Brain Teasers
When is Brain Injury Awareness month?
March
What is the name of the evaluation tool that is used to describe the patterns or stages of recovery typically seen after a brain injury?
The Rancho Levels of Cognitive Functioning
Which medication(s) would make a patient sleepy in the morning if given too late? Trazadone, Ritalin, Amantidine
Trazadone
What activities can count as a community re-entry activity for PI compliance?
Friday outing, solarium, Memorial Garden, Gift Shop, Cafeteria, and/or the ATM on the 2nd floor
Head injuries are categorized into two broad types. What are they?
Penetrating (Open) Head Injury and Non-Penetrating (Closed) Head Injury
Who is typically the attending TBI physician on staff?
Dr. Miller
What Rancho Level can be characterized by attempting to crawl out of bed, remove restraints, aggressive, and/or verbalizations inappropriate to activity environment?
Level IV - Agitated/Confused
Which medication(s) if given too late will keep the patient up for an all-night dance part? Melatonin, Modafanil, Tylenol?
Modafanil
Where in the patient's room can the Daily Journal/Education Packet be found?
In the Go Beyond Binder, which is usually stored inside the orange Go Beyond drawstring bag
What is the difference between a craniotomy and a craniectomy?
Craniotomy - the surgical removal and replacement of part of the skull to relieve pressure on the brain
Craniectomy - the surgical removal of part of your skull to relieve pressure on the underlying brain (often not replaced during same procedure)
When is the Memorial Brain Injury Support group?
The last Monday of the month from 2-4pm in the auditorium
List 3 environmental measures to assist in reducing agitation:
Limit visitors, reduce light, minimize distractions, reduce noise, turn off the TV, maintain a consistent schedule/staff, timed toileting, manage pain, reduce cell phone use
True or False: It's okay to order Xanax for a patient with anxiety
False - Benzodiazepines like Xanax can cause sedation and mask progress in therapy
What is the code to turn off the wander guard when transporting patient's on/off the 6N unit?
3600A
Who do you contact to set up a peer mentor for a patient?
Recreation therapy at #18-2111
What Rancho Level can be characterized by the ability to follow simple commands, not oriented, impaired recent memory, generally not agitated and/or poor problem solving?
Level V - Confused, Inappropriate, Non-Agitated
Where can you find the ABS (Agitated Behavioral Scale) in a patient's room?
In the plastic cover next to the door (near where the rounding sheet is)
Where can you find the Daily Journal/Education Packet if it is not in the patient's "Go Beyond" Binder?
In the 6th floor rehab gym
Describe how a penetrating (open) head injury occurs:
Occurs when an object pierces the skull (e.g. a bullet, shrapnel, bone fragment, or by a weapon such as hammer or knife) enters the brain tissue; typically a penetrating TBI damages only part of the brain
What is the most common cause of traumatic brain injury?
Falls - according to data from the Centers for Disease Control and Prevention (CDC)
What Rancho Level can be characterized by inconsistent orientation, vague recognition of staff, emerging awareness, and supervision of old learning and/or requires assistance with basic problem solving?
Level VI - Confused Appropriate
List at least three categories of medications that are typically prescribed to patients who have suffered a TBI:
Anti-anxiety medication: to lessen feelings of nervousness and fear
Anticoagulants: to prevent blood clots
Anticonvulsants: to prevent seizures
Antidepressants: to treat symptoms of depression and mood instability
Muscle relaxants: to reduce muscle spasms
Stimulants: to increase alertness and attention
What three items should be reviewed after every therapy session?
Describe how a non-penetrating (closed) head injury occurs:
Caused by an external force that is strong enough to move the brain within the skull. Causes include falls, motor vehicle crashes, sports injuries, blast injuries, or being struck by an object