Download - Post Traumatic Amnesia-mei 2015
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POST TRAUMATIC AMNESIA
I Wayan Tunjung, dr. Sp.SBAGIAN NEUROLOGIRSUD KOTA MATARAM
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Outline
Overview
Gejala Assessment
Rea!ilitasi Penatala"sanaan
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Post traumatic amnesiaDe#$ % Kea&aan !in'un' &ari suatu ("esa&aran
!er"a!ut) *an' men*ertai trauma "e+ala ,TBI-$ Di&a+at"an +a&a./0 +asien$
Meru+a"an #ase transisi antara ilan'"esa&aran &an +emulian "esa&aran se1arautu$
Durasin*a !er"2relasi !ai" &en'an GCS &anlama +erawatan &i RS$
Pre&i"t2r 2ut12me Pemulian "2'niti#
Kemam+uan #un'si2nal
Kem!ali !e"erja$
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POST TRAUMATICAMNESIA
Lama PTA Derajat Cedera
3 4 5/ menit Rin'an
6 4 78 9am M2&erate
6 4 . ari Berat
6 4 8 min''u San'at !erat
: 8 min''uAmat san'at!erat
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Amnesia
Anter2'ra&e
N2 a!ilit* t2 #2rm &a*;
t2;&a* mem2riesRetr2'ra&e
L2ss 2# mem2r* #2revents +ri2r t2 TBI
Dis2rientasi
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Gan''uan Peratian
K2nsentrasi menurun
Mu&a !erali +eratian
Gan''uan Kewas+a&aan$
Penurunan (rea1ti2n time)
Kelelaan &an >lu"tuasi
PTA
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Gam!aran Klinis PTAILUSTRASI KASUS%
S? 8/ tn? Guru
C2ntusi 1ere!ri multi+el? 7 min''u lalu
Di "amar &en'an tem+at ti&ur men'a&a+ "e jen&ela$
Selalu !ertan*a (men'a+a sa*a &i sini)$
Bin'un'? &imana &ia se"aran'$
Dia ti&a" tau men'a+a &ia &i sini &an selalu !er+i"ir&ia arus +ulan' "e ruma$
Selalu !erteria";teria" &an men*usa"an +etu'as &an+asien lainn*a$
A+a *an' &ia rasa"an@
Dia !in'un' &imana &ia se"aran' &an men'a+a &ia &isini$
Leti *an' !erle!ian? 1emas? #rustasi &an "eta"utan$
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Asesmen PTA
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ASESMEN PTA
Ke"uran'an%
Gam!aran "ualitati# ti&a" teru"ur +a&a testin'
Ti&a" &a+at men'itun' u"tuasiSulit mem!e&a"an &en'an 'an''uan mem2ri"r2nis$
Penilaian in#2rmal%
Peru!aan n*ata "esa&aran &an 2rientasi,Russell Smit? 6F56-
Mem2ri &ari ari "e ari$
Atensi *an' masi a&a$
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Pemulian PTA Bertaa+
Ditentu"an &en'an (PTA test +er#2rman1e)?namun%
Ban*a" +enilaian "ualitati# ti&a" tam+a"+a&a +en'ujian test terse!ut$
Sulit mem!e&a"an &en'an 'an''uanmem2ri "r2nis$
Urutan taa+ +emulian "2'niti#%
Oran'
Mem2ri ,Re12'niti2n mem2r*-
Tem+at
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Rea!ilitasi PTA Ter"a&an' &a+at menja&i +r2!lemati"%
Kesulitan mem+elajari #a"ta namun &a+atmenerima (+r21e&ural "n2wle&'e)$
Pr2'ram 2rientasi realitas !isa e#e"ti#$
M2&alitas tera+i lain ,O11u+ati2nalt$=+*si2t$- masi e#e"ti# &an le!iter+er1a*a +a&a (+r21e&ural
mem2r*)Pen&e"atan !elajar tan+a "esalaan$M2&iH"asi sesi rea!ilitasi mun'"in
&i+erlu"an$
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Rea!ilitasi PTA
Pen&e"atan +si"2l2'i untu"+enatala"sanaan (1allen'in'!eavi2urs)
er!al = n2n;ver!al &e;es1alati2n$ G2al Settin'$
Assessment$
Tail2re& Interventi2n,Envir2nmental m2&iH1ati2n?
Beavi2ural Rewar& +r2'ram-$
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Penatala"sanaan PTA Jarus selalu &iin'at !awa +en&erita PTA
memili"i "esulitan mem2ri &an atensi
Beri"an in#2rmasi &alam "alimat +en&e"&an !erulan'$
Selalu !eritau +asien a+a *an' a"anan&a la"u"an &an men'a+a itu an&a&ila"u"an$
Jin&ari "eletian *an' !erle!ian ,!eri"anwa"tu istiraat? !atasi +en'unjun'-$
Evaluasi "2n&isi lin'"un'an ,2ver 2r un&erstimulate&@-
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Penatala"sanaan PTA Antisi+asi (1allen'in' !eavi2urs)
Dis"usi"an "e!iasaan "usus &alam&is"usi tim$
Peri"sa +an&uan &alam 'ui&elines$
Pen&e"atan "e ali Psi"2l2'i Klini",!antuan-$
Selalu men12!a men'erti &an em+ati
Pasien PTA memili"i "eter!atasan &alammen'2ntr2l "e!iasaan &an em2si$
Selalu in'at !awa PTA !u"an masala
+ri!a&i$
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Penatala"saan PTA
Minimalisai rasa #rustrasi &an rasajen'"el
Me*a"in"an ulan'? !ila mun'"in &an
seserin' mun'"in$ 9an'an meminta +asien mela"u"an
le!i &ari *an' &ia +i"ir"an saat itu$
9a'ala "etenan'an atauminimalisasi stimulasi lain ,!ilamun'"in-$
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TERIMA KASIJ