Cognition
difficulty beginning an activity or movement
initiation
Use this kind of tone when a pt is agitated
calm
Do this first when a pt has a seizure
lay them down on ground
This is caused by the humeral head moving downward from the joint because paralyzed muscles generally remain in place
subluxation
True or False: sensation is only impacted through CVA
false
difficulty maintaining focus on a topic or activity
attention
Name a behavior you may need to help manage as a result of a TBI
agitation
impulsivity
poor initiation
Do this when a ct's BP drops significantly
recline pt and elevate legs
muscle tone (flaccidity-spastic)
Ability to identify an object through proprioception, cognition, and the sense of touch
stereognosis
This condition involves inconsistently missing visual information on affected side
hemi-inattention/neglect
Name a way to manage the environment to support pt c TBI
Control the environment; work in quiet room
o Quiet, isolated room without roommate
o TV and radio are OFF, door is closed
o Plain walls; remove extra signage and furniture
o Reduce sensory stimulation; tags on clothing,
alarms, fluorescent lights
What should you avoid when your ct's calf presents with swelling, discoloration, and cramping pain
(avoid) WB, limit ROM, no soft tissue massage
Posture name for spastic and flexed UE, with adduction
deCORticate position
A safety recommendation you should make when a pt has absence of sensation in LUE?
avoid sharps and control water temp
difficulty conceptualizing planned, multistep movements
ideational apraxia
This is a heightened state of activity with severely decreased ability to process information
confused/agitated
Do this when your pt complains of a headache, hunger, and feeling tired
check glucose level, give 6oz juice/4 glucose tablets/15g, wait 15 min, check again (15-15 x2)
another approach to promote forced use of the affected upper extremity
constraint induced movement therapy
A compensatory strategy for individuals with decreased or absent sensation
to prevent from further injury: oven mitts, test water temp, one handed cutting board
difficulty recognizing objects
visual agnosia
positioning/ROM; manage environment; sensory stimulation; family/caregiver education; splinting/casting; agitation management
You are seeing a patient in the ICU who has sustained a TBI secondary to a MVA. You notice on his monitors that his ICP is 30 mm Hg. Do this first.
Notify nursing immediately (and ask for guidance about continued therapy for the day.)
This happens in Bruunntrom stage 4
breaking free from synergistic pattern of flexion of UE and extension of LE
This is appropriate when touch sensation begins to return
provide tactile input