Cognitive FOR Flashcards
What is functional Cognition
how an individual utilizes and integrates their thinking and processing skills to accomplish activities
Focus of Cognitive FOR
used in populations where there are challenges in cognition that impact occupational performance
What does change look like in cognitive FOR
ability to learn and generalize
use new strategies
depends on level of self-awareness
must occur in new and familiar tasks
What is the most important thing for someone to have ot be motivated and make change?
Self-awarness
How to increase self-awareness
education surrounding disability to area of impairment
Provide insight into levels of impairment
Need to be clear but also empathetic
Remedial cognition
improve cognitive skills that are present (math, attention, memory)
Compensatory approach for cognition
learn specific strategies/taks, can do Therese new strategies on their own`
Cognitive Rehab FOR
Katz and Averbach
very general and basic
enhances retained skills, develops self-awareness and uses retraining and strategies
Cognitive Retraining
Maintain abilities/skills that are already in tact
individual or group training
specific structured teaching-learning strategies
Training until it come automatic
Dynamic Interactional Approach (DIA
utilizes multiple activiites in a variety of settings
use strategies for information processing
self-awareness if key
Focus for DIA
Recognizing cognitive error patterns across tasks and environments
enhancing self-awareness when therapist is not around
generalizing strategies outside of therapy
DIA Assessments
Observation of clients function in tasks (look at perception before, during and after)
Assessing strategies to facilitate change
Assessment and intervention occur together
Multi-contextual intervention
Near transfer- sorting in to drawer
Intermediate transfer-dishwasher to drawer
Far transfer- sorting socks from laundry basket
Very far transfer- tiles for craft project
Intervention DIA
Verbal mediation
written strategies
Stimuli blocking
Visual imagery
figure out what works for client and introduce one at a time
Allens Cognitive Levels Extrinsic factors
What cues facilitate interactions
Cues- things in environment
Attention
Motor action
Speed
Allens Cognitive Levels Intrinsic factors
visual spatial
verbal information and processing
Memory
Function in Allens Levels
Level 6 is considered normal
Level 4 is minimal for independent living
Dysfunction in Allens levels
levels under 4 are dysfunctional
ACL 1
Automatic- sensory cues
Cues- sensory cues subliminal
Motor actions- reflexive
motivated by arousal
OT focus: arousal, sensory stimulation
ACL 2
Proprioceptive cues
able to imitate movements
motivated by comfort
gross motor games
feeds 50% of meals
ACL 3
Tactile cues
imitate manual actions
motivated by interest
OT: simple repetitive tasks
Can walk but tends to wander, not oriented
ACL 4
Visual cues
Goals directed and slef-directed movements
experience by seeing and avoid distractions
OT: Multistep tasks
Read but lack of meaning, loss of abstract thoughts
ACL 5
trial and error thinking
can learn by al cues and verbal instructions
issues with self-control
OT: gives client choices, IADL’s, concrete tasks
ACL 6
no cognitive disability
can read and follow instructions
symbolic cues
planned motor
OT: conceptual and complex tasks
