Cbis Study Guide 9*

Front 1

Major depressive episode: what is this and when is it commonly seen in patients?

Back 1

Loss of interest and at least 4 other changes: 1 loss of appetite 2 weight loss/gain...

Diagnosis is made by at least 2 weeks

Front 2

What is the traditional diagnosis for individuals who develop a personality disorder (ex avoidant, paranoid and schizoid) following TBI?

Back 2

Organic Personality Disorder

Front 3

In psychometrics, ______ is a type of outcome measure that estimates the consistency of a measure; provides normative scores

Ex: consistency of 2 different therapists assessing 1 person

Back 3

Reliability

Front 4

In psychometrics, _____ is a type of outcome measure that addresses the meaning of a measure (answers the question, Does it measure what it supposed to measure?)

Back 4

Validity

Front 5

When is GCS used and what 3 things does it look for?

Back 5

Early measure; eye opening, verbal response, motor response

Front 6

AIS acronym and when during the post-injury recovery is it used?

Back 6

Abbreviated Injury Scale (for the Head); early after injury

Front 7

LOC acronym and when during the post-injury recovery is it used?

Back 7

Loss Of Consciousness; early stage

Front 8

Which measure in the acute phase can assess the end of loss of consciousness? About what score would they have?

Back 8

GCS; motor score of 6 (the person can obey commands)

Front 9

Related to a way to early measure...the duration of _____ is a good predictor or indicator of long-term issues following brain injiry

Back 9

PTA

Front 10

How is PTA often assessed?

Back 10

Non standardized; orientation questions (person, place, time) early measure

Front 11

GOS acronym and when during the post-injury recovery is it used?

Back 11

Glasgow Outcome Scale: early measure

Front 12

What is FIM and when during the post-injury recovery is it used?

*FAM was developed as an adjunct

Back 12

Acute rehab; most widely used, 18 questions that helps determine progress and amount of assistance the individual will need after discharge

Front 13

Floor effect

Ceiling effect

Back 13

Floor: too challenging

Ceiling: too easy

Front 14

DRS: when during the post-injury recovery is it used? It is not a clinical tool, it’s a _____ instrument

Back 14

Disability Rating Scale

Acute rehab; research instrument

Front 15

Rancho Los Amigos Level of Cognitive Functioning Scale (LCFS) when during the post-injury recovery is it used?

What specific pop. is it used for related to level of consciousness?

Back 15

Acute rehab; post-coma

Front 16

when during the post-injury recovery are CHART assessments used? What do they measure?

Back 16

Post-acute; participation

Front 17

What is PART-O and when during the post-injury recovery is it used?

Back 17

Measure of participation; post acute

Front 18

Education, surveillance and prevention for TBI are all values of what federal legislation for persons with brain injury?

Back 18

TBI Act of 1996 - the most important piece of federal legislation

Front 19

Incidence of TBI is a factor of ______ (fraction and %) of all Injury related deaths in the US

Back 19

1/3. 30.5%

Front 20

Out of the 2.5 million people who sustain a TBI yearly, how many are hospitalized? (Number and %)

Back 20

284,000, 16%

Front 21

What percentage of people are living with a brain injury in the US? (Prevelance)

Back 21

4.5%

Front 22

Discuss number of TBI changes in rate and deaths between 2001 and 2010

Back 22

TBI have gradually gone up, but deaths have dropped

Front 23

Which age has the highest TBI related hospitalization and death? What is the cause?

Back 23

75+

Falling and firearms

Front 24

Percentage of children with TBI from physical abuse

Back 24

67%

Front 25

Non-accidental trauma is the cause of at least ______ (percent) deaths from head trauma in children under 2

Back 25

80%

Front 26

Name 3 activities that have the most sports related TBIs

Back 26

Bicycling, football, playground activities, basketball, soccer, horseback riding, all terrain vehicle

Front 27

Among children 9 or younger, most injuries are from these 2 activities:

Back 27

Bicycling and playground activities

Front 28

A study found that ____ % of women victims of violoncello also had symptoms associated with brain injury

Back 28

67% (same as child abuse)

Front 29

Which Federal Program/Legislation passed allowed for “no segregation, same opportunities, no discrimination”

Back 29

Olmsted Decision of 1999

Front 30

Which federal program was established in 1987 by NIDRR/ACL and conducts prospective longitudinal research of TBI at 16 centers?

Back 30

Model Systems of Care 1987

Front 31

How does TBI relate to disease?

Back 31

Can cause disease and accelerate disease

Front 32

Persons with a TBI have a life expectancy reduction of _____ years

Back 32

7 years

Front 33

What does epilepsy, sleep disturbances, AD and CTE have to do with TBI?

Back 33

They are all neurological conditions associated with TBI

Front 34

Rancho Los Amigos Level of Cognitive Functioning Scale (LCFS): describe range of number scores assigned

Back 34

1 is total assistance; the higher the # the better; 10 is modified independence

Front 35

The Mayo-Portland Adaptability Inventory (MPAI) is used for what stage?

What does the measure evaluate?

Back 35

Post-acute; participation and how much of a disability they have (normed)

Front 36

Craig Handicap Assessment and Reporting Technique- Short Form (CHaRT-SF) measures what?

Back 36

Participation in community

Front 37

Level of Cognitive Functioning Scale- when is it used during post injury recovery?

Back 37

Acute stage

Front 38

Employment rate post TBI reported to be less than ___%- ____%

Back 38

10-40%

Front 39

Gender and age factors that contribute to poor employment

Back 39

Male

Older age at time of injury

Front 40

What is the gold standard in measuring success of rehabilitation for brain injury?

Back 40

Return to work

Front 41

AHT is most often committed by whom?

Back 41

Biological father