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14 Cards in this Set

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When would you use GCS vs. Rappaport
Both are used to determine the level of coma - use it acutely after a head injury or into the first 3 levels (rancho). Once pt is out of coma, use other scales. GCS - quick screen. Rappaport - initial PT eval of pt in coma or minimally conscious.
What things to the GCS measure?
Eye opening (spontaneous, speech, pain, none), Best Motor response (none, decerebrate, decorticate, withdrawl, localizes, follows command), verbal (none, moans, meaningless speech, confused convo, oriented)
Classifications for GCS
13-15 = mild 9-13 = moderate <8 = severe
What things does teh Rappaport scale take into account?
olfactory, auditory, visual, common responsitivity, tactile, pain, vocalization
When would you, as a clincian, use the Disability Rating Scale?
Starting in level 4 - to track progress. It measures impairments, functional limitation, and disability
8 categories of DRS
1. eye opening 2. best motor response 3. vocalization 4. toileting 5. grooming 6. feeding 7. level of fxt 8. employability
GOAT and purpose - why important?
Galveston Orientation and Amnesia Test. Evaluates anterograde and retrograde amnesia. It is a predictor of long term level of recovery. Need memory to learn tasks!
What do you need to evaluate as far as posture goes?
Posture when you walk into room - decorticate vs. decerebrate. Posutre in bed, wheelchair, sitting, etc.
What do you need to evaluate about a pts movement?
Intentional vs. non-intentional. Does pt need cueing to move intentionally? How often does the non-intentional movt occur? Describe it
How can you evaluate a pts ability to pay attention?
Document how long pt can attend to task, difficulty of task, and surrounding environment
What are some functional things you would want to evaluate for level 5-8 pts
Rolling, sitting, WB through shoulders, standing,
When may you want to do a CN screen? What level?
Level V - anything before that and pt won't be able to participate bc agitated or other cognitive issues
3 things that define "apathy"
decreased goal directed behavior
decreased goal directed thought
emotional indifference
What evaluation scale may you use to determine a pts motviation level? At what levels would you use this?
Apathy Evaluation Scale - higher levels