TBI Glasgow/Rancho Scales Interventions
300
righting reflexes/equilibrium reactions/protective extension
What primitive reflexes might be impaired in patients with midbrain damage?
200
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?
100
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?
200
muscle weakness without spasticity
What occurs in patients with peripheral nerve/plexus injuries?
300
Scale 7
perform familiar tasks, memory capacity increases
what level in the Rancho scale can a patient start learning new things and why?
200
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?
100
abnormal movement from cerebellum damage
What is ataxia?
400
stage 5
A patient presents confusion, and inappropriate behaviors after TBI. What stage on the Glasgow scale would the patient be at?
300
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?
400
decreased functional endurance
muscle weakness
ataxia
postural deficits
limited ROM
sensation changes/ diminished
what functional impairments might be present in patients with TBI?
500
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?
400
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?
500
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?
100
sensory stimuli
What type of interaction should patients scoring 1-3 on the Glasgow scale receive to promote response?
500
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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