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31 Cards in this Set

  • Front
  • Back
Lack of awareness of deficits
Anosognosia
Most disabling consequence of brain injury
Memory impairment
Ability t plan, initiate, direct, and monitor one's activities.
Executive Functioning
Failing to engage in an important activity unless prompted
Initiation impairment
Paresis
Weakness in one or more limbs
Balance or coordination problems
Ataxia
Difficulty planning muscle movements
Apraxia
Increased muscle tone
Spasticity
Decreased muscle tone
Flaccidity
Swallowing difficulties
Dysphagia
Involuntary eye movements
Nystagmus
Increased sensitivity to light
Photophobia
Increased sensitivity to sound
Sonophobia
Ringing in the ear
Tinnitus
Impaired ability to smell
Anosmia
Increased sensitivity to touch
Tactile defensiveness
Steps to effective rehabilitation
1. Identify important skills that an individual can currently do/not do/do with assistance

2. Help individual determine realistic long term plan

3. Determine what the individual needs to accomplish to achieve the plan.

4. Identify long term goals

5. Break goals into short term objectives

6. Design plan to achieve objectives

7. Evaluate progress on the basis of measurable outcome criteria

8. Revise as necessary
When treatment planning is outcome-driven, the ndischarge site or the next setting is a primary focus for treatment planning
True
Domains of functioning
Mobility
Cognition
Communication
Health and wellness
Self Help skills (ADLS)
Household management
Community skills
Leisure skills
Vocational Skills
Number of times that a skill or behavior is observed to occur
Frequency
Number of times a behavior occurs in a specified time period
Rate
Length of time that a behavior occurs
Duration
Length of time that it takes a person to initiate (or complete) a behavior
Latency
Magnitude or intensity is especially important for unwanted behaviors such as aggression or self-injury. Seldom used due to difficulty of objectively measuring
True
4 Steps to treatment planning
1. Assess neuropsychological factors
2. Collect baseline data
3. Assess environmental influences
4. Identify positive reinforcers
Task Analysis
Overall skill is analyzed into components that can be taught and measured (steps)
Shaping
Completing steps gradually to complete a task. Reinforcing individual steps
Fading
Using artificial cues and fading to more natural cues
Escape and Avoidance
When behavior gets someone out of an unpleasant situation, or removes the threat of one, that behavior may be strengthened and more likely to occur again in the future.
When a behavior that has been previously reinforced is now not followed by a positive reinforcer, the behavior is weakened
Extinction
Negative Reinforcement
Using unwanted behavior to get what you want