Rancho levels and TBI
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| What are the 2 types of TBI? | Closed and open
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| This injury is when the brain is exposed | Open
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| What are the 2 types of TBI? | Closed and open
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| This injury is when the brain is exposed | Open
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| This injury is when teh brain is not exposed | Closed
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| Primary damages are caused by | Coupe and counter coupe, diffuse axonal, subdural hematomas, epidural hematomas, intracerebral hemorrhages
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| Secondary damages are caused by | seizures, intracranial pressure, intracranial infections.
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| This damage occurs at the time of the injury | primary damage
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| This damage occurs later | secondary damage
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| 3 forces involved in traumatic brain injuries | rotational, acceleration, deceleration.
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| This is the device used to decrease hydrocephalus | VP shunt
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| This is the device used to decrease hydrocephalus | VP shunt
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| This monitors the pressure in the skull | ICP monitor
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| Scale used to determine neurological level. Monitors 3 types of responses | Glascow Coma Scale
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| surgical procedures designed to help eleviate the pressure on the brain following a brain injury | burr hole, removing a section of the skull, VP shunt, medically induced coma
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| List the 3 types of responses monitored in the Glascow Coma Scale | Eye opening, Best motor response, Verbal response
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| Scale used to determine neurological level. Monitors 3 types of responses | Glascow Coma Scale
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| A score below 8 on the Glascow coma scale indicates which level of brain injury | severe
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| List the 3 types of responses monitored in the Glascow Coma Scale | Eye opening, Best motor response, Verbal response
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| A score below 8 on the Glascow coma scale indicates which level of brain injury | severe
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| A score of 9-12 on the Glascow coma scale indicates which level of injury | moderate
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| A score of 13-15 on the Glascow coma scal indicates which level of injury | mild
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| true or false- a concusion is a brain injury | true
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| The time between the time of the injury and the last memory prior to the accident is ____ ____. The longer the time not recalled, the greater the brain injury | post traumatic amnesia
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| No response to stimuli | Rancho level I
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| Responds generally to all stimuli. | Rancho level II
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| Localized response. Occational simple 1 step direction following (ie- open eyes, high five....) Turns toward stimluli, follows moving objects. | Rancho level III
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| Extreme motor restlessness. Maybe verbally or physically aggitated. May perform motor activities without any apparent purpose. Mood swings | Rancho level IV
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| Able to attend to a highly familiar task in a non-distracting environment for up to 30 minutes with moderate redirection. Consistantly following commands. Inconsistantly oriented. | Rancho level VI
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| Able to handle multi tasking simulatiously. Aware of impairments. Able to independently create and maintain own assistive memory devices. Social interaction is appropriate. Recognizes needs and feelings of others. | Rancho level X
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| independently shifts back and forth between tasks and completes them accurately for at least 2 consecutive hours. Self monitors appropriateness of social interaction with stand by assistance. | Rancho level IX
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| Unrealistic planning of the future. Overestimates abilities. unaware of others' feelings and needs. unable to recognize inappropriate social interaction. | Rancho level VII
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| May become agitated in response to external stimulation. Not oriented. Unable to perform new learning. | Rancho level V
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| Independently attends to familiar tasks for 1 hour in a distracting environment. Overestimates or underestimates abilities. Self centered. aware of impairments. | Rancho level IV
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| abnormal posturing that involves rigidity, arms flexed inward (to your core), hands fisted, and legs extended | decorticate
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| abnormal posturing that involves rigidity, arms extended, hands fisted, forearms pronated, shoulders internally rotated | decerebrate
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| Of the 2 types of posturing, this is the one indicated the more severe brain injury of the 2 | decerebrate
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