The Art and Science of Distinguishing Disorders of Consciousness

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STORMING Transient changes may include the following: Tachycardia Fever Hypertension Diaphoresis Posturing Tachypnoea The patient may experience all, some or just one of the above clinical signs.
STORMING MANAGEMENT 1. Overstimulation - What is the cause? Is there a pattern? 2. Infection – anticipate orders to rule it out 3. Treat the symptoms: • Medications – fever reducers, beta blockers, etc • Reposition (tone) • Prevent skin breakdown with frequent linen change (diaphoresis) • Control environment, remove stimulation, eliminate noise pollution, control room temperature, remove blankets, use fans and cooling blankets
Page 1 and 2: The Art and Science of Distinguishi
Page 3 and 4: OBJECTIVES 1. Defining disorders of
Page 5 and 6: INACCURATE DIAGNOSIS MAY LEAD TO:
Page 7 and 8: DEFINITION OF COMA Coma represents
Page 9 and 10: DEFINITION OF VEGETATIVE STATE ‣N
Page 11 and 12: DEFINITION OF PERSISTENT VEGETATIVE
Page 13 and 14: MINIMALLY CONSCIOUS STATE: AT LEAST
Page 15 and 16: GOAL OF CLINICAL TEAM Intact Skin
Page 17 and 18: OUTCOME OF PATIENTS AT 3, 6, AND 12
Page 19 and 20: RANCHOS LOS AMIGOS SCALE (REVISED)
Page 21 and 22: JFK COMA RECOVERY SCALE-R Auditory
Page 23 and 24: COMA RECOVERY SCALE-R Visual Functi
Page 25 and 26: COMA RECOVERY SCALE-R Oromotor/Verb
Page 27 and 28: COMA RECOVERY SCALE-R Arousal Sub-s
Page 29 and 30: ARE YOU GETTING THE BEST ASSESSMENT
Page 31 and 32: MEDICAL ISSUES
Page 33: DYSAUTONOMIA Alterations in autonom
Page 37 and 38: FIRST “DO NO HARM” Eliminate m
Page 39 and 40: NEUROTRANSMITTER ROLES DOPAMINE: i
Page 41 and 42: SLEEP MEDICATIONS Often alertness
Page 43 and 44: AGITATION Avoid sedatives, benzodi
Page 45 and 46: WHAT’S THE RECIPE? INDIVIDUALIST
Page 47 and 48: MAXIMIZE THERAPEUTIC BENEFIT OF REH
Page 49: REFERENCES: Fins. J., Master, G.,

The Art and Science of Distinguishing Disorders of Consciousness

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