Shared Flashcard Set

Details

Cognitive Functioning
ACL, Glasgow, rancho, hemispheres
76
Medical
Graduate
10/02/2013

Additional Medical Flashcards

 


 

Cards

Term

Rancho: Generalized reflex response to painful stimuli

Definition

Level II-Generalized Response: Total Assist

Term

Rancho: Response of increased or decreased activity with repeated auditory stimuli

Definition

Level II-Generalized Response: Total Assist

Term

Rancho: Protective reflex to painful stimuli

Definition

Level III: Localized Response: Total Assist

Term

Rancho: Turns toward or away from auditory stimuli

Definition

Level III: Localized Response: Total Assist

Term

Rancho: Responds inconsistently to simple commands and follows moving object passed within visual field

Definition

Level III: Localized Response-Total Assist

Term

Rancho: Alert and in a heightened state of activity- mood swing from euphoric to hostile with no relationship to environment

Definition

Level IV- Confused Agitated: Max Assist

Term
Rancho: May perform motor activities: sit, reach, walk, w/o purpose or volitionally
Definition
Level IV- Confused Agitated: Max Assist
Term
Rancho: Absent short-term memory- brief non-purposeful moments of sustained alternating and divided attention
Definition
Level IV- Confused Agitated: Max Assist
Term
Rancho: Alert, not agitated may wander with vague intention of going home.
Definition
Level V- Confused, Inappropriate Non Agitated: Max Assist
Term
Rancho: Not oriented to person, place or time. Frequent brief periods of non-purposeful sustained attention.
Definition
Level V- Confused, Inappropriate Non Agitated: Max Assist
Term
Rancho: Able to respond appropriately to simple commands, fair consistency, w/ external structure and cues.
Definition
Level V- Confused, Inappropriate Non Agitated: Max Assist
Term
Rancho: Unable to learn new info- Severely impaired recent memory- Unable to keep past and present straing in reaction to ongoing activity.
Definition
Level V- Confused, Inappropriate Non Agitated: Max Assist
Term
Rancho: May exhibit aggressive or flight behavior; unable to cooperate with treatment efforts; Purposeful attempt to remove restraints or tubes
Definition
Level IV- Confused Agitated: Max Assist
Term

Rancho: Inconsistently orient to Person Place Time- Remote memory is better than recent memory- Attends to highly familiar tasks in non-distracting environment for 30 min with Mod Redirect.

Definition

Level VI- Confused, Appropriate: Mod Assist

Term

Rancho: Supervised for old learning

-Mod Assist to problem solve barriers to task completion

-Max Assist for New Learning w/ little or no carry over

Definition
Level VI- Confused, Appropriate: Mod Assist
Term
Rancho: Unaware of impairments, disabilities and safety risks
Definition
Level VI- Confused, Appropriate: Mod Assist
Term
Rancho: Consistently follows simple directions.
Definition
Level VI- Confused, Appropriate: Mod Assist
Term
Rancho: Unaware of others' needs and feelings- Oppositional/uncooperative- Socially inappropriate. Unable to think about the consequences of an action
Definition
Level VII: Automatic, Appropriate: Min Assist for Daily Living Skills
Term

Rancho: Superficial awareness of condition, but does not understand the extent of disability on safety.

Lacks foresight regarding actions, Overestimates abilities. Unrealistic planning for the future

