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neuro final 3
3
| Question | Answer |
|---|---|
| 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:
mejasha
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