Cog and Communication

Question 1

Communication providers?

Answer 1

speech pt

Question 2

Cognition providers?

Answer 2

Neuropsychologist
neurologist
OT
speech
PT
Nurse

Question 3

Sensation includes

Answer 3

Collection of visual, somatosensory, vestibular, auditory, gustatory, olfactory

Question 4

Perceptual includes

Answer 4

interpretation of stimuli from body and env.

Question 5

cognition includes

Answer 5

knowing
understanding
awareness
judgement
decision making

Question 6

pyramid of cognition

Answer 6

arousal/attention/memory/executive fx.

Question 7

what are levels of consciousness?

what are they meditated by?

Answer 7

coma
semicoma
obtained
lethargic (sleepy)
alert

Reticular activating system.

Question 8

What is important to not about alertness?

Answer 8

when are they most alert? how long? personnel/ posture.

Question 9

A constellation of processes that includes alertness/arousal/ability to select stimuli/ ability to span attention

Answer 9

Attention

Question 10

taxonomy of task context: attention behavior

Answer 10

selective/sustained/divided/ switching

Question 11

What is selective attention
Sustained?
divided?

Answer 11

filtering
how long maintained
multi

Question 12

What are deficits of attention interfering with learning?

how do you examine it?

Answer 12

Distractability
Perseveration: cant switch focus
Decreased concentration
Slow processing.

serial add/subtract.

Question 13

attention interventions?

Answer 13

change env.
speak only with eye contact
keep session short.

Question 14

An Integration of attention
memory
and perception

Answer 14

orientation

Question 15

there needs to be orientation of

Answer 15

person
place
time
situation

Question 16

intervention for orientation

Answer 16

use reminders
calander/clock
emphasize schedule

Question 17

ability to store and retrieve info/learn

what lobes associated?

Answer 17

memory

temporal/parietal/occipital.

Question 18

small info retained for small period of time? AKA

remember for long time AKA

Answer 18

STM working memory

LTM/remote.

Question 19

memory of sequence/process demonstrated

for facts/events

encompassing rules/meanings

visual.auditory.

Answer 19

procedural (implicit)

Declarative (explicit)

Semantic

Sensory

Question 20

intervention for memory?

Answer 20

• use most competent system for memory
• visual
• verbal
• break up tasks to decrease load.

Question 21

impaired memory and orientation in a person that is alert

Answer 21

Dementia

Question 22

Dementia is combined with at least one of which impairments?

Answer 22

abstract thinking
judgement
problem solve
language
personality.

Question 23

What are the reversible causes of dementia>?

Answer 23

delirium

depression

Question 24

What are the remaining strengths with dementia

Answer 24

attention
procedural memory
reading
emotional memory.

Question 25

Tx for dementia

Answer 25

errorless learning modelling external memory aids.

Question 26

Processes involved in ability to organize info/indentify problems/ solve/ anticipate problems/ predict performance/ plan

Answer 26

executive Fx.

Question 27

Executive fx is critical to and mediated by

Answer 27

true independence pre-frontal cortex

Question 28

in executive Fx what are the types of awareness?

Answer 28

anosagnosia intellectual emergent anticipatory

Question 29

how is executive Fx examined?

Answer 29

``` perform multistep task predict performance plan multistep task rate performance generate strategies for improvement. ```

Question 30

intervention for executive Fx

Answer 30

combine motor skill with cog task that require multistep commence.

Question 31

cannot perform mvmt on command or automatically? and perform automatically?

Answer 31

ideational apraxia ideomotor apraxia

Question 32

inability to perform purposeful mvmt within patients motor/sensory/perceptual capacity

Answer 32

apraxia

Question 33

how to examine apraxia for oral UE LE

Answer 33

smile/whistle shake hands wave goodbye kick/make figure 8 w/ foot

Question 34

What is PTs role in communication disorder?

Answer 34

physiologic support | stimulting communication

Question 35

impairment of speech production resulting from damage to CNS causing weak, paralysis or coordination of motor system. whats 5 types?

Answer 35

dysarthria spastic/flaccid/ataxic/hypokinetic/hyperkinetic

Question 36

swallowing deficit? where is it seen?

Answer 36

dysphagia PD, huntingtons, stroke, ALS, MS

Question 37

inadequate breath support/ineffective laryngeal Fx

Answer 37

Dysphonia

Question 38

acquired communication disorder. where is it usually?

Answer 38

Aphasia non-dominant hemisphere damage.

Question 39

Characteristics of non-fluent aphasia?

Answer 39

- restricted vocab - word substitution - usually left hemisphere Brocas - auditory comprehension in tact - Reading less impaired. writing not good.

Question 40

Characteristics of fluent aphasia?

Answer 40

impaired auditory comprehension wernickes area reading and writing impaired talks nonsense.

Question 41

a combination of fluent and notfluent aphasia

Answer 41

global aphasia.

Question 42

Prognoses of aphasias

Answer 42

global: worst Post-traumatic: better prognosis than vascular lesion age/gender/dom hand do not affect recovery

Question 43

communicating with person con dementia?

Answer 43

- make eye contact and use name. - use calm language - encourage response - direct specific/positive/patient - let them make decisions - limit choices/yesno