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PT 623 TBI Interventions Exam With Complete Solution
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PT 623 TBI Interventions Exam With Complete Solution...
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PT 623 TBI Interventions Exam With Complete SolutionIs 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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