THAT'S SO
"TRAUMTIC"
"TRAUMTIC"
THIS NUMBER OF PEOPLE WITH TBI WILL HAVE PERMANENT INTELLECTUAL, BEHAVIORAL AND/OR PHYSICAL DISABILITIES
90,000
3 TYPES OF HEAD INJURIES
CONCUSSION, CONTUSION, HEMATOMA
WHAT DID I COME IN HERE FOR?? A DECREASE IN STM DUE TO THIS MAKES REHAB VERY DIFFICULT
POST TRAUMATIC AMNESIA
PATIENT REACTS INCONSISTENTLY AND NONPURPOSEFULLY TO STIMULI; EXTENSOR TONE RESPONSE IS COMMON ALONG WITH GROSS BODY MOVEMENTS AND/OR VOCALIZATION THAT MAY NOT MATCH THE STIMULI PRESENTED
LOW LEVEL TBI TREATMENT INCLUDES PROM, SENSORY STIMULATION, AND THIS. PERHAPS THEY NEED A TURNING SCHEDULE
POSITIONING
THIS PHENOMENA WHERE KAMIKAZE CELLS DIE AND KILL OTHER CELLS, OCCURS IN SECONDARY BRAIN DAMAGE.
AUTODESTRUCTIVE CELLULAR PHENOMENA
3 TYPES OF HEMATOMAS
EPIDURAL, SUBDURAL, INTRACEREBRAL
PATIENTS MAY EXPERIENCE LONG TERM CHANGES WITH THIS, ESPECIALLY SEXUAL DISINHIBITION, AGGRESSION, AND LOW TOLERANCE
BEHAVIORAL DEFICITS
PATIENT IN A HEIGHTENED STATE OF ACTIVITY WITH BIZARRE AND NONPURPOSEFUL BEHAVIOR; CAN'T DISCRIMINATE OBJECTS FROM PEOPLE AND LACKS SHORT AND LONG TERM RECALL. DON'T LET THEM OUT IN PUBLIC!
IV, CONFUSED-AGITATED
DON'T GET MAD, GET GLAD! LEVEL IV TBI TREATMENT GOALS ARE ROM, PREVENTING DECONDITIONING, IMPROVING RESPONSE TO COMMANDS AND PREVENTING THESE "WAL-MART MOMENTS" (AS MY GRANDMOTHER WOULD CALL THEM)
AGITATED OUTBURSTS
THIS TYPE OF BRAIN INJURY HAS A CUMULATIVE EFFECT AND PATIENTS WILL BE IN A COMA FROM THE TIME OF INJURY
DIFFUSE BRAIN INJURY
3 FACTORS THAT INFLUENCE REHAB OUTCOMES
PREMORBID STATUS, PRIMARY BRAIN DAMAGE, SECONDARY BRAIN DAMAGE
THESE TYPE OF DEFICITS INCLUDE GENERAL DECONDITIONING, HEMIPARESIS, ATAXIA AND INCOORDINATION
SENSORIMOTOR DEFICIT
PATIENT SHOWS GOAL DIRECTED BEHAVIOR AND CAN FOLLOW SIMPLE DIRECTIONS, HOWEVER, RESPONSES MAY BE INCORRECT BECAUSE OF MEMORY BUT ARE APPROPRIATE TO THE SITUATION
VI, CONFUSED-APPROPRIATE
NEW LEARNING OPPORTUNITIES ARE LIMITED WITH THESE TWO LEVELS OF TBI; MAINTAIN STRUCTURE AND STATE DIRECTIONS WHILE GIVING PATIENTS PLENTY OF TIME TO PROCESS
V AND VI
STAY AWAKE! ALSO KNOWN AS A "WALK/TALK AND DIE", THIS TYPE OF HEMATOMA BUILDS UP SLOWLY WITH NO CLEAR CORRELATION TO INITIAL INJURY.
SUBDURAL HEMATOMA
3 RATINGS ON THE GLASGOW COMA SCALE
SEVERE (COMA 3-8), MODERATE (9-12), MILD (13-15)
DECREASED LEARNING, MEMORY, AND COMMUNICATION. WHAT WE ARE ALL SUFFERING FROM AT THIS POINT
COGNITIVE DEFICITS
PATIENT MAY BE ROBOT LIKE BUT THEY ARE APPROPRIATE AND ORIENTED WITHIN HOSPITAL AND HOME SETTINGS
VII, AUTOMATIC-APPROPRIATE
FOR PATIENTS WITH THESE TBI LEVELS TO GO OUT INTO THE WORLD, WORK ON SAFETY, GAIT, PROBLEM SOLVING, AND SKILLS NEEDED FOR THE COMMUNITY
VII AND VIII
MIGHT AS WELL BE A GREEN BEAN IF YOU STAY IN A COMA FOR MORE THAN 3 WEEKS, ALSO KNOWN AS THIS.
PERSISTENT VEGETATIVE STATE
3 TYPES OF PRIMARY BRAIN DAMAGE
LOCAL, POLAR, DIFFUSE
A DECREASED LEVEL OF THIS CAN KEEP PATIENTS IN A COMA 2-3 WEEKS OR LEAVE THEM IN A PVS
CONSCIOUSNESS
PT CAN RESPOND TO SIMPLE COMMANDS; HIGHLY DISTRACTIBILE AND VERBALIZATION IS OFTEN INAPPROPRIATE; MEMORY SEVERELY IMPAIRED
V, CONFUSED-INAPPROPRIATE
PASSIVE BEHAVIORS THAT REQUIRE INTERVENTION INVOLVE POOR INITIATION, POOR PARTICIPATION, AND THIS, A STATE I REGULARLY FIND MYSELF IN
GENERAL CONFUSION