Cognitive Rehab Flashcards
Brain injury rehabilitation involves 2 essential processes what are they?
- Restoration of functions that can be restored
- Learning how to do things differently when functions cannot be restored to pre-injury level
Example of cognition assessments?
-Mini-mental*
- Montreal Cognitive Assessment (MOCA)*
WHAT DO OT’s ASSESS:
- Alertness
- Attention and concentration
- Memory
- Visual processing
METACOGNITION:
- knowledge of own thinking processes. Includes thoughts about what one knows and does not know.
- helps to provide self-awareness and self-regulation
- Have Insight: clear understanding of situations, even if they are complex.
- Ask a person how they will think they will preform
Four Key Components of CRT
- Education of cognitive weaknesses and strengths
- Development through retraining and practice
- use of internal and external compensatory strategies
- Application of skills in every day life
Components of attention:
Select: critical details; sort essential from non-
essential information
Divide: inhibit distractions; keep track
Alternate: easily disengage focus when necessary
Sustain: persist with activity
*high level functional problem solving includes:
- identifying the problem
- developing a plan
- carrying out the plan
- evaluating the outcome.
EXECUTIVE FUNCTIONS:
-Self-awareness- accurate idea of own strengths and weaknesses
-Goal setting- ability to set realistic achievable goals
-Self-initiation- starting a task without prompting
-Self-inhibition – stopping behaviour or thoughts that are inappropriate.
-Planning and organizing- establishing the steps required to carry out a task.
-Flexible problem solving- recognize and anticipate problems; come up with alternative solutions.
What are the different types of feedback?
- Verbal- direct feedback and cueing
- Non-verbal feedback- nodding, smiling, physical cues.
- Tick charts- an easy form of visual feedback.
- Videotaping- can be powerful especially for learning social skills. Remember to emphasize positive attributes as well.
- Computers- feedback is objective and may be less detrimental to self-esteem because client can work on their own.