Definition
Level VII: Automatic, Appropriate: Min Assist for Daily Living Skills
Term
Rancho: Min assist for new learning and able to carry over new info-Initiates and carries out ADL and household routine with shallow recall of actions
Definition
Level VII: Automatic, Appropriate: Min Assist for Daily Living Skills
Term
Rancho: Min supervision for safety in routine home and community activities- able to problem solve routine problems with min assistance
Definition
Level VII: Automatic, Appropriate: Min Assist for Daily Living Skills
Term
Rancho: Depressed, irritable, self-centered, low frustration, corrects inappropriate social interaction while it is occuring
Definition
Level VIII- Purposeful, Appropriate: Stand-By Assistance
Term
Rancho:Aware of impairments when they interfere with task completion, requires stand-by assist to take appropriate corrective action.
Definition
Level VIII- Purposeful, Appropriate: Stand-By Assistance
Term
Rancho: Over or Under estimates abilities- Thinks about consequences with min assist
Definition
Level VIII- Purposeful, Appropriate: Stand-By Assistance
Term
Rancho: Consistently oriented- Attends/completes familiar task for 1 hour in distracting environment- Uses memory aids with stand-by assist- Carries out familiar occupations and modifies plan with stand by
Definition
Level VIII- Purposeful, Appropriate: Stand-By Assistance
Term
Rancho: Alternating attention for at least 2 consecutive hours- Independent with familiar occupations- Requests assistance with unfamiliar occupations
Definition
Level IX- Purposeful, Appropriate: Stand by on Request
Term
Rancho: Requires stand-by assistance to anticipate a problem before it occurs and take action to avoid it- Aware of impairment and corrects action when interferes with task completion.
Definition
Level IX- Purposeful, Appropriate: Stand by on Request
Term
Rancho: Able to think about consequences of decisions or actions with assistance when requested
Definition
Level IX- Purposeful, Appropriate: Stand by on Request
Term
Rancho: Able to independently think about consequences of decisions or actions, may require more than usual amount of time and/or compensatory strategies to select the appropriate decision or action
Definition
Level X: Purposeful Appropriate: Mod I
Term
How do seizure disorder and/or anticonvulsive meds affect mental function?
Definition
Alertness and learning potential
Term
The Glasgow Coma Scale assesses a person's level of consciousness according to:
Definition
Eye Movements, Verbal Response, Motor Response
Term

Best GCS is

Definition

15 (fully conscious person)

Term

Lowest GCS is ___

Definition

3 ( deep coma or death)

Term

A severe GCS is ___

Definition

< 8

Term

A moderate GCS is ___

Definition

9-12

Term

A minor GCS is ___

Definition

> 13

Term

Hemispheric Specialization: Visual verbal processing __

Definition

Left Hemisphere

Term

Hemispheric Specialization: Visual spatial processing

Definition

Right hemisphere

Term

Hemispheric Specialization: Verbal memory

Definition

Left hemisphere

Term

Hemispheric Specialization: Nonverbal memory

Definition

Right Hemisphere

Term

Hemispheric Specialization: Processing of nonverbal auditory information

Definition

Right hemisphere

Term

Interpretation of abstract information/spatial processing

Definition

Right hemisphere

Term

Interprets tonal inflection, emotion and nonverbal auditory information

Definition

Right hemisphere

Term

Bilateral auditory reception and processing of verbal auditory information

Definition

Left hemisphere

Term

Speech

Definition

Left Hemisphere

Term

Symptoms of a stroke to the MCA result in the following symptoms, except:

A. Contralateral honomous hemianopsia

B. Urinary incontinence

C. Aphasia (wenicke's, Broca's or Global)

D. Apraxia

E. Hemisensory loss and Hemiparesis

Definition
B. Urinary incontinence- Anterior Cerebral Artery
Term

Symptoms of a Posterior Cerebral Artery stroke result in the following symptoms except:

A.Contralateral honomous hemianopsia

B. Visual Agnosia

C. Dyslexia

D. Hemiparesis

E.Topographical disorientation

F. Hemisensory Loss

Definition
D. Hemiparesis- Middle Cerebral Artery and Internal Corotid Artery
Term

Symptoms of an Anterior Cerebral Artery (ACA) stroke result in the following, except:

A. Contralateral paralysis or weakness and sensory loss

B.Gait Apraxia

C.Mutism, Confusion, Apathy

D. Incontinence

E. Contralateral Reflexes: grasp, sucking

F. Contralateral honomous hemianopsia

Definition
F. Contralateral honomous hemianopsia
Term

ACL: Able to retrieve postural action from procedural memory with proprioceptive cues

