NM1 Unit 10 - TBI - Random Slides

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USA - NM1 FlashCards sobre NM1 Unit 10 - TBI - Random Slides, criado por Ben Williams em 09-08-2017.
Ben Williams
FlashCards por Ben Williams, atualizado more than 1 year ago
Ben Williams
Criado por Ben Williams quase 7 anos atrás
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General Guidelines When Working with Persons with TBI • Establish and maintain a consistent daily routine • Never discuss the patient’s condition with someone else when the patient can hear you, even if you think he cannot understand • Treat the patient at an age-appropriate level • Respect the patient’s likes and dislikes about food, clothing, music, entertainment, etc. Keep in mind these likes and dislikes may have changed. • Avoid telling the patient “you’ll soon be well”. Such remarks result in disillusionment • Do not answer for the patient if he is capable of speaking for himself • Keep instructions consistent. Talk about the same things in the same way using the same words • Try to include the patient in conversation and family affairs • Don’t overestimate the patient’s capability to understand what is said. He may be responding to what he thinks is happening • Don’t act like you understand when you don’t
Name the 4-Stages of Grief Denial Anger Depression Acceptance
Recommendations to assist family members as they recover from this traumatic event • As soon after the initial crisis as you can, resume a family routine that is as normal as possible. • Pace yourself to get enough rest and allow the needed time for yourself. Arrange a rotating visitation schedule with other family members so each one has time to visit as well as the patient having company during visiting hours. • Don’t neglect the other members of your family. They need to know they have not been forgotten. • Learn to accept and ask for help from others. • Make an effort to express your feelings. Don’t keep everything inside. • The patient’s new dependence may mean role changes for you. Take time to evaluate your situation. Discuss your plans, concerns and fears with others.
Behavior Management Principles • Positive Reinforcement • Withdraw rewards from Maladaptive Behaviors • No Negative Attention • Timeout from all Positive Reinforcement following any Maladaptive Behvaior • Pre-Defined Response Costs following Maladaptive Behaviors (Remove a Perk) • Adverse Conditioning (aka Negative Reinforcement) for extreme cases of Maladaptive Behavior
Agitated Behavior Scale (ABS) This scale measures behavioral aspects of agitation during the acute phase of recovery from acquired brain injury including aspects of aggression, disinhibition and lability.
Coma Recovery Scale-Revised (CRS-R)) This scale is used to assist with differential diagnosis, prognostic assessment, and treatment planning in patients with disorders of consciousness.
Moss Attention Rating Scale (MARS) an observational tool used to measure attention-related behaviors after TBI.
Community Integration Questionnaire used to assess the social role limitations and community interaction of people with acquired brain injury.

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