C_S_D 4030 Lecture Notes - Lecture 8: Dysarthria, Patient Education, Medical History
18 May 2016
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General consequences of brain injury: responsiveness. Same response when no longer appropriate or in absence of stimuli: diminished cognitive flexibility. Slow rise time (poor performance then warms up : cognitive changes. Literal meaning to everything (figurative language, sarcasm, humor) Unaware of errors or inappropriate behavior: attention. Emotional lability- inappropriate or exaggerated mood swings. Irritability- low frustration level: interpersonal relations. Changes in family dynamics- leadership, role reversals. Where are services provided: service delivery. How does the process work: assessment. Eval only vs. eval & treatment: screening. Purpose, tools, etc: review medical records (prior to contact) Other reports (physical, neurological, and cognitive exams from primary physician, neurologist, pt/ot, neuropsychology, etc) Nursing notes (daily progress notes: initial contact. Diagnosis- aphasia, dysarthria, aos, etc (also classification & type, if possible) Prognosis- prediction about course and outcome of a treatment with treatment. Initial treatment planning (establish long-term goals: treatment planning. Specialized treatment programs: staffing (case conferences) Re-evaluation & re-certification (for reimbursement: discharge planning.
