Cognitive Approaches
Capitalize on a person's strengths to improve independence in ADLs.
What does the evaluation process consist of?
The evaluation of a person's abilities and disabilities is a first step in determining the need for professional assistance and personal goals.
What are the 5 stages of the cognitive functional evaluation?
1. initial interview
2.Cognitive Screening and Baseline Tests
3.Cognitive Tests
4.Environment and Safety
5.Quality of Life and Well Being
The OTR determines that John is Ox3. What does this mean?
Oriented to person, place, and time.
What are the types of attention?
Selective: focused and concentrated
Divided: unfocused and multitasking
What is a functional approach to cognitive or neuropsychological test performance performance?
ADLs, quality of life, and task performance to utilize assessment outcomes.
Which OT process includes an interview, discharge disposition, and readiness to learn?
screening
Name 1 part of the Cognitive Eval Stage 1?
Initial Interview:
-Self awareness Deficits interview
-Assessments of Life Habits
-Who Disability Assessment
-Assessment of Motor and Process Scale
-Routine Task Inventory
What would be a adaptive approach for a client to normalize the client's walking and bedtime, which may restore circadian rhythm.
use the environment and natural light to provide cues
You are working with a 2nd grader with ADHD in the school system. The teacher is looking for strategies for the student increase his attention in the classroom during free time. What can you suggest?
Avoid overstimulation, overdistracting environments, use of visuals
Which population requires cognitive rehabilitation that would benefit from direct attention and metacognition training to promote development of compensatory strategies?
Traumatic Brain Injury
What are the characteristics of a standardized versus non standardized assessment?
non standardized- does not follow a protocol and standardized uses a documented protocol and are scored and administered under uniform conditions
The OTR is utilizing an assessment to assess quality of performance in BADLs with a 56 year old s/p brain injury. It consist of 16 motor skill items. What assessment is this OTR using?
Assessment of Motor and Process Scale (AMPs)
You are working with a client and orienting them to an activity through set up and verbal intervention. You also guide the client's confused thinking to a desirable state without provide complex choice. What type of guidance are you providing?
Supportive Guidance
What would be a dementia associated memory loss for loses things from time to time?
misplaces things and unable to retrace steps to find them
What does EBP suggest for TBI that can also be applied to persons with a stroke?
Visual spatial rehabilitation after a right hemisphere stroke and interventions for aphasia and apraxia after a left hemisphere stroke
What is are the characteristics of a criterion referenced assessment?
compare the subject's performance against a predetermined standard of a performance level.
The OTR is working with a 78 year old with dementia. They are assessing their skills utilizing a test to look at executive functioning with 4 ADL tasks. What assessment are they using?
Executive Functional Performance Test
The OTR is changing the client's focus during an ADL to a functionally related task. What type of technique is the OTR providing?
Shift to increase compliance
Name one of the top 10 early signs of alzheimer's.
memory loss, mood changes, social withdrawal, misplacing belongings, hard to complete familiar tasks, confusion in time and place, visual changes, communication challenges, poor judgement
What is the target of intervention for error based learning?
Increased awareness of deficits and the capacity to anticipate, self monitor, and self regulate errors.
What type of assessment has an interactive procedure in which the examiner provides guidance, encouragement, and feedback?
dynamic assessment.
An OTR is utilizing a test to identify the perceptual ability of a 8 year old in the school system being able to comprise drawn figures. What assessment are they utilizing?
Test of Visual Perception Skills or TVPS-3
The OTR is utilizing the use of an object to reward to direct the client to another situation or improve compliance of a task. What type of technique are they providing?
Direct attention through reward and rationale.
What would be an age associated memory impairment associated with poor judgement and decision making.
making a bad decision once in a while