Assessment of Traumatic Brain Injury: Difference between revisions
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* State of consciousness of the patient - for further information see the [[Coma Recovery Scale (Revised)|Coma Recovery Scale]] page | * State of consciousness of the patient - for further information see the [[Coma Recovery Scale (Revised)|Coma Recovery Scale]] page | ||
* Areas of the brain injured, including diffuse and secondary injury | * Areas of the brain injured, including diffuse and secondary injury | ||
* Site of Decompression Craniotomy, if this has been performed on the patient | * Site of Decompression Craniotomy, if this has been performed on the patient<ref>Bohman LE, Schuster JM. Decompressive craniectomy for management of traumatic brain injury: an update. Curr Neurol Neurosci Rep. Nov 2013;13(11):392</ref> | ||
* Any other injuries sustained - patients who have TBI from road traffic accidents frequently also have a range of musculoskeletal, abdominal and chest injuries | * Any other injuries sustained - patients who have TBI from road traffic accidents frequently also have a range of musculoskeletal, abdominal and chest injuries | ||
* Any impact on cognition of the patient - neuropsychological assessment is indicated | * Any impact on cognition of the patient - neuropsychological assessment is indicated | ||
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Revision as of 22:32, 30 June 2019
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Preparation for Physiotherapy Assessment[edit | edit source]
Physiotherapy assessment commences once the patient is medically stable.
In view of the complexity of many patients with TBI, the assessment is frequently unable to be completed within a single session so is ongoing for the first few physiotherapy sessions. Close liaison with other members of the multidisciplinary team is extremely beneficial, and on occasion joint assessments by 2 or even 3 therapists from different disciplines can be beneficial.
Handling during Ax[edit | edit source]
In the initial stages following TBI, careful handling is essential when assessing patients, especially if they are in a minimally conscious state.
Information required before starting the assessment[edit | edit source]
The following information should be provided by the medical team before beginning the physiotherapy assessment:
- State of consciousness of the patient - for further information see the Coma Recovery Scale page
- Areas of the brain injured, including diffuse and secondary injury
- Site of Decompression Craniotomy, if this has been performed on the patient[1]
- Any other injuries sustained - patients who have TBI from road traffic accidents frequently also have a range of musculoskeletal, abdominal and chest injuries
- Any impact on cognition of the patient - neuropsychological assessment is indicated
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References[edit | edit source]
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- ↑ Bohman LE, Schuster JM. Decompressive craniectomy for management of traumatic brain injury: an update. Curr Neurol Neurosci Rep. Nov 2013;13(11):392