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77 Cards in this Set

  • Front
  • Back
damage to the brain tissue caused by an external mechanical force
traumatic brain injury
resultant of TBI (5)
1. loss of consciousness
2. post-traumatic amnesia (PTA)
3. skull fracture
4. neurological findings
5. physical and mental changes
most common cause of death and disability among young people
traumatic brain injury
common cognitive problems of TBI px (6)
1. decreased attention and concentration
2. impaired memory
3. impaired initiation and termination of activities
4. decreased safety awareness and poor judgment
5. impulsivity
6. difficulty with executive functions and abstract thinking
ability to maintain focus on activity without becoming distracted
attention and concentration
ability to resume an activity when interrupted
attention and concentration
often recovers but can also linger on for years
TBI
most frequently observe deficit in TBI patients
memory
can remain a lifelong problem
memory
forgetting information just heard
immediate memory
forgetting information given the night before
short term memory
forgetting information or events that occurred years before the injury
long term memory
TBI patients also demonstrate diffuculty in learning new information
memory
TBI px with severe memory deficit require supervision, can be emotionally devastating
memory
type of preservation
inability to end an activity
impairment in insight (poor judgment)
frontal lobe damage
inability to consider consequences before acting (impulsivity)
frontal lobe damage
important structure the client's environment and reduce accidents
frontal lobe damage
increase awareness of the patient's limitations with repeated exposures to opportunities for practice
frontal lobe damage
ability to hold and manipulate a concept in one's mind using critical reasoning and analytical skills
abstract thinking
TBI patients can only exhibit ___ thinking
concrete thinking
able to interpret information only at most literal level
concrete thinking
ability to learn a specific task and transfer the skill needed for that task to a similar activity
generalization
generalization deficits in (3)
executive functions
abstract thinking
short-term memory
greatest concern in clients after TBI
psychosocial definits
one of the most difficult psychosocial sequelae of TBI
self-concept
where self-concept is usually derived
social roles
affected individuals deny that they are experiencing physical, cognitive or psychosocial deficits
denial
can impede therapy because px refuses therapy
denial
as px grows increasingly aware of the disability
anger
process experienced by TBI px
1. denial
2. anger
3. bargaining
4. depression
5. acceptance
patient makes a deal with the creator or the fates
bargaining
offer to work diligently as possible in therapy if only their-preinjury state could be restored
bargaining
often marked by increased motivation and optimism
bargaining
patient begins to realize the severity of the injury and its effects
depression
necessary for patients to become sufficiently motivated to attempt to build a post-injury life
acceptance
increased depression and emotional lability
left hemispheric damage
cause severe depression and heightened affect of excitement, agitation and tearfulness
left orbitofrontal lobe damage
may appear depressed even though they feel fine
left dorsolateral frontal lobe damage
causes strange sense of euphoria
right hemispheric brain damage
lack of emotional response to the severity of injury
right hemispheric brain damage
levels of cognitive functioning
rancho los amigos scale
complex dysfunction caused by the lesion in the brain
cerebrovascular accident
acute neurologic dysfunction of vascular symptoms and signs corresponding to the involvement of focal areas in the brain
CVA
results to an upper motor neuron lesion
CVA
causes hemiplegia (paralysis of one side of the body) and other UMNL signs
CVA
functional impairment of an individual manifested as defective skill performance resulting from a neurologic processing dysfunction
neurobehavioral deficit
agnosia variants (4)
1. color agnosia and color anomia
2. metamorpsia
3. prosopagnosia
4. simultanognosia
tactile perception disorders (3)
1. astereognosis
2. agraphesthesia
3. autotopagnosia
motor perception disorders (1)
apraxia
1. ideational apraxia
2. ideomotor apraxia
inablity to identify object using visual input
agnosia
caused by the lesion of the right occipital lobe
agnosia
have normal visual foundation skills
agnosia
not caused by language deficit in naming objects
agnosia
patient can identify the object using tactile, auditory or olfactory means
agnosia
inability to recognize colors
color agnosia
inability to name color of objects
color anomia
visual distortion of objects (size and weight)
metamorphopsia
inability to recognize and identify familiar faces and unique facial expression
prosopagnosia
inability to recognize and interpret a visual array as a whole
simultanognosia
not able to identify the individual components of a visual scene
simultanognosia
inability to identify common objects and geometric shapes through tactile perception without the aid of vision
astereognosis
inability to see with the hands
astereognosis
inability to recognize numbers, letter or forms written on the skin without the use of vision
agraphesthesia
inability to sense the person's shape and position
autotopagnosia
inability to discriminate the fingers of the hand
finger agnosia
deficit in the execution of learned movement which cannot be accounted for by either weakness, incoordination or sensory loss
apraxia
conceptual deficit, inability to use real objects appropriately
ideational apraxia
individual has difficulty in sequencing acts in proper order
ideational apraxia
inability to carry out a motor act or verbal command or initiation
ideomotor apraxia
able to perform the act correctly when asked to use actual object
ideomotor apraxia
rate is usually high at the acute stage and in patients admitted in hospitals
depression
difficulty in expressing or recognizing emotions
aprosody
other psychological manifestations of CVA
anxiety
agoraphobia
substance abuse
sleep disorders
mania
aprosody
behavioral problems of CVA px
sexual inappropriateness
verbal outbursts
agressiveness
alteration between pathological laughing and crying
lability
personality changes of CVA px
apathy
irritability
social withdrawal