Please enable JavaScript.

Coggle requires JavaScript to display documents.

TBI (team (physician: over see the care of pt. knowledge to how the brain…

- - - - altered levels of conscious:
        
        coma: eyes closed, no sleep/ wake cycle, ventilator dependent, not permanent
        
        vegetative state: sleep/ wake cycles are present, eyes open, may startle and briefly orient to sound/ visual stimulation, withdraw response to noxious stimuli, movements are not reproducible, long term
        
        minimally conscious state: cognitively mediated behaviors occur inconsistently/ reproducible, sleep/ wake cycle present, localize to noxious stimuli, inconsistently reach for objects
        
        stupor: unresponsive state, briefly aroused w/ vigorous, repeated sensory stimulation
        
        obtunded: often sleeping, aroused and exhibits decreased alertness/ interest in environment/ delayed reactions
- - - - direct transcranial blast wave propagation, transfer of kinetic E through musculature leading to bleeding, elevations in CF
- - - - BPPV = canalith repositioning tx
      - gaze stabilization = UVH
      - high task balance/ gait training
- - - - motor re-learnign strategies: distributed practice, assess for signs of mental fatigue, adequate rest periods. can progress to random practice schedule and inplicit feedback
        
        compensatory approach: seeks to improve functional skills by compensating for what is lost
        
        restorative approach: restore the normal
        
        principles: use it or lose it, use it and improve it, specificity, repetition matters, intensity matters, time matters, salience matters, age matters, transference, interference
        
        task oriented approach:
        
        LT w/ BSW: allows for repetitive training throughout a complete gait cycle. can progressively decrease amount of BWS
        
        CIT: involves promoting use of more affected UE