The Frontal Lobe, controls the motor aspect of speech.
Parietal Lobe, controls the motor aspect of speech
Temporal Lobe, controls the motor aspect of speech
Parietal Lobe, controls language comprehension
Temporal Lobe, controls language comprehension
The primary motor cortex for voluntary movement
The primary sensory cortex for integration of sensation
Diffuse axonal injury
A diffuse axonal injury, in which the patient will have complete memory loss.
A focal injury in which there was a laceration. The patient will have difficulty with her memory until the edema/hemorrhaging from the laceration has dissipated.
An electrolyte imbalance secondary to damage to the thalamus, resulting in a mass release of damaging neurotransmitters. Pt will have difficulty with voluntary muscle control.
A classic concussion. pt may or may not have retrograde amnesia and posttraumatic amnesia.
Maintaining respiratory status and prevention of respiratory complications by use of postural drainage, percussion and suction
Allow the pt to increase independence by moving activities from closed environments to open environments
Encourage the pt to carry on an active lifestyle that improves cardiovascular endurance. Discuss with family the importance to keeping the patient active.
Promote early return to ADL's by positioning the patient in proper body alignment and sitting them upright
Promote and emphasize safety and behavioral management techniques in a structured, low stimulate environment.
Mute responsiveness to minimally responsive
Intellectual or social competence
Pt has forearm supination and pronation and elbow flexion with a grade of 4/5. Wrist extensors, elbow extensors, finger flexors and finger abductors are all 0/5.
Pt has forearm supination and pronation with a grade of 4/5. Wrist extensors, elbow extensors, finger flexors and finger abductors are all 3+/5.
Pt has elbow flexion and forearm supination with a grade of 3+/5. Wrist extensors, forearm pronation, and finger flexion all scale 2/5.
Pt only has elbow flexion, shoulder flexion and shoulder IR grading 4/5. Pt has a grade of 0/5 in wrist extensors, finger flexion and finger abduction, but the patient states that he can feel the test while they are being preformed.
Discuss with the patient the change in vital capacity, as the pt at first will initially only have 30% of what she had before, but with hard work she will be able to return to 90-100%.
Describe to the patient what ulcers are and discuss the importance of performing pressure relief 3-4 times an hour and how a turning program will help eliminate that risk.
Educate the patient on deep vein thrombosis' and explain that these are common during the first 3 months of recovery and can be prevented by a regular turning program, PROM, elastic stockings, and proper positioning of the lower extermity
Discuss with the patient how temperature internally and externally will now effect her. At first the pt will have difficulty with hypothermia and then eventually that will change to hyperthermia. This is all due to a lack of control over sweat glands and initial difficulties with vasodilation.
Educate the patient about the importance of daily exercise not only to improve function but also to prevent heterotopic bone formation.
"I wish you could be at your level of injury that's just not possible"
"Well it's a possibility but it will require that you have a van lift to get you in and out of the car"
"That is a great plan, but do you have some one at home who will be able to help you get in and out of car. You would be able to drive your vehicle with hand controls"
"This is very plausible and a good step to moving back into society. your young and in great shape so we just need to work on the technique of getting you into the car followed by you getting your wheelchair into the car"
Contralateral hemiparesis arms more effected than legs
Contralateral sensory loss legs more effected than arms