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Flashcards in Chapter 10, 11, 22 Deck (21)
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1

Number of Americans living with long-term disability secondary to TBI

5.3 million

2

Cognitive impairments can include difficulties with:

attention
memory
problem-solving
decision-making

3

Cognition

a complex collection of conscious mental activity such as attention, perception, comprehension, remembering, or using language and can generally be thought of as an individual's ability to mentally represent, organize, or manipulate the environment

4

long term explicit memory

memory with conscious recall; semantic/episodic

5

long term implicit memory

memory without conscious recall; procedural

6

Executive functions

planning
reasoning
judgment
initiation
abstract thinking
problem solving
decision making

7

metacognition

awareness of our own cognitive processes; our ability to think about thinking
ability to self-monitor adn use thoughts to change or improve thinking and behavior
knowledge of one's strengths and weaknesses

8

Roughly ___% of rehabilitation facilities provide some form of cognitive rehabilitation via SLPs, OTs, and neuropsych

95%

9

compensatory rehab approach (cognition)

-may assume certain cognitive functions cannot be completely recovered due to neurological damage, therapeutic knowledge limitations, or constrained resource availability for remediative approaches
-individual must adopt strategies to accommodate their limitations
-a body of evidence exists supporting the notion that compensatory strategies may actually impede neurologic recovery

10

Compensatory cognition strategies

use of external devices or aides such as
-day planners
-checklists
-smartphones
-cognitive supervision

11

how long does coma-emergent agitation typically last as a person emerges from a coma?

less than 10 days
typically characterized by cycle of shorter and shorter agitated periods before resolution

12

Is consequence-based learning programming indicated for patients in the coma-emergent agitation stage?

no; learning new information during this phase is unlikely

13

Goal of therapy during coma-emergent agitation phase

minimize unfamiliar, complex, or unexpected stimuli and promote safety and stability though familiarity and orientation

14

Factors that influence behavior and behavior deficits post-BI

location and severity of brain damage
pre-injury characteristics of personality
intelligence
learning style
current environment

15

common neurobehavioral deficits

aggression
agitation/irritability/poor frustration tolerance
apathy
denial of deficits/poor self awareness
disinhibition
eating disturbances
flat affect/restricted emotions/inability to recognize emotions
impulsivity
lability/emotional instability
poor initiation
poor judgment and reasoning
psychosis (rare)

16

what is a key step in Functional Behavioral Assessment process?

understanding the function of the behavior

17

direct behavioral observation

more reliable
direct observation of individual, either in naturally occurring situation or one in which specific variables have been controlled or manipulated for assessment purposes

18

indirect behavioral observation

interviews and checklists
can be subject to bias or inaccuracies due to reliacne on self-reporting methods for assessment

19

A good behavioral assessment should include___

a list of behaviors that will be targeted for decrease and increase

20

What is ABA

the science of prediction and change of socially significant behaviors

21

goal of ABA

discover variables that reliably influence behavior to either predict behavior change or promote behavior change