9781569
Description
Flashcards by Ben Williams, updated more than 1 year ago
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Created by Ben Williams
over 7 years ago
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| Question | Answer |
| 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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