TBI | Glasgow/Rancho Scales | Interventions |
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righting reflexes/equilibrium reactions/protective extension
What primitive reflexes might be impaired in patients with midbrain damage?
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Rancho to measure awareness/cognitive functioning after traumatic injury
Would you use Ranch and Glasgow's scale to assess a patient right after the injury?
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interventions should include purposeful activities that provide just the right challenge in a supportive environment
What should be the focus of intervention activities for patients in Glasgow stage 4?
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muscle weakness without spasticity
What occurs in patients with peripheral nerve/plexus injuries?
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Scale 7
perform familiar tasks, memory capacity increases
what level in the Rancho scale can a patient start learning new things and why?
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The patient would present in level 7, and should engage in familiar ADL tasks, with lots of repetition
what should intervention activities include for a patient that can perform automatic and appropriate responses on Rancho cognitive assessment?
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abnormal movement from cerebellum damage
What is ataxia?
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stage 5
A patient presents confusion, and inappropriate behaviors after TBI. What stage on the Glasgow scale would the patient be at?
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1 step prompts because not oriented, no short term memory, and inability to learn new things
What is required in activities for patients with a score of 5 on the Glasgow scale and why?
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decreased functional endurance
muscle weakness ataxia postural deficits limited ROM sensation changes/ diminished
what functional impairments might be present in patients with TBI?
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level 4 confusion caused by internal factors
level 5 agitation comes from external stimuli like those in environment
What Glasgow level is the patient's confusion caused by external stimuli vs. internal factors?
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non-distracting environments
familiar activities, with few demands that provide just the right challenge, promote new learning, interactions, and independence skills
What type of environment and activities do patients with a Glasgow score of 8 thrive in and why?
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motor response- score 3
If a patient can flex in response to pain what Glasgow Level would they be at? Would TBI injury be mild/mod/severe?
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sensory stimuli
What type of interaction should patients scoring 1-3 on the Glasgow scale receive to promote response?
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extra time/performance modifications/adaptive equipment/memory strategies
what accommodations might a patient with a score of 10 on the Glasgow scale require for modified independence?
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