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