8/25/2023 0 Comments Post traumatic amnesia assessment![]() It also results in a decreased length of stay and decreased hospital admissions, with subsequent cost savings to the hospital.Ī-WPTAS Post-traumatic amnesia length of stay mild traumatic brain injury. It helps identify patients with cognitive impairment and the need for admission and further investigation, resulting in appropriate access to care. Dissociative symptoms can be mild, but they can also be so. Dissociative disorders are mental illnesses in which there’s a breakdown of mental functions that normally operate smoothly, such as memory, consciousness or awareness, and identity and/or perception. The Abbreviated Westmead Post-traumatic Amnesia Scale provides an effective and timely assessment of post-traumatic amnesia for patients presenting to the Emergency Department with mild traumatic brain injury compared with the previously used assessment tool. Dissociative amnesia is one of a group of conditions called dissociative disorders. In all, 1% of patients were readmitted for monitoring of mild post-concussion symptoms. Verbal and written discharge advice was provided to those assessed for post-traumatic amnesia to assist their recovery. Of those assessed with the Abbreviated Westmead Post-traumatic Amnesia Scale, 56% had a shorter length of stay than had they been assessed with the Modified Oxford Post-traumatic Scale, resulting in 295 bed-days saved. The Abbreviated Westmead Post-traumatic Amnesia Scale was used in 91% of patient cases (and the Modified Oxford Post-traumatic Scale in 7%), and of those assessed with the Abbreviated Westmead Post-traumatic Amnesia Scale, 94% cleared post-traumatic amnesia testing within 4 h. It identified those assessed with Abbreviated Westmead Post-traumatic Amnesia Scale versus Modified Oxford Post-traumatic Scale, the outcomes of these post-traumatic amnesia assessments, the hospital length of stay for patients, and their readmission rates. This retrospective cohort study reviewed 270 patients with mild traumatic brain injury assessed for post-traumatic amnesia over a 2-year period between February 2011 and February 2013. The Abbreviated Westmead Post-traumatic Amnesia Scale provides an early and efficient assessment of post-traumatic amnesia for patients with mild traumatic brain injuries, compared with the previously used assessment, the Modified Oxford Post-traumatic Scale. Early identification of patients with cognitive deficits and provision of discharge advice are important. Occupational therapy intervention based upon the PRPP System of Task Analysis and Intervention improved subjects' ability to apply information processing strategies during occupational performance when compared to current intervention approaches.Mild traumatic brain injury is a common presentation to Emergency Departments. Subjects demonstrated improved information processing strategy use both prior to and following emergence from PTA. ![]() Large treatment effects favoured the PRPP Intervention. Seven subjects significantly improved in their application of processing strategies during the PRPP Intervention in comparison to current OT Intervention phases. PRPP Intervention adopts an information processing approach that simultaneously focuses on task training, strategy training and strategy application within occupational performance. The PRPP System is a dynamic assessment and intervention approach that directly links results of cognitive task analysis with strategies for intervention. PTA status was monitored with the Westmead PTA Scale. Information processing capacity during occupational tasks was measured using the PRPP System of Task Analysis. Current OT intervention was alternated with the experimental Perceive, Recall, Plan and Perform (PRPP) System approach over 4-weeks. Single-system experimental design (ABAB) across subjects.Įight subjects were recruited during acute rehabilitation. To investigate the effectiveness of occupational therapy (OT) with adults demonstrating agitation and post-traumatic amnesia (PTA) following brain injury.
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