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CBIS Exam Study Guide - Complete
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Dementia โ Must be coupled with a functional limitation in everyday life due to the cognitive change PPCS โ Always includes neuropsychological assessment, psychiatric history, psychological response to previous injuries, available support system, and current coping skills Disorders of consciousness โ Coma, vegetative, persistent vegetative, minimally conscious MTBI represents โ 75% of all TBIs in the US MTBI symptoms resolve... โ Most symptoms resolve in 2- weeks CTE โ A rare progressive degenerative condition of the central nervous system. Diffuse axonal injury causes release of tau proteins. Blood Brain Barrier โ At the vascular level harmful substances cannot pass through the membrane to harm the brain and it has its own glial cells that serve as its own immune defense and garbage disposal Aspiration โ Food, liquid, or vomit inhaled into thw lungs can result in pneumonia or other respiratory infections Pressure Sores โ Caused by inadequate pressure relief, prolonged positioning on one's side or buttocks, shearing of skin, casts, infections, incontinence, and poor nutrition Sleep Disturbances โ 30-70% of individuals with TBI report issues and Persistent sleep difficulties may worsen over time after injury. COLDER โ Character
Onset Location Duration and Frequency Exacerbation Relief Fatique โ Everyone experiences; subjective; multiplw tests make it difficult to measure Reliability โ A reliable measure is one that measures consistently when applied to different individuals at different times Domains of cognitive functioning hierarchy โ Attention Categorization Memory Processing speed Executive functions Metacognition Problems with metacognition affect โ Your ability to self- monitor and use thoughts to change or improve thinking and behavior coma-emergent โ Do not use consequence based programming; medication, controlling the environment, providing structure, educate family Intermittent reinforcement โ A particular response sometimes produces reinforcer; examples hourly pay and slot machines Substance use disorder SUD โ 10% population diagnosed Substance misuse addressed by screening and brief interventions in acute or primary care settings โ Low severity TBI and low severity SUD
Culture โ Any group that shares a theme or set of issues; can entail social mores and historical traditions and beliefs passed down from generation to generation Secondary causes of sexual dysfunction โ Physical- spasticity and ataxia; cognitive- attention, memory; emotional and behavioral- depression and apathy; other- marital dysfunction and social isolation 1st stage of Case Management โ Assessment Life care plan should meet certain criteria including โ Be specific about expected needs over a lifetime; reflect understanding of injuries and disabilities; consider complications; include short and long term goals Cognitive rehabilitation principles โ Neuroplasticity and adapability Acute measures โ FIM; FAM; disabilty rating scale; the rancho los amigos level of cognitive functioning scale Post-acute measures โ Craig handicap assesment and reporting technique(CHART); Mayo-Portland Adaptability Inventory; the participation assessment with recombined tools objective The rehabilitation act of 1973 as amended in 1998 โ Provides federal grants for Vocational Rehabilitation to people with disabilities Exploitation โ The illegal use of a dependent individual's property or expenditure of funds without the consent of the individual IEP โ A legal plan developed by special ed team including parents specifying goals based on assessment Return to duty โ No symptoms at rest or after excertion
Sustained Attention โ The ability to maintain attention to complete a task accurately and efficiently over a period of time Working memory โ Temporary storage and active processing of information; examples counting change and recalling a sequence of digits immediately after they are given Studies of individuals 5-10 years post injury report predominant factors relating to disability were โ Cognitive, behavior, and personality changes rather than physical changes Bill of rights โ Should be posted; patients have all rights as citizens under law; and provide respect etc. Pre-existing difficulties for individuals who develop a psychiatric disorder following a BI include โ Job dissatisfaction; low economic status; less education; lack of close personal relationships Seizures become medical emergencies when โ They last longer than 5 minutes Synaptogenesis โ The greater the numbers of synaspes within a grouping of neurons the greater the speed and efficiency with which those neurons communicate