PT623: TBI Interventions Exam
Questions and Answers 100% Solved
Is Tx of TBI a straight trajectory? - ✔✔No, there are comprehensive
programs & pts may relapse back to a previous level
what does the PT eval of TBI pt depend on - ✔✔setting & pt LOCF
(Rancho)
-physical recovery does not mirror cognitive
what does examination of LOCF I, II, III entail - ✔✔-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
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-sit at EOB if ordered
what is involved in LOCF IV exam - ✔✔-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 - ✔✔-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 - ✔✔-day Tx, outpt, or home-health
-focus on pt function
-outcome measures are vital for documenting progress & needed PT
-community re-entry activities