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Acute management of a patient with moderate-severe traumatic brain injury
A patient with moderate-severe traumatic brain injury was seen for physical therapy treatment for 6 sessions from 7/12/16 to 7/18/16 in the Traumatic Neurologic Intensive Care Unit (ICU) at an inpatient hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated with the Moss Attention Rating Scale, Agitated Behavior Scale, Rancho Levels of Cognitive Functioning, Physical Function ICU Test, Activity Measure for Post-Acute Care 6-Clicks Basic Mobility Short form, Timed Up and Go, Disability Rating Scale and a plan of care was established. Main goals for the patient were to improve mobility, cognition, and independence. Interventions used were task-specific training, experiential and didactic cognitive rehabilitation, therapeutic and functional exercise, fine motor practice, and balance training. The patient improved his attention, agitation, cognition, fine motor skills, muscular strength and endurance, functional mobility, balance, independence and was discharged to a sub-acute rehabilitation facility.