Traumatic Brain Injury
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 2 October 2019
⏱️ 13 minutes
🧾️ Download transcript
Summary
Gail suffered a traumatic brain injury during a fall at home and is now being seen in the hospital.
The therapist notices a significant change in the patient's hip mobility along with notable pain with movement.
The physical therapist is challenged with determining which course of action is the MOST appropriate given the clinical situation.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient, Gail. And Gail suffered |
| 0:33.6 | a traumatic brain injury, TBI, after a recent fall in the shower one week ago. |
| 0:40.5 | The patient has been immobile since arriving at the hospital. |
| 0:46.1 | The therapist notices that the patient's right hip mobility is gradually decreasing and has become |
| 0:52.9 | painful with range of motion activities. |
| 0:57.1 | Which of the following is the best course of action? |
| 1:00.5 | So we have A, contact nursing about providing pain medication before therapy. |
| 1:06.3 | B, increase the frequency of therapy sessions focusing on hip mobility. |
| 1:12.8 | C, alert the physician immediately of suspected heterotopic ossification. |
| 1:19.7 | And D, modify the treatment plan to emphasize out-of-bed activities. |
| 1:25.7 | All right, so this is a mouthful, a lot of stuff for us to look at. I want to break down each part of it. All right. So this is a mile full. A lot of stuff for us to look at. |
| 1:29.2 | I want to break down each part of it. |
| 1:31.2 | All right. |
| 1:31.5 | So let's go ahead and jump in. |
| 1:34.0 | We had Gail suffered a traumatic brain injury after a recent fall in the shower one week ago. |
| 1:42.4 | All right. |
| 1:42.7 | So we got traumatic brain injury. And that's something to keep an eye on. |
... |
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