Definition

Level 2: Postural Actions

Term

Imitation of actions are approximate

Definition

Level 2: Postural Actions

Term

Steps need to be demonstrated one at a time; concentration lasts for up to 30 minutes

Definition

Level 3: Manual Actions

Term

Some self-care can be done independently

Definition

Level 3: Manual Actions

Term
T/F: New learning can take place at Level 3
Definition
False: New learning does not take place untill Level 5-Exploratory Actions; At Level 3- Manual Actions, clients require frequent cues when performing unfamiliar tasks
Term
What types of OT activities are appropriate for a Level 3?
Definition
Simple, repetitive tasks
Manipulating interesting objects and textures
Term
The client will repeat the task until they reach the end or all the materials are used up (stringing beads, stuffing envelopes, folding laundry)
Definition
Level 3: Manual Actions
Term
What is the lowest Level a person can be left alone?
Definition
4.6
Term
Patient's at ACL 4 work best with this type of cuing.....
Definition
Visual (in addition to tactile and proprioceptive)
Term
How should the environment be modified in order to optimize functioning at level 4? Why?
Definition
Simplify task environments -declutter, lay things out in plain view.
Difficult to filter extraneous stimuli
Term
Describe how one could set up an appropriate OT activity for persons at Level 4?
Definition
Provide a sample that is the exact match of the project
Demonstration necessary for new tasks but SEVERAL steps can be demonstrated at a time
Term
People functioning at ACL 4 can:
Definition
Complete many self-care tasks independently
Term
Individuals at Level 4 can read the label but:
Definition
Do not understand the meaning
Term
ADLs that require anticipation such as menu planning, budgeting, planning a weekly schedule, caring for children are difficult for people at ACL:
Definition
5
Term

Dysarthria:

A. Patient's inability to properly move the muscles and mouth to produce speech

B. Loss of ability to produce language

Definition
A. Patient's inability to properly move the muscles and mouth to produce speech
Term

Inferior Frontral Gyrus of Left Hemisphere:

A. Wernicke's Area

B. Broca's Area

Definition
B. Broca's Area
Term

Posterior Superior Temporal Gyrus of the Left Hemisphere:

A. Wernicke's Area

B. Broca's Area

Definition
A. Wernicke's Area
Term
ACL: Basic living skills are intact. Able to dress, bathe, complete short tasks such as making a sandwich or washing dishes
Definition
ACL Level 4- Goal Directed Actions
Term
ACL: Cannot discriminate items by their use. Tool use must be supervised. However, tools that are "extensions of the hand" -fork, paintbrush- are usually safe with supervision
Definition
ACL 3 Manual Actions
Term
ACL: Need assistance in coping with new events, anticipating needs, managing money.
Definition
acl 4: Goal Directed
Term
ACL: use trial and error, capable of new learning through inductive reasoning
Definition
ACL 5 Exploratory
Term
ACL: Deficits in anticipation, planning, abstract thinking. However, can imitate new procedures and remember several steps at a time.
Definition
ACL 5 Exploratory
Term
Rancho: Verbal expressions are appropriate in HIGHLY FAMILIAR and STRUCTURED situations
Definition
Level 6- Confused appropriate. Mod A
Term
Rancho: Moderate assist for orientation to time
Definition
Ranch Level 7: Automatic appropriate
Term
Rancho: Minimal supervision for new learning; Demonstrates carry over for new learning.
Definition
Rancho Level 7: Automatic appropriate
Term
Rancho: Supervision for old learning (e.g. self care). Shows carry over for relearned familiar task (e.g. self care)
Definition
Ranch Level: 6 Confused appropriate.
Term
Rancho; Max assist for new learning with little or no carry over
Definition
Rancho Level: 5 Confused agitated.
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