You are a therapist in an outpatient clinic and have been as…

You are a therapist in an outpatient clinic and have been assigned to evaluate a 24 year old female patient status post TBI 15 months ago. The patient is living at home with family members and would like to increase her physical functioning in order to return to work as a sales associate for Macy’s. During a test of upper extremity rapid alternating movement, the movements of the hands and elbows become irregular with wider excursions than expected. As speed is increased, the movements become more disorganized. What are these findings indicative of?

A new patient on the rehabilitation unit demonstrates consis…

A new patient on the rehabilitation unit demonstrates consistent verbal outbursts in therapy, ranging from yelling at other patients to cursing at you as the therapist.  She becomes easily frustrated when asked to perform novel tasks, and occasionally reaches out to grab or attempt to hit your arm when you try to guide her through a motor skill on her weaker side.  What level would this patient be on the Ranchos Los Amigos Scale?

A patient with a TBI is demonstrating signs of escalating ag…

A patient with a TBI is demonstrating signs of escalating agitated behavior. They perseverate on attempting to remove their rear-locking seatbelt (restraint) and stand, even though they require minimal assistance for balance. The volume of the patient’s voice is becoming louder, with them repeatedly saying “Get this thing off me.” The MOST APPROPRIATE response from the therapist would be: