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neuro final 3

3

QuestionAnswer
Gunshot wound open brain injury
TBI pt. early stage interventions provide positioning, prevent contraction. Establish baseline
Symptoms found in TBI pt. but not generally CVA combative behavior
Pt. heightened state of activity, decreased processing, non purposeful aggressive behavior Level IV
Pt. robotic, requires structure/supervision, family to fill in gaps of memory VII
Pt. reacts inconsistently and non purposefully to stimuli, delayed reactions, recommend family to simplify vocab and talk slow
Assesses consciousness/ motor response, verbal response, eye open, no response 3-15 Glasco coma scale
Proprioceptive neuromuscular facilitation is multisensory, it uses all but vestibular
Walker ambulation walker/affected/non-affected
Cognitive challenges, pt. diagnosed with TBI experiences decrease attn. and concentration, impaired memory, impaired initiation. (no decrease of functional endurance)
Cognitive retraining may include engagement in familiar activities or computer activities.
Objectives for OT functional goal are functional, measurable, observable.
Anterior Cord Syndrome paralysis, loss of pain and touch sensation
Heterotopic ossification 9ectopic bone) development of bone in abnormal anatomical locations
Autonomic Dysreflexia is probably in a pt who sustained cervical and high thoracic lesions
Spasticity os opposite of flaccidity
Tetraplegia paralysis of all extremity
degree of paralysis that affects trunk, four limbs, and pelvic organ function tetraplegia
pounding headache, anxiety, perspiration, flushing, chills, goosebumps, HTN autonomic disreflexia
w/c positioning begins with pelvis
transfer to EOB, pt. C/O dizziness and looks pale orthostatic hypotension
What to do for orthostatic hypotension pt. if they are dizzy lay back down
Pt. has complete C7 SCI, tx strategies will include education AE for ADLs, ecplore education and leisure, fitting for manual w/c, (no LE strengthening)
Eventually, C7 pt will perform elbow extension, transfer I bed to w/c, drive to P.O., ( no develop fine motor skills c intrinsic muscles.
Lowest SC level of injury c portable respirator C3
No portable respirator, No manual w/c, d/c to private residents C4
Created by: Melanie J. Shanks Melanie J. Shanks on 2011-07-28



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