep wake cycle with periodic eye opening and eye closing may moan or make other sounds may cry or smile or other facial expression may briefly move eyes toward person or object may react ot loud sounds with startle response unable to follow instructions no speech or other comunication no evidence of sustained, reproducible. purposeful or voluntary behavioral responses to stimuli
36
What is unresponsive wakefulness syndrome?
shift in language ti describe vegetative state perceived as less lnegative connotation demonstrates wakefulness (eye opening) but no voluntary motor responses can be transitory or permanent
37
what is primitive posturing?
de-corticate posturing== flexion de-cerebrate posturing== dual extension
38
What is RLA LEvel II
generalized response
39
What is the description of RLA Level II
patient reacts inconsistently and non- purposefully to stimui in a nonspecific manner responses are limited and are often the same regardless of stimulus presented awake but not following commands unable to localize voice (often presents with chewing motion, breather heavier, tenses in reposnes )
40
what are the PT roles for RLA Level II (generalized response)1
consult provide supportive care bed and mattress positioning pulmonary needs contracture prevention skin protection ROM initiation coma stimulation
41
What is a minimally conscious state?
sometimes follows simple instructions may communicate yes or no by talking or gestures may speak some understandable words or phrases may response to people, things, events by -crying, laughing, smiling -makign sounds or gesturing -reaching for or trying to hold/use -keeping eyes focused on people or things for a sustained period of time do things inconsistently, which makes it difficult to distiniguish between vegetative state and minimally conscious state
42
What is RLA LEvel III
localized repsonsed = Level III
43
Describe RLA Level III
localized response paitent reacts specifically but inconsistently to stimuli responses are directly related to the type of stimulus presented may follow simple commands in an inconsistenct, delayed manner, such as closing eyes or squeezing hand responses delayed or inconsistent
44
What are the PT roles for localized response (RLA Level III)
provide an enriched envornment positioning, ROM, sensory stimulation mobilization combine positioning with exercise
45
What classifies emergence from minimally conscious state
communication followig instructions consistently demonstrating functional use of an object almost always experience confusion

Neuroconditions 2022 (14 decks)

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