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TBI cognitive behavioral issues
TBI cognitive behavioral issues objectives
36
Anatomy
Graduate
11/26/2012

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Term
what are the 5 types of attention that can be impaired after TBI?
Definition
sustained, focused, alternating, divided, working
Term
what is sustained attention
Definition
vigilance. Having to stay awake
Term
what is focused attention
Definition
ability to inhibit response to other stimuli. Ex: studying in a quiet room requires less focus
Term
describe alternating attention
Definition
Going from attending to one thing, being interrupted by something, then going back to the first thing. Ppl with TBIs lose the ability to make these changes in attention.
Term
what is divided attention
Definition
ability to do at least 2 tasks at once. Ex: walking and talking. Ppl with TBIs lose the ability to do 2 things at once because they have to pay attention to balance while walking, etc.
Term
what is a functional problem of loss of divided attention
Definition
risk for falls
Term
define working memory
Definition
the pre-processing before memory that helps determine division of attention
Term
what is a phonological loop
Definition
encoding auditory information and knowing what they mean
Term
what is episodic buffer
Definition
episodes of things that have happened to you. Reinforcer of the things we want to remember
Term
how is executive control related to attnetion
Definition
it is all about how you're going to spend your attention remembering something (visual semantics, episodic buffer, phonological loop)
Term
what are the 2 memory types that may be impaired after TBI
Definition
declarative/explicit and non-declarative/implicit
Term
what are the 2 types of declarative memory
Definition
semantic, episodic
Term
what is semantic memory
Definition
memory for facts and concepts
Term
what is episodic memory
Definition
memory for events
Term
describe declarative memory
Definition
can store arbitrary associations after a single trial. Flexible - can be readily applied to novel contexts. Memory that can be verbalized and tested. Conscious process of learning information with rehearsal.
Term
what brain areas are involved with declarative memory
Definition
orbitofrontal, rhinal, hippocampus, amygdala, medial thatlamus, neocortex
Term
describe nondeclarative memory
Definition
procedural. Memory for pattenrs, motor functions, habits. Often not verbalizable. Generally acquired across multiple trials. Important in teaching motor skills. Inflexible - bound to the learning situation
Term
what do you have to do to bolster implicit memory when it is impaired?
Definition
blocked practice!
Term
what brain areas are involved with implicit memory
Definition
neocortex, premotor cortex, basal ganglia, ventral thalamus, substantia nigra
Term
what is another term for workign memory
Definition
short term memory
Term
quantify the capability of short term memory
Definition
holds 7 items for 1-60 seconds. AND holds massive amounts of information for less than 1 second - perception of things that occur
Term
describe long term memory
Definition
holds lots of info for long periods of time (days, months, years)
Term
what is prospective memory
Definition
remembering something you need to do in the future
Term
what is anterograde amnesia
Definition
inability to remember thigns after the accident
Term
what is retrograde amnesia
Definition
inability to remember things that occurred before the accident
Term
what are common behavioral manifestations that result from orbitofrontal damage
Definition
disinhibition, emotional lability, decreased judgment, distractibility, perseveration
Term
what to do if a patient is disinhibited
Definition
try not to react to their inappropriateness. Try to disengage when they act inappropriately
Term
what are behavioral signs of orbitofrontal damage
Definition
restlessness, hyperactivity, impulsivity, social inappropriateness, denial of deficits
Term
what are attentional signs of orbitofrontal damage
Definition
distractibility, disengagement, slow to process information
Term
what are behavioral problems caused by dorsolateral prefrontal damage
Definition
dysexecutive syndrome: problems with planning, strategy development, cognitive persistence, problem solving
Term
what are planning and problem solving deficits in someone with dorsolateral prefrontal damage
Definition
difficulty with new or comple situations. Trouble developing a plan. Concrete thinking. Trouble with performance evaluation
Term
what is the presentation of someone with medial prefrontal cortex damage
Definition
apathetic, passive. Decreased affect, initiative, maintenance of activity,motor, and verbal production
Term
what does damage to the medial prefrontal cortex also affect
Definition
connections to the amygdala
Term
what is damage to left prefrontal cortex associated with
Definition
depressive affect, decreased engagement, fewer facial expressions, decreased spontaneous speech
Term
what iis damage to the right prefrontal cortex associated with
Definition
greater irritability, agitation, and increased speech
Term
what are the overall behaviors associated with prefrontal cortex
Definition
executive functions: goals, problem solving, planning, anticipating, initiating, persisting or shifting attention, monitoring error, modifying behavior
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