Neuro_TBI/Cognition

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  1. High arousal/Low arousal is associated w/what?
    • High arousal - TBI
    • Low arousal - Coma
  2. Tx for high level of Cognitive Management Levels - 4
    • Reduce structure
    • Encourage self monitoring
    • INC distribution & motor tasks
    • Problem solving in community
  3. Describe High level of Cognitive Management - LOC VII-VIII - 3
    • Abstract cognitive deficits
    • Difficulty reacting to subtle cues
    • Lack of insight
  4. Tx for mid level of Cognitive Management Levels - 6
    • Structure environment/activity
    • Train self monitoring
    • Minimize distractions
    • Multiple short tx sessions
    • Repetition/consistancy/scheduling
    • Emphasize safety
  5. Describe Mid level of Cognitive Management - LOC IV-VI - 3
    • STM deficits
    • High distractability
    • Limited ability to perform
  6. Tx for Low level of Cognitive Management Levels - 3
    • Pain stim w/verbal cuing
    • Give time for response
    • Promote early return of FMS
  7. Describe Low level of Cognitive Management - LOC I-III - 3
    • DEC level of responsiveness
    • Resumption of INC postures
    • 2ndary complications
  8. At what level of Ranchos Los Amigos Coma Scale is pt unable to learn new things?
    5 - Inappropriate
  9. At what level of Ranchos Los Amigos Coma Scale does pt lack short/long term recall?
    4 - Confused-agitated
  10. At what level of Ranchos Los Amigos Coma Scale does pt have impaired judgement?
    7 - Automatic appropriate
  11. At what level of Ranchos Los Amigos Coma Scale does pt has carryover for new learning?
    8 - Purposeful appropriate
  12. At what level of Ranchos Los Amigos Coma Scale does pt begin multitasking?
    8 - Purposeful appropriate
  13. Which levels of Ranchos Los Amigos Coma Scale need Standby Assist?
    8 - Purposeful appropriate
  14. Which levels of Ranchos Los Amigos Coma Scale need Min Assist?
    7 - Automatic appropriate
  15. Which levels of Ranchos Los Amigos Coma Scale need Mod Assist?
    6 - Confused appropriate
  16. Which levels of Ranchos Los Amigos Coma Scale need Max Assist?
    4-5
  17. Which levels of Ranchos Los Amigos Coma Scale need Total Assist?
    1-3
  18. At what level of Ranchos Los Amigos Coma Scale is: Pt acts appropriately but not perfectly + May have some problems in stressful or unusual circumstances
    8 - Purposeful appropriate
  19. At what level of Ranchos Los Amigos Coma Scale is: Can perform automatically & appropriately in structured environments + Judgement remains impaired
    7 - Automatic appropriate
  20. At what level of Ranchos Los Amigos Coma Scale is: Pt is dependent upon external input but can perform consistantly + Memory improved
    6 - Confused appropriate
  21. At what level of Ranchos Los Amigos Coma Scale is: Pt able to respond to simple commands but not to complex tasks + Memory is impaired + Verbalization is inappropriate
    5 - Inappropriate
  22. At what level of Ranchos Los Amigos Coma Scale is: Pt in heightened state of activity + Behaviour is bizzare & non-purposeful relative to immediate environment + Recall & attention span are poor
    4 - Confused-agitated
  23. At what level of Ranchos Los Amigos Coma Scale does pt react inconsistantly but specifically to stimuli
    3  - Localized response
  24. At what level of Ranchos Los Amigos Coma Scale does pt react inconsistantly & nonspecifically to stimuli
    2 - Generalized response
  25. At what level of Ranchos Los Amigos Coma Scale is pt completely unresponsive to any stimuli?
    1 - No response
  26. Glasgow coma scale - scores - Total; mild; moderate; severe
    • Total = 15
    • Mild = 13-15
    • Moderate = 9-12
    • Severe = <8 = coma
  27. What does Glasgow coma scale test?
    • Eye opening - spontaneous to none
    • Best motor response - follows commands - abnormal responses to no response
    • Verbal - oriented to inappropriate to no response
  28. When is Glasgow coma scale done?
    In field & @ 24 hrs
  29. Behavioral deficits after TBI - 5
    • Agitation
    • Emotional lability
    • Wandering
    • Flat affect
    • Low overstimulation threshold
  30. Communication deficits after TBI - 8
    • Receptive &/or expressive aphasia
    • Word finding problems
    • Paraphrasia
    • Delayed response
    • Circumlocation
    • Confabulation
    • Stereotype jargon
  31. Perceptual deficits after TBI - 5
    • INC sensation
    • Neglect or denial
    • Visual field deficits
    • R/L discrimination
    • Dellusions/hallucinations
  32. Levels of Ranchos Los Amigos Coma Scale - 8
    • 1 - No response
    • 2 - Generalized response
    • 3 - Localized response
    • 4 - Confused-agitated
    • 5 - Inappropriate
    • 6 - Confused appropriate
    • 7 - Automatic appropriate
    • 8 - Purposeful appropriate
  33. Amnesia -Anterograde vs Retrograde
    • Anterograde - Can't learn NEW
    • Retrograde - can't remember events prior to injury
  34. Alzheimer's - location of plaques
    Temporal lobe amyloid plaques
  35. Alzheimer's Type Dementia (AD) - Preclinical - S/S - 2
    • Memory loss is 1st sign
    • May appear normal on PT & mental testing
  36. Alzheimer's Type Dementia (AD) - Mild AD - S/S - 5
    • Memory loss
    • Mood/personality changes --> INC anxiety
    • Confusion about location of familiar palces
    • Compromized judgement --> bad decisions
    • Able to carry out everyday activities
  37. Alzheimer's Type Dementia (AD) - Moderate AD - S/S - 5, 2 major
    • INC memory loss & confusion
    • Shortened attention span
    • Inability to learn new things
    • Sundowning
    • PROBLEMS recognizing friends & family members
  38. Alzheimer's Type Dementia (AD) - Severe AD - S/S - 3
    • INABILITY TO COMMUNICATE IN ANY WAY
    • INABILITY to recognize family & friends
    • Complete dependence on others for ADL/care
  39. Delirium - describe - 3
    • Fluctuating attention state - confusion alternating w/lucid intervals
    • Sleep/wake cycles are disrupted
    • Confusion worse at night
  40. Chronic dementia - S/S - 3
    • Persistant personality changes
    • Level of arousal significantly depressed
    • Hallucinations throughout day

Card Set Information

Author:
Tanuisha
ID:
321104
Filename:
Neuro_TBI/Cognition
Updated:
2017-01-13 00:49:03
Tags:
TBI
Folders:
Neuro
Description:
TBI/Cognition
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