Traumatic Brain Injury (TBI)

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Questions and Answers

Which age groups exhibit the highest incidence rates of traumatic brain injury (TBI) in the U.S.?

  • Older adults and children under 5 years old. (correct)
  • Young adults (25-34 years) and older adolescents (18-20 years).
  • Middle-aged adults (35-50 years) and adolescents (13-17 years).
  • Infants and young children (under 3 years) and middle-aged adults (40-55 years).

A patient with a traumatic brain injury (TBI) struggles to remember instructions and apply them to new situations; which cognitive process is most likely impaired?

  • Analysis of sensation
  • Integration of analyzed information with past experiences. (correct)
  • Lexical retrieval.
  • Auditory sensation.

How does the course define the relationship between 'brain' and 'mind' in the context of cognitive-communicative disorders?

  • The 'brain' refers to neuroanatomical lesions, while the 'mind' refers to the resulting cognitive-communicative disorders. (correct)
  • The 'brain' and 'mind' are interchangeable terms within the field of cognitive-communicative disorders.
  • The 'brain' encompasses cognitive processes, and the 'mind' encompasses the physical structures.
  • The 'brain' refers to progressive deterioration, the mind means the abrupt lesion.

What differentiates cognitive-communicative disorders resulting from an abrupt lesion (like TBI) from those resulting from progressive deterioration (like dementia)?

<p>Abrupt lesions cause sudden onset of symptoms, while progressive deterioration involves a gradual decline in cognitive and communicative functions. (B)</p> Signup and view all the answers

Approximately what percentage of traumatic brain injury (TBI) cases are classified as mild, and what is the primary characteristic symptom?

<p>75%; cognitive disorders. (C)</p> Signup and view all the answers

A patient with a traumatic brain injury (TBI) struggles to remember instructions they were given just a few minutes prior. Which specific type of memory is MOST likely impaired?

<p>Working memory (D)</p> Signup and view all the answers

A person with TBI is having difficulty staying focused on a conversation, and their attention drifts frequently. This MOST directly affects which aspect of communication?

<p>Pragmatic appropriateness (B)</p> Signup and view all the answers

Following a TBI, an individual consistently struggles to plan and execute multi-step tasks, like preparing a meal. This MOST likely indicates an impairment in:

<p>Executive functioning (B)</p> Signup and view all the answers

A patient with TBI demonstrates difficulty understanding the main point of a story or lecture. Which cognitive domain is MOST likely contributing to this difficulty?

<p>Reasoning (C)</p> Signup and view all the answers

Which communication deficit is MOST likely to result from impaired 'orientation' following a traumatic brain injury?

<p>Producing utterances that are irrelevant to the current context. (B)</p> Signup and view all the answers

How might impaired executive functioning affect a person with TBI's ability to effectively communicate their needs on a daily basis?

<p>They may have difficulty initiating conversations or organizing their thoughts logically. (A)</p> Signup and view all the answers

After a TBI, a patient struggles to recall details from a recent doctor's appointment. Which approach would be MOST effective to improve their recall and adherence to medical advice?

<p>Using visual aids, repeating key information, and providing a written summary with simple language. (A)</p> Signup and view all the answers

A person with TBI has difficulty with self-regulation and impulsivity. How might this impact their social interactions?

<p>They might interrupt others, make inappropriate comments, or struggle to take turns in conversation. (C)</p> Signup and view all the answers

Flashcards

Course Emphasis

Focuses on cognitive-communicative disorders resulting from brain lesions and the relationship between the brain (neuroanatomy) and the mind (cognition).

Brain vs. Mind

Refers to cognitive-communicative disorders caused by neuroanatomical lesions in the brain, either abrupt (e.g., TBI) or progressive (e.g., dementia).

TBI Incidence

Approximately 500,000 cases occur annually in the U.S., with higher incidence in older adults, children under 5 (falls), and adolescents/young adults (accidents).

Cognition Definition

Information processing systems include stored knowledge, and integrated systems that analyze sensation, remember patterns, and integrate information to guide behavior.

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Integrated Cognitive System

Includes analyzing sensations, detecting regularities, integrating information with past experiences to guide behavior, and depends on the type stimulus, such as lexical items or a sentences.

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Orientation

Awareness of self in relation to person, time, and place.

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Attention/Concentration

The ability to focus, sustain, and switch attention between tasks.

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Memory

Encoding, storing, and retrieving information.

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Reasoning

The process of forming conclusions, making judgments, or inferences from facts or premises.

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Executive Functioning

Higher-level cognitive processes that control and regulate other cognitive functions.

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Metacognition

Thinking about your own thinking to learn or solve a problem.

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Confused Language

Language that may be disoriented, fragmented, or irrelevant to the conversation.

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Impact on Daily Routines

Planning, organizing, and completing daily tasks.

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Study Notes

  • The course will emphasize the difference between the brain and mind, and cognitive-communicative disorders resulting from brain lesions.
  • A brain lesion is a neuroanatomical lesion that can be caused by abrupt events like a traumatic brain injury or progressive deterioration like dementia.
  • The mind refers to cognitive-communicative disorders and their relationship to brain function.
  • Introductory concepts for traumatic brain injury (TBI) include incidence and causes, and its effects on cognition, language, and communication.
  • Traumatic Brain Injury (TBI) occurs in approximately 500,000 cases per year in the U.S.
  • The highest incidence of TBI is among older adults, children under 5 (typically from falls), and adolescents/young adults aged 15-24 (typically from motor vehicle accidents).
  • More than 200,000 military service members have been diagnosed with TBI since 2009.
  • 75% of TBI cases are mild, with cognitive disorders being the most common characteristic symptomatology.
  • Cognition involves information processing systems and stored knowledge, acting as an integrated system.
  • Cognition analyzes sensation, detects and remembers regularities in sensory information, and integrates analyzed information with past experiences to guide behavior.
  • System integration depends on the type of stimulus, such as lexical items versus sentences versus narratives.
  • Cognitive disturbances include issues with orientation, attention/concentration, memory, reasoning, and executive functioning.
  • Disturbances can affect awareness of person, time, and place (orientation), focused/selective, sustained, alternating attention, long/short/working memory, organization/associations (reasoning), and metacognition/self-regulation (executive functioning).
  • The most common dysfunction in TBI is executive functioning.
  • The impact on communication depends on expression and comprehension, such as lexical vs. sentence vs. narrative.
  • Cognitive disturbances can lead to confused language and impact relevance and pragmatic consequences.
  • Impact on daily routines includes issues with planning, organization, and completion.

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