Neurological Rehabilitation and Assessment of Cognitive Functioning Flashcards Preview

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Flashcards in Neurological Rehabilitation and Assessment of Cognitive Functioning Deck (25)
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1

What is post traumatic amnesia?

Period of recovery following traumatic brain injury

2

What is anterograde amnesia?

Inability to remember new events/experience occurred after brain injury

3

Define disorientation?

Unable to locate themselves in time and place

4

What areas should be tested during a clinical interview?

Memory
Language
Processing speed
Attention/concentration
Executive functioning
Personality
Insight
Visual spatial

5

Name some assessment considerations

Language barrier
Eyesight/hearing
Fatigue
Confusion/delirium
Environmental factors
Anxiety

6

Define impairment

Any loss or abnormality of physiological, psychological or anatomical structure or function

7

Define disability

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

8

Define handicap

A disadvantage for a given individual that limits or prevents the fulfilment of a role that would otherwise be normal for that individual

9

What is rehabilitation?

The restoration of patients to their fullest physical, mental and social capability

10

Which long term neurological conditions are caused by sudden onset?

Stroke
Acquired brain injury
Spinal cord injury

11

Which long term neurological conditions are intermittent/unpredictable?

Epilepsy
Early multiple sclerosis

12

Which long term neurological conditions are progressive?

Motor neurone disease
Parkinson's disease
Later stage of multiple sclerosis

13

Which long term neurological conditions are stable conditions?

Post-polio syndrome
Cerebral palsy
Spina bifida

14

What are the physical weakness of a LTNC?

Weakness (hemiparesis/ paraparesis)
Loss of/ abnormal sensation
Change in tone/spasticity
Visual disturbance
Loss of hearing
Swallowing/ communication difficulty
Bladder/ bowel difficulties
Pain
Seizures

15

What are the cognitive problems after brain injury?

Post traumatic amnesia
Confusion/ disorientation
Memory problems
Porr concentration/ attention
Slowed thinking

16

What are the psychiatric/ behavioural problems after brain injury?

Depression
Anxiety
Personality change
Irritability

17

What should be included in a rehab assessment?

History and examination
Mobility
Activities of daily living
Mood and cognition
Bladder and bowels
Communication and swallow
Skin, vision and hearing

18

What is spasticity?

Motor disorder characterised by a velocity dependent increase in tonic stretch reflexes with exaggerated tendon jerks

19

What are the complications of spasticity?

Poor seating and lying positions
Sleep difficulties and fatigue
Dressing and hygiene issues
Pain, spasms
Communication and feeding problems
Pressure sores and contracture

20

How is spasticity managed?

Physical therapy
Oral anti spasticity agents
Focal treatment with botulinum toxin

21

What are the benefits of rehab?

Greater independence
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

22

What secondary complications does rehab aim to prevent?

Pressure sores
Chest infection
Deep venous thrombosis
Malnutrition
Constipation
Musculoskelatal pain
Contractures
Low morale and depression

23

How is a severe head injury classified?

GCS 3-8
PTA 1-7 days

24

How is a moderate head injury classified?

GCS 9-12
PTA 1-24 hours

25

How is a mild head injury classified?

GCS 13-15
PTA less than 1 hour