Cognitive rehabilitation strategies Flashcards
What are the 3 cognitive rehabilitation strategies you have learned about?
- Neurofunctional approach
- Multicontext approach
- CO-OP approach
Is the NFA strategy or performance based?
Performance
Is the multicontext approach strategy or performance based?
Strategy
Is the CO-OP performance or strategy approach?
Strategy
What cognitive rehab strategy is described below:
- Develops general thinking routine
- Includes approaches targeting EF and increased self awareness
- Enables development of solutions applicable to a wide range of novel problems encountered in daily life
- Assists in the development of top down compensatory strategies using scrips facilitating problem solving, decision making, reasoning and the like
- actual task practices are incidental as the central focus is on strategy
- training bay be provided in such a way as to attempt to maximize the chances for generalization, but generalization is assumed to occur
Global strategy learning
What cognitive rehab strategy is described below:
- Conducted within a performance context and is specific to the task (i.e. attention retraining during driving reeducation).
- Generalization of skills and improved performance on other tasks occurs
Function embedded cognitive retraining
What cognitive rehab strategy is described below:
- Mental routines designed to gain mastery of a particular type of problem or situation
- assists clients to manage specific perceptual, cognitive, or functional deficits
- focus is on the strategy rather than on the task itself
- training may be provided in such a way as to attempt to maximize the chances for generalization, but generalization is assumed to occur
Domain specific strategy training
What cognitive rehab strategy is described below:
- Remediation of a specific cognitive deficit
- Employs a massive bottom up stimulation of the impaired cognitive perceptual skill (i.e. prism adaptation training, eye patch training)
Process specific cognitive retraining
What cognitive rehab strategy is described below:
- Teaches a specific functional behavior by employing errorless learning to circumvent performance hindering cognitive deficits
- no assumptions are made regarding generalization or secondary effects on awareness, mental efficiency, organization and performance in other domains
Task specific training
What cognitive rehab strategy is described below:
- Addresses task demand simplification to bolster skill acquisition and decrease cues along the way.
- A good match between abiliti8es and environmental demands may be central to success.
Environmental modifications and assistive techology
What cognitive approach is described below:
- Performance based
- Skill/habit training
- Client centered real life goal development
- Use of repetitive practice of skills
- 8 principles/steps
- No certification required
- Involves implicit/explicit memory systems
- For patients with severe to profound impairments of memory, attention, