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AACBIS ch.1
Chapter 1: Overview of Brain injury
38
Biology
Professional
09/03/2013

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Term
Traumatic brain injury has been called
Definition
silent epidemic
Term
Estimated how many Americans are affected by stroke and TBI?
Definition
10 million
Term
Brain injury is the ______ most prevalent injury and disability in _______________.
Definition
2nd, the United States
Term
True or False. Traumatic Brain injury is a degenerative and congenital inury
Definition
False. TBI is caused by an external physical force only. Results in impairment of cognitive abilities, physical functioning, behavioral and emotional functioning.
Term
Casues of TBI
Definition
Motor Vehicle Crashes, Falls, Gunshot Wounds, Sports Injuries, Workplace Injuries, Child Abuse, Domestic Violence, Military Actions, Other injuries caused by trauma
Term
True or False. An ABI is an injury to the brain that is not hereditary, congenital or degenerative.
Definition
True. Results: change in neuronal activity---> changes the cell.
Term
ABI affects the brain cell in what way?
Definition
ABI affects the physical integrity, the metabolic activity or the functional ability of the cell
Term
True or False. ABI includes brain injuries induced by birth trauma as long as the injury is not hereditary
Definition
False.
Term
True or False. ABI=TBI+Internal Insults to the brain
Definition
True.
Term
Causes of ABI
Definition
TBI, Tumor, Blood clot, Stroke, Seizure, Toxic exposure (e.g. substance abuse, ingestion of lead, inhalation of volatile agents), Infections (encephalitis, meningitis), Metabolic disorders (insulin shock, diabetic coma, liver and kidney disease), Neurotoxic poisoning, Lack of oxygen to the brain (airway obstruction, strangulation, cardiopulmonary arrest, carbon monoxide poisoning, drowning
Term
ABI result in _______,_________, or _____________ impairments in one or more areas including:__________, ______________, ____________
Definition
mild, moderate, or severe. cognitive, physical functions, psycho-social behavior
Term
The term "brain injury" in this manual is refer to ______
Definition
Acquired Brain injury. ABI=TBI+Internal insults to the brain
Term
Injury caused by trauma due to external physical force
Definition
TBI
Term
Injury severity, what are the percentage in mild, moderate and severe?
Definition
80%mild, 20% to 30% moderate, 5 to 25% severe. Alot of mild TBI often goes un diagnosed as such.
Term
Epidemiology of TBI: 23 seconds. 50,000 people. 235,000 people. 80,000-90,000 people.
Definition
Every 23 seconds, one person in the US sustains a TBI. More than 50,000 people die every year as a result of traumatic brain injury. 235,000 people are hospitalized each year with traumatic brain injury. 80,000-90,000 Americans experience the onset of a long term disability following traumatic brain injury each year.
Term
After one traumatic brain injury, the risk for second injury is ______ times greater, after the second injury, the risk for a third injury is______ times greater.
Definition
three times, eight times
Term
____________ million TBI injuries occur ____________ Year. What are the percentages in Deaths, Hospitalization, and Emergency Department Visits?
Definition
4$ Death, 17% Hospitalization, 79% Emergency Department Visits
Term
Male sustained __________% of TBI while Female Sustained ___________% of TBI. In other words, males sustained _________ times as many brain injuries as females.
Definition
59%, 41%. 1.5 times
Term
True or False. Males have higher rates of Hospitalization, Death and Emergency Department Visits
Definition
True.
Term
Falls are the highest cause of injury. What percentage?
Definition
29%
Term
1) True or False. A significant factor in injury etiology is alcohol.
2) rate ranges from _________% to __________%
Definition
True. 37 to 51%
Term
List the 2 Hospital based service and the 4 Post-Hospital Service
Definition
Acute Hospital Care, Acute Rehabilitation.
Sub Acute Skilled nursing facility, Post Acute Rehabilitation, OUtpatient Services, Supported Living
Term
National Accreditation organizations have established set standards for rehabilitation programs. What are the organizations names?
Definition
J oint
C omission
A ccredition of
R ehabilitation
F acilities

and

C omission
A creditation
R ehabilitation
F acility
Term
What are the cost for a TBI person annually and in a life time?
Definition
$60 billion annually and $406 billion life time
Term
how many % of TBI individuals have adequate funding for long term treament?
Definition
5%. Need more advocacy and available funding is appropriately and cost effectively managed.
Term
Private funding is Indemnity Insurrance, which are now ruled by two organizations. What are the two organizations and what's the purpose of them?
Definition
H ealth
M aintenance
O rganizations

and

P refered
P rovider
O rganization

1) Gate keeping- incentive to use certain providers
2) Elective contracting with providers- best pricing
3) Quality control- necessary and appropriate
4) Risk sharing- fiscal share b/w org, providers and consumers
Term
Gate keeping, Elective contracting with providers, Quality control, Risk sharing are functions provided by ___________ and _____________ within ______________________.
Definition
Health maintenance organizations, preferred provider organization, Indemnity Insurrance
Term
Public Funding: Medicaid. Takes care of how many people and what type of people?
Definition
40 million. poor, blind, handicapped, and elders 65 and older.
Term
What is the public funded organization's name who's in charge of bettering of lives of TBI patients within their homes and communities?
Definition
H ome
C ommunity
B ased
S ervice
Term
What's HCBS and what does it do?
Definition
State Home and Community based service waivers. increases accessibility to service. encourage the development of new approaches for healthcare delivery. Ex: case management, home health aide service, adult day health, respite care, homemaker service, personal care, habilitation service, etc
Term
Who has the hardest time in accessing services?
Definition
People with cognitive impairment with no physical disabilities. People with no advocate. People who has problematic behavior due to TBI.
Term
GAO reports that TBI citizens spent how much in compare with mental retardation/development citizens?
Definition
TBI: 2,478 people spent 118 millions
mental retardation: 236,000 people spent approxi. 5.8billions
Term
The Olmstead Decision paved the way in 3 factors for people with disabilities which are:
Definition
1) Service providers to provide service in the MOST INTEGRATED SETTING
2) age doesn't matter
3) paved the way for better community living for people with disabilities
Term
TBI Act of 1996 purpose was to
Definition
1) expand efforts to PREVENT
2) expend bio-medical research
3) Improve the delivery/quality of service through state demonstration projects
Term
TBI Act of 1996 mandated Centers for Disease Control and Prevention (CDC) to do what? authorized National Institutes of Health (NIH) to Do what? Told Health Resources and Services Administration (HRSA) to do what?
Definition
1) (CDC) establish projects to PREVENT/REDUCE TBI.
2) (NIH)AWARE GRANTS to researchers for better diagnosis/therapies/care
3) (HRSA) provide grants to states to carry out demonstration programs to have a statewide access to comprehensive and coordinate TBI services
Term
Surveillance
Definition
Ongoing and systematic collection, analysis and interpretation of data used to describe and monitor a health event
Term
True or False. Funding provided by US Department of Education's NIDRR
(N ational)
(I nstitute)
(D isability)
(R ehabilitation)
(R esearch)

maintains the TBIMS (TBI Model system of care).
Definition
True, and the purpose:
1) develop model system of care.
2) maintain standardized database for research and treatment
3) each center provides coordinated system of emergency care, acute neurotrauma management, comprehensive inpatient rehab, long term follow up service.
Term
The National Institutes of Health (NIH)conduct research on better:
Definition
diagnosis, measurement for degree of injuries, care models for recovery/long term care.
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