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Exam (elaborations)

PT 623 TBI Interventions Exam With Complete Solution

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PT 623 TBI Interventions Exam With Complete Solution...

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  • October 15, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PT 623 TBI Interventions
  • PT 623 TBI Interventions
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Chrisyuis
PT 623 TBI Interventions Exam With Complete Solution



Is Tx of TBI a straight trajectory? - ANSWER No, there are comprehensive programs &
pts may relapse back to a previous level



what does the PT eval of TBI pt depend on - ANSWER setting & pt LOCF (Rancho)

-physical recovery does not mirror cognitive



what does examination of LOCF I, II, III entail - ANSWER -acute care, inpt, or long-term
rehab

-start w/ chart review & convo w/ primary nurse (contra/precautions)

-check VS & lines and tubes

-talk to pt as though they can hear you

-arouse pt (multimodal sensory stim)

-eval begins w/ observation

-introduce self & explain purpose of visit

-PROM, tone, active movement

-rxn to tactile or noxious stim

-sit at EOB if ordered



what is involved in LOCF IV exam - ANSWER -pt is agitated, confused, disoriented

-may be physically or verbally aggressive w/ decreased attention

-have 2 people present for eval

-use observation skills & estimations

-look @ mobility, balance, ROM, strength, tone, sensation, reflexes



what does exam of LOCF V & VI entail - ANSWER -pts now follow simple commands but

, need to modify complex tasks

-obtain concise & objective data (multi sessions)

-quiet/private space to a distractable space

-look @ attention, cognition, CN, balance, gait, sensorimotor integration, pain, ROM,
reflexes, ADLs, coordination, tone, gait

-use outcome measures as able



what is the eval of LOCF VII & VIII - ANSWER -day Tx, outpt, or home-health

-focus on pt function

-outcome measures are vital for documenting progress & needed PT

-community re-entry activities



what are primary pt problems in early stages - ANSWER -decreased ROM/contractures

-increased mm tone & abnormal posturing

-decreased awareness & responsiveness to environment

-decreased sensory awareness

-presence of primitive tonic reflexes

-decreased functional mobility & tolerance to upright

-impaired communication

-decreased knowledge of condition



what are goals of LOCF I, II, III - ANSWER -increase arousal

-prevent 2nd impairments (pulm complications, pressure ulcers, contractures)

-improve function

-educate pt & fam



what is multimodal sensory stim - ANSWER -use sensory stim to increase level of
arousal & elicit movement

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