4.25 TBI 2

Question 1

You can have a severe TBI without having this

Answer 1

severe symptomology

Question 2

TBI pts and inhibition

Answer 2

• act out much more on their thoughts

- speaking, acting, etc.

Question 3

What do TBI pts need for therapy?

Answer 3

• make sure not to reinforce unacceptable behaviors
• Watch what you say - shouldn’t be making jokes because they will too
• don’t want them to become too dependent on you
• put them in safe environments so they can struggle

Question 4

Why should you not laugh?

Answer 4

• must address the problem, say it’s wrong, and constantly reinforce
• It’s the only way their brain might rewire correctly so they don’t do inappropriate things out in public

Question 5

If a pt was disinhibited before their TBI, what are they more likely to be?

Answer 5

much more disinhibited after

Question 6

Why is it important for TBI pts to struggle?

Answer 6

If they don’t struggle and learn, they won’t get better

Question 7

Dealing with frustration

Answer 7

• Once they have some insight into their injury, they’ll get frustrated
• they’ll have motor impairments and be frustrated with how other people see them differently

Question 8

lowest response you can get on Glasgow coma scale

Answer 8

3 (adding up each part)

Question 9

What are the 3 categories of Glasgow coma scale?

Answer 9

• eye opening
• best motor response
• verbal response

Question 10

decerebrate posturing

Answer 10

• full extensor posturing (rigid extension)

- not a great prognosis usually

Question 11

decorticate posturing

Answer 11

• flex UE

- ext LE

Question 12

RLA

Answer 12

Ranchos Los Amigos

Question 13

What does RLA classify?

Answer 13

cognitive function

Question 14

What are the RLA categories?

Answer 14

1. no response
2. generalized
3. localized
4. confused-agitated
5. confused-inappropriate
6. confused-appropriate
7. automatic-appropriate
8. purposeful-appropriate

Question 15

RLA: no response

Answer 15

nothing happening

Question 16

RLA: generalized

Answer 16

inconsistent rxns

Question 17

RLA: localized

Answer 17

react specifically, but may not always be consistent

Question 18

RLA: confused-agitated

Answer 18

• nonpurposeful behavior
• odd/weird acting
• easily agitated
• probably don’t want to participate much in therapy
• memory issues

cannot correct agitation in this stage

Question 19

RLA: confused-inappropriate

Answer 19

• pretty well with response to stimuli
• not as easily agitated as 4
• not a great attn span
• memory issues
• easier to work with them because they aren’t as angry/agitated

Question 20

RLA: confused-appropriate

Answer 20

• trying to do things now
• confused about what’s going on, but attempt to do what is asked of them
• start seeing carryover from tx to tx

Question 21

RLA: automatic-appropriate

Answer 21

• oriented to where they are
• appropriate
• normal ADLs, but more robot-like
• typically have a hard time coping with adapting to a changing environment

Question 22

RLA: purposeful-appropriate

Answer 22

• carryover
• can move between multiple activities
• once relearned, don’t need supervision
• appear typically normal to outsiders, possibly back to premorbid levels

Question 23

If low on the cognitive fxn scale, this does not necessarily mean they’re low on ____

Answer 23

motor function