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