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19 Cards in this Set
- Front
- Back
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What is PTA?
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time between injury and recovery of continuous memory (ability to remember events for a 24hr period)
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What is retrograde amnesia? anterograde amnesia?
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retrograde amnesia: memory for events before the trauma
anterograde amnesia: memory for events after the trauma |
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T or F: A TBI survivor will probably have some amount of retrograde amnesia.
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True
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What is the GOAT?
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Galveston Orientation and Amnesia Test
-10 ?s about orientation to time, person, and place; retrograde and anterograde -very easy to administer (anyone can) |
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How often should the GOAT be administered?
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at least once daily
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When is termination of PTA determined?
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when patient receives consistent scores of 75 or greater on GOAT
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What is the COAT?
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Children's Orientation and Amnesia Test
-like GOAT -for 3 to 15 yrs old |
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How is cognitive functioning measured?
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with Rancho Los Amigos Scale of Cognitive Functioning
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How many levels of cognitive functioning are there for the Rancho?
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10 (originally 8)
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What is Rancho Level I?
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No Response
-patient is in deep coma; non-responsive -careful about spont eye opening after 2 weeks |
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What is Rancho Level II?
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Generalized Response
-inconsistent, nonpurposeful, and nonspecific responses to stimuli -often 1st response is to pain -may be delayed -not localized |
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What is Rancho Level III?
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Localized Response
-localized but inconsistent -may inconsistently follow simple commands -often delayed |
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What is Rancho Level IV?
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Confused-Agitated
-heightened activity state w/ poor info processing -*still in PTA (can't recall day-to-day events) -bizarre, nonpurposeful behavior (labile) -cannot participate directly in tx -incoherent/inappropriate verbalizations w/ confabulation -limited attention -if stuck in this stage -> psych facility |
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What is Rancho Level V?
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Confused, Inappropriate, Non-Agitated
-follows simple commands -nonpurposeful behaviors (needs highly structured environment) -externally distracted and agitated -inappropriate verbalizations w/ confabulation -severe memory impairment -*still in PTA -new learning difficulty -ADLs w/ help -often wander |
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What is Rancho Level VI?
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Confused-Appropriate
-goal-directed behavior -appropriate responses to external stimuli -consistently follow simple commands -carryover for re-learned tasks -*ending PTA? -delayed responses? -inconsistent orientation -**increased awareness of self and injury -usually dismissed to go home here (maybe at V) |
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What is Rancho Level VII?
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Automatic-Appropriate
-appropriate and oriented -ADLs independent -lacks insight to deficits -judgment and problem-solving difficulties -*new learning but slow -*no longer in PTA -minimal supervision |
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What is Rancho Level VIII?
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Purposeful and Appropriate
-independently completes tasks for 1hr -very egocentric -unable to recognize problems while occurring -over/underestimates abilities -depressed, irritable -recognizes inappropriate social behavior w/ minimal assist |
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What is Rancho Level IX?
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-shifts between tasks for at least 2hrs
-anticipates problems with assist -depression, irritable -self-monitors social situations |
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What is Rancho Level X?
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-*very few people get to this level
-handles multiple tasks simultaneously -independently establishes memory devices -problem solves independently -socially appropriate -continued periods of depression and irritability -accurately estimates abilities |
