Cognitive Rehab

Question 1

Brain injury rehabilitation involves 2 essential processes what are they?

Answer 1

1. Restoration of functions that can be restored
2. Learning how to do things differently when functions cannot be restored to pre-injury level

Question 2

Example of cognition assessments?

Answer 2

-Mini-mental*
- Montreal Cognitive Assessment (MOCA)*

Question 3

WHAT DO OT’s ASSESS:

Answer 3

• Alertness
• Attention and concentration
• Memory
• Visual processing

Question 4

METACOGNITION:

Answer 4

• 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

Question 5

Four Key Components of CRT

Answer 5

1. Education of cognitive weaknesses and strengths
2. Development through retraining and practice
3. use of internal and external compensatory strategies
4. Application of skills in every day life

Question 6

Components of attention:

Answer 6

— Select: critical details; sort essential from non-
essential information
— Divide: inhibit distractions; keep track
— Alternate: easily disengage focus when necessary
— Sustain: persist with activity

Question 7

*high level functional problem solving includes:

Answer 7

• identifying the problem
• developing a plan
• carrying out the plan
• evaluating the outcome.

Question 8

EXECUTIVE FUNCTIONS:

Answer 8

-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.

Question 9

What are the different types of feedback?

Answer 9

1. Verbal- direct feedback and cueing
2. Non-verbal feedback- nodding, smiling, physical cues.
3. Tick charts- an easy form of visual feedback.
4. Videotaping- can be powerful especially for learning social skills. Remember to emphasize positive attributes as well.
5. Computers- feedback is objective and may be less detrimental to self-esteem because client can work on their own.