Flashcards in Neurological Rehabilitation and Assessment of Cognitive Functioning Deck (25)
What is post traumatic amnesia?
Period of recovery following traumatic brain injury
What is anterograde amnesia?
Inability to remember new events/experience occurred after brain injury
Unable to locate themselves in time and place
What areas should be tested during a clinical interview?
Name some assessment considerations
Any loss or abnormality of physiological, psychological or anatomical structure or function
Any restriction or lack of activity to perform an activity in the manner or in the range considered normal for people of the same age, sex, and culture
A disadvantage for a given individual that limits or prevents the fulfilment of a role that would otherwise be normal for that individual
What is rehabilitation?
The restoration of patients to their fullest physical, mental and social capability
Which long term neurological conditions are caused by sudden onset?
Acquired brain injury
Spinal cord injury
Which long term neurological conditions are intermittent/unpredictable?
Early multiple sclerosis
Which long term neurological conditions are progressive?
Motor neurone disease
Later stage of multiple sclerosis
Which long term neurological conditions are stable conditions?
What are the physical weakness of a LTNC?
Weakness (hemiparesis/ paraparesis)
Loss of/ abnormal sensation
Change in tone/spasticity
Loss of hearing
Swallowing/ communication difficulty
Bladder/ bowel difficulties
What are the cognitive problems after brain injury?
Post traumatic amnesia
Porr concentration/ attention
What are the psychiatric/ behavioural problems after brain injury?
What should be included in a rehab assessment?
History and examination
Activities of daily living
Mood and cognition
Bladder and bowels
Communication and swallow
Skin, vision and hearing
What is spasticity?
Motor disorder characterised by a velocity dependent increase in tonic stretch reflexes with exaggerated tendon jerks
What are the complications of spasticity?
Poor seating and lying positions
Sleep difficulties and fatigue
Dressing and hygiene issues
Communication and feeding problems
Pressure sores and contracture
How is spasticity managed?
Oral anti spasticity agents
Focal treatment with botulinum toxin
What are the benefits of rehab?
Greater chance of remaining at home
Increased comfort and dignity
Increased chance of remaining/ returning to work
Improved quality of life
Reduced need for care or assistance
What secondary complications does rehab aim to prevent?
Deep venous thrombosis
Low morale and depression
How is a severe head injury classified?
PTA 1-7 days
How is a moderate head injury classified?
PTA 1-24 hours