Term
| What is the purpose of the Glasgow Coma Scale? |
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Definition
| To document level of consciousness? |
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Term
| What is the grading scale of the Glasgow Coma Scale? |
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Definition
3-8 Sever
9-12 Moderate
13-15 Mild |
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Term
| what are the catagories assessed in the Glasgow Coma Scale? |
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Definition
Best Motor response
Eye Opening
Verbal Response |
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Term
| if a pt's ICP is being meassured what movements will you want to avoid? |
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Definition
| Pretty mcuh any movement of the head could raise ICP so need to be really careful. Even raising or lowering the bed head a little can change the ICP |
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Term
| How any levels of cognitive functioning are on the Los Rancho Amigos Scale? |
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Definition
| there are 8 levels of cognitive functioning |
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Term
| What is level 1 of of the Rancho LOCF? |
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Definition
Level 1: No Response
Deep sleep, unresponsive to stimuli
passive ROM, positioning, and family education is done during this stage |
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Term
| What is level 2 of of the Rancho LOCF? |
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Definition
Level 2: Generalized Response
Patietn reacts inconsistentyl and non purposefully to stimuloi
Generalized response ( ask to do a movement and might do something else, inconisteint) |
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Term
| What is level 3 of of the Rancho LOCF? |
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Definition
Level III: Localized Response
Level III: Localized response directly related to the type of stimuli. Follows simple commands- close eyes squeeze hand
Will now do the command that they are asked to instead of doing a generalized response as in phase II |
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Term
| Is it important to talk, touch, play music etc when a patient has a TBI? |
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Definition
| Yes, any stimuli could change the CNS so these actions can promote recovery of the patient |
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Term
| What is level 4 of the Rancho LOCF called and the characteristics? |
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Definition
Level IV:
Heightened state of activity
Behavior is bizarre and non-purposeful
Unable to cooperate with treatment
Verbalizations frequently incoherent and/or inappropriate
Difficulty attending to a task
Lacks short and long term recall
In this stage the person is not aware of what they area doing their behavior is not their normal behavior |
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Term
| What is level 5 of the Rancho LOCF called and the characteristics? |
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Definition
Level 5: Confused-Inappropriate
Able to respond to simple command fairly consistentyl in structured, closed environment.
Difficulty with more complex tasks and an open environment
Highly distractible and lacks ability to focus
Unable to learn new information (will have an awarness that they do not know the answer) |
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Term
| What is level 6 of the Rancho LOCF called and the characteristics? |
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Definition
Level VI: confused-Appropriate
Goa-directed behavior (dependent on external input or direction)
Follows simple direction consistently
Shows carryover for relearned tasks (self care)
follow commands pretty consistentyl |
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Term
| What is level 7 of the Rancho LOCF called and the characteristics? |
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Definition
Level VII: Automatic Appropriate:
Appropriate and oriented within the hospita/home settings
Goes through daily routine automatically (robot-like)
Shows minimal or no confusions, shallow recall
Shows carryover for new learning (decreased rate)
judgement remains impaired
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Term
| what is the primary deficit with a level 7 LOCF? |
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Definition
| judgement remains impaired |
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Term
| What does the automatic component of level 7 of LOCF mean? |
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Definition
The automatic componet of level 7 means that the pt can respond to things automatically but if not given the same task they will not respond rightly
will have some carry over from new learning
pt can be implussive |
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Term
| What is level 8 of the Rancho LOCF called and the characteristics? |
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Definition
Level VIII: Purposeful-Appropriate
Able to recall and integrate past and recent events
Aware of and responsive to environment |
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Term
| In the acute medical management of TBI what is the range of Mean Atrerial Pressure (MAP), how is it calculated? |
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Definition
MAP range 70-100
MAP= (1/3 (SBP-DBP)+DBP) |
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Term
| What type of components of examination will you conduct with a pt with a Rancho LOCG of I,II,III? what will you observe? |
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Definition
Vital signs, temp, alertness, precautions, PROM, Tone
Observe: Posture, eye open/closed, Tracking (auditory or visual stimulation)
Vocalization
Active movements
Response to tactile/painful stimulation
Changes in vital signs with stimulations (when doing PROM what to note what their Vitals signs are doing)
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Term
| PT examination with Rancho Level IV might have these charactristics? |
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Definition
Confused- Agitated
Patient may not cooperate
Closed environment: Assess functional mobility, cognitive ability- orientation, memory, attention, simple ro comples commands
Establish a daily routine (try to see them the same time every day and same PT is possible), consistencty as much as possible, orient the patinet
Flow with what the patient is doing if they want to go see their dad let them do it will have to transfer and gait in the process |
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Term
| PT examination with Rancho Level V/VI might have these charactristics? |
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Definition
Confused-Inapropriate (V) and confused appropriate (VI)
Closed environment at first (* really important)
Formal tests and measures: ROM, Tone sensation, reflexes, balance, bed mobility, transfers, gait |
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Term
| PT examination with Rancho Level VII/VIII might have these charactristics? |
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Definition
Automatic-appropriate (VII) and purposefull appropriate (VIII)
Normal PT exam recognizing these patients may have problems with memory, executive functions, and advanced judgement |
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Term
| Look at the course web site to review lobes of the brain and functions of |
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Definition
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