Prognostic Indicators and Outcome Predictors for TBI

Question 1

Prognosis is dependent on a number of factors

Answer 1

• Age (under 20 and children make good recovery)
• Size of lesion or lesions
• Extent of diffuse injury
• Premorbid skills/status
• Intelligence / education
• Post injury environment

Question 2

Outcome from TBI is not easily _____?

Answer 2

• Predicated

Question 3

Glasgow Coma Scale

Answer 3

• assessment and prognosis indication during acute state of recovery

Question 4

(GCS) Assess and monitors pt’s level of

Answer 4

• Consciousness

Question 5

(GCS) Changes in the ____ of impairment of _______ is a good indicator of ______ function.

Answer 5

• Degree
• Consciousness
• Brain

Question 6

(GCS) The degree and _____ of coma are reflections of the _____ of the diffuse brain injury.

Answer 6

• Duration

- Severity

Question 7

(GCS) When assessed at ____ week post trauma, the overall coma score and the best ____ grades on each component correlate with outcome at ___ months.

Answer 7

• One
• Response
• Six

Question 8

Three aspects of coma independently observed and each given a numerical grade.

Answer 8

1. Best eye response
2. Verbal performance or response
3. Best Motor response

Question 9

Best Eye Movement

Answer 9

1. No eye opening
2. Eye opens to pain
3. Eye opens to verbal command or speech
4. Eye open spontaneously
   Scored 1-4

Question 10

Verbal Performance or Response

Answer 10

1. No verbal response
2. Incomprehensible sounds
3. Inappropriate words
4. Confused conversation
5. Oriented speech
   Score 1-5

Question 11

Best Motor Response

Answer 11

1. No motor response
2. Extensor response (decerebrate)
3. Abnormal flexion response (decorticate)
4. Flexion withdrawl response
5. Localizing response
6. Obeys motor command

Question 12

Coma scores range from..

Answer 12

3 (Least Responsive) to 15 (Most Responsive)

Question 13

Score of __ or less defines _____ coma in ___% of cases, __ is the critical score.

Answer 13

• 8
• True
• 90
• 8

Question 14

Score of __ or more = patient out of ___

Answer 14

• 9

- Coma

Question 15

Score __-__ = ____ brain injury, score

Answer 15

• 9
• 12
• Moderate

Question 16

Score __-__= ____ brain injury

Answer 16

• 13
• 14
• Mild

Question 17

The ___ the score the ___ the mortality rate.

Answer 17

• Lower
• Higher
• Less than 5= 95% die
• Less than 8 at 6 hours post injury = 50% die

Question 18

Vegetative State

Answer 18

• A persistent state characterized by reduced responsiveness associated with wakefulness.
• The client may exhibit eye opening, sucking, yawning, and localized motor response

Question 19

Severe Disability

Answer 19

• An outcome characterized by consciousness, but the client has 24-hour dependency because of cognitive, behavior, or physical disabilities, including dysarthria and dysphasia

Question 20

Moderate Disability

Answer 20

• An outcome characterized by independence in ADL and in home and community activities but with disability.
• Clients in this category may have memory or personality changes, hemiparesis, dysphagia, ataxia, acquired epilepsy, or major cranial nerve deficits

Question 21

Good Recovery

Answer 21

• Client able to reintegrate into normal social life and could return to work.
• There may be mild persisting sequelae condition that is the consequence of a previous injury

Question 22

Independent

Answer 22

• Must also take into account component disabilities
• Cognitive
• Physical
• Behavioral
• Social

Question 23

A Pt may be _____ because of ____ or _____ rather than _____ dysfunction.

Answer 23

• Dependent
• Cognitive
• Behavioral
• Physical