Page 312 - 2021 IDMT Digital
P. 312
HEAD INJURY
Introduction:
• 7UDXPD LV WKH PRVW FRPPRQ FDXVH RI GHDWK LQ \RXQJ SHRSOH DQG KHDG LQMXU\ DFFRXQWs
IRU DOPRVW KDOI RI WKHVH WUDXPD UHODWHG GHDWKV
• )LHOG VFUHHQLQJ VKRXOG EH GRQH IRU WUDXPDWLF EUDLQ LQMXU\ DQG FRQFXVVLRQ DV WKH\ FDQ
FDXVH ORQJ VWDQGLQJ FRPSOLFDWLRQV
Subjective:
• 6LJQV DQG 6\PSWRPV
o &RPPRQO\ KHDGDFKH
o :RUULVRPH V\PSWRPV LQFOXGH
1DXVHD DQG YRPLWLQJ
'L]]LQHVV EOXUUHG YLVLRQ ZHDNQHVV
$SKDVLD WURXEOH ILQGLQJ XQGHUVWDQGLQJ ZRUGV
%DODQFH DQG FRRUGLQDWLRQ GLVRUGHU DQG VHL]XUH
o 3UREOHPV ZLWK FRJQLWLRQ DUH HTXDOO\ ZRUULVRPH
• 7RROV
o &7 VFDQQLQJ LPSRUWDQW UROH LQ GHPRQVWUDWLQJ LQWUDFUDQLDO KHPRUUKDJH FHUHEUDO
HGHPD DQG GLVSODFHPHQW RI PLGOLQH VWUXFWXUHV
Objective:
• 3K\VLFDO ([DP
o 5HTXLUHV FRPSOHWH QHXURORJLFDO H[DP SD\ DWWHQWLRQ WR OHYHO RI FRQVFLRXVQHVV
DQG H[WHQW RI EUDLQVWHP G\VIXQFWLRQ
o $VN 0LOLWDU\ $FXWH &RQFXVVLRQ (YDOXDWLRQ (MACE) TXHVWLRQV
Assessment:
• 'LIIHUHQWLDO
o &RQFXVVLRQ D WUDQVLHQW DOWHUDWLRQ LQ PHQWDO VWDWXV WKDW PD\ LQFOXGH V\PSWRPV
VXFK DV KHDGDFKH QDXVHD GLVRULHQWDWLRQ LUULWDELOLW\ PD\ RU PD\ QRW LQFOXGH
/2&
o (SLGXUDO KHPatoma KHDGDFKH FRQIXVLRQ VRPQROHQFH VHL]XUHV PD\ OHDG WR
FRPD GHDWK /2&
o 6XEGXUDO KHPatoma VLPLODU WR HSLGXUDO KHPatoma EXW ORQJHU LQWHUYDO WR
RQVHW RI V\PSWRPV
o 'LIIXVH D[RQDO LQMXU\ SHUVLVWHQW /2& FRPD RU SHUVLVWHQW YHJetative VWDWH
Plan:
• 5HIHUUDO QHHGHG IRU
o )RFDO QHXURORJLF GHILFLWV DOWHUHG FRQVFLRXVQHVV RU VNXOO IUDFWXUH
o /DWH FRPSOLFDWLRQV RI KHDG LQMXU\ OLNH SRVW WUDXPDWLF VHL]XUH RU SRVW FRQFXVVLYH
V\QGURPH
7%, FHQWHU SUHIHUUHG
• 0DQDJHPHQW RI VSHFLILF V\PSWRPV
• 'R QRW UHWXUQ WR IXOO GXW\ VWDWXV XQWLO DV\PSWRPDWLc off medication
• 3URYLGH SDWLHQW VXSSRUW DQG UHDVVXUDQFH
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