Module 6
True or False: Speech-Language Pathologists are the sole discipline responsible for evaluating cognition in the rehab setting.
What is: True
What war increased battle & medical technology as well as survival rates?
WW1
A general framework for the Rehabilitation of Executive Functioning includes interventions that focus on what 4 KEY TERMS:
What is: improving awareness
Engaging in Planning/Anticipating/Predicting
Execution of Plans with Self-Monitoring of Performance
Self- Evaluation
True or False: Patients with hemispatial neglect are usually fully aware of their impairment at all times?
What is: False
Name 3 internal aids
what are:
self cueing/generating, conscious control of behaviors and thoughts, Internal memory strategies (chunking, repetition, method of loci) and mnemonics
When evaluating cognition, it is recommended that we observe patients in a variety of settings because of which confounding factors?
What is: sensory and motor problems may impact patient performance on structured tests & the structure of formal tests may obscure
What is the primary goal of cognitive rehabilitation?
What is: to improve cognitive skills negatively impacted by injury or disease to increase independence and quality of life for the patient
True or False: A primary goal of metacognitive strategy training is to enhance a patient's ability to internalize awareness and control over his or her behavior.
What is: True
________ is when individuals are given either a visual or verbal cue to begin visual scanning at the extreme left of a page to indicate a starting point for reading and writing.
What is: Anchoring
What are the 3 stages of implanting a treatment plan according to the cog rehab manual?
what are:
1. accqusition
2. application
3. adaptation
True or False: Even though patients with neglect can have relatively intact speech, language and memory skills, they still have a poorer prognosis for independent outcome compared to patients without neglect.
True
What are the 5 steps of the Hierarchy of Treatment?
what is:
1. Orientation to and awareness of the problem
2. Goal Setting
3. Compensation
4. Internalization
5. Generalization
Mneumonic devices such as visual peg method and method of loci are called _________ strategies.
internal memory
What is a structured program of attention training based on a heirarchically-organized clinical theory of attention?
Attention Process Training
What are the three Neurological Rehabilitation Key Concepts?
what are:
Restorative rehabilitation
Skill specific rehabilitation
Metacognition
True or False: The Mini-Mental State Examination is the most widely used and researched cognitive screening tool and is an appropriate cognitive screening for individuals with aphasia and other neurogenic communication disorders.
What is: False
What are the two phases of cog rehab?
What is:
1. Assessment and Goal Planing
2. Implementing Treatment
Techniques that can be used to train an individual to use an orientation or memory notebook include errorless learning, chaining and ________.
What is: Space Retrieval
True or False: One limitation fo ATP is that because it focuses on direct process training of attention, it fails to address generalization of skills.
What is: False
What are 3 Executive Functioning Treatment Considerations?
What are:
Time post injury
Severity (influence structure provided client and expectations)
Diagnosis
Other cognitive process deficits
Rehab priorities of patient, caregivers
Discharge location
Caregiver support
Match the Following:
The Rivermead
NAB
CVLT
D-KEFS
BADS
TEA
What is:
The Rivermead- memory
NAB- General Cognitive Battery
CVLT- Verbal Memory
D-KEFS- Executive Functioning
BADS- Executive Functioning
TEA- Attention
What are taught first external or internal strategies? BONUS: name 3
notebook, dry erase board, smart phone
Goal
Plan
Do
Review
What is:
Goal- What do I want to Accomplish?
Plan- How am I going to Accomplish?
Do- Execute a plan
Review- How did I do?
What is an attention strategy that applied structured problem solving techniques to help individuals experiencing cognitive overload or mental slowness?
Time Pressure Management
What is the biggest difference between declarative memory and non-declarative memory? Give 4 examples of treatment approaches to target declarative memory.
declarative approaches:
1. list learning
2. paragraph memory
3. paired associates
4. picture/ figure recall