This is acquired brain injuries module number six for Arcadia home care.
In this module we’re gonna be learning about some physical deficits that clients may have. These include motor control deficits, both gross motor and fine motor gait issues. So how a client walks, balance issues and some vision deficits, we’re gonna learn about what is a field cut.
There are many different types of what’s known as ataxia and apraxia. We’re not gonna get into all of them. We’re just gonna look at two different types that you might see in the brain injury world. The first is attack, which is a loss of coordination of muscles. It can present itself as shaky hands or uncoordinated movement, spasms, twitches. slurred speech, and a walking pattern that looks really off. It might appear as though the person is drunk, that they have poor balance and difficulty coordinating their leg movements.
Limb kinetic apraxia is very similar. It’s the inability to execute complex, purposeful movements that you’ve already learned. The person may appear to have difficulty with hand eye coordination. So let’s say they go to grab the doorknob and they completely miss the doorknob. Or they have difficulty manipulating small objects so their fine motor control is thrown on. They also might have difficulty walking and they’ll have that uncoordinated looking walking.
Or muscles retain a state of contraction even when at rest. This is known as muscle tone. Some clients will have muscle tone that is permanently locked in a state of contraction. That is their muscles are always stiff and rigid. So a client may have one hand or one arm or one leg that’s got way too much tone in it, and it appears stiff and locked and stuck. So they have an arm or a leg or a hand that won’t bend won’t move, the hand won’t open and it’s permanently locked in that high state. of muscle.
Emilija versus Hemi paralysis, so the term Hemi means one half one side, left side on the right side. Hemi paralysis is characterized by weakness on one side of the body whereas Hemi collegia is characterized by paralysis on one side of the body. You often see this in stroke. Patients one half of their face looks a little droopy, and they don’t have control over one half of their mouth. Or they may have one hand or one leg that they’ve lost control over.
So as we learned in the video we watched in this module there are a number of different ways that impairments can affect the client’s daily living. One of the biggest areas is with field cuts and division. So a client might not see things on the left side or the right side or they might have a complete loss of peripheral vision on both sides. You really need to prompt the client to turn their head and scan the area completely. This is gonna look like a big exaggerating turn from left to right and back again. This is going to be especially true when walking through a parking lot with a client. Safety is key. Especially clients with vision impairments. They might think that it’s safe to cross the road or safe to walk out into a parking lot because with that lack of peripheral vision or a field cut to their left or right, they just don’t see that car coming they don’t see that person or object that they’re about to bump into. you really really really need to reinforce scanning, scanning, scanning, turn your head all the way to left all the way to the right, scan the whole entire
We’re at the end of training module six and it’s time to show me what you I want you to copy and paste these questions into an email, answer them in your own words and then send them Rs W manager.