CH 10 Cognitive Complications

Question 1

Cognitive impairments can impact…

Answer 1

ability to complete ADLs
Independence
Life satisfaction

Question 2

Why is attention the cognitive impairment often first addressed in rehabilitation

Answer 2

it is a fundamental skill and impacts all other cognitive skills

Question 3

List 5 attention subtypes and how they are different

Answer 3

focused-select one source of info and tune out irrelevant stimuli
sustained-maintain over period of time
selective-maintain attn in presence of distractions
alt-shifting b/w tasks that demand differ cog/behavior skills
divided-simultaneous tasks while maintaining speed/accuracy

Question 4

How can deficits in categorization skills affect a person with BI

Answer 4

interferes with acquisition, processing and learning of new info
impedes successful problem solving and decision making

Question 5

Sensory Memory

Answer 5

a few seconds of immediate memory post-perception

Question 6

Short-Term Memory

Answer 6

passive temporary recall, minutes to hours

Question 7

Working Memory

Answer 7

active processing and temporary storage, holding info while it is needed

Question 8

Long-Term Memory

Answer 8

permanent consolidation, diff’t types of info are stored differently
explicit (semantic and episodic) vs implicit (procedural and reference/cognitive skill)

Question 9

What is the impact of impaired processing speed?

Answer 9

contributes to memory functioning (encoding), longer processing results in chance for interference

Question 10

List executive function impairments that can occur with injury

Answer 10

self-monitoring
analyzing all aspects of a situation
problem solving and executing solutions
flexibility

Question 11

List 3 proposed levels of impairment in metacognition

Answer 11

awareness of deficits
awareness of functional implications
awareness to set realistic goals

Question 12

List common factors that interfere with cognitive function following brain injury

Answer 12

hearing
vision
communicative functions
medical stability
emotional/behavioral control
comorbid conditions
**consider all factors when providing cognitive rehab

Question 13

What is a Restorative Approach

Answer 13

Goal of changing brain circuitry and organization
repeated exposure and repetition of stimuli
uses ther ex to re-establish and strengthen cognitive processes and skills

Question 14

What is Compensatory Approach

Answer 14

modifications/strategies to accommodate limitations, assumes skill can’t be recovered 2/2 damage

Question 15

List 2 examples of hierarchical approaches to Cognitive Rehabilitation

Answer 15

1. task complexity (i.e. # of steps, length of time, etc.)
2. cognitive distance (i.e. highly salient to incr abstraction)

Question 16

Describe how hierarchical treatment approaches can contribute to cognitive task mastery

Answer 16

It aides to systematically rehabilitate and reorganize cognitive symptoms and to restore cognitive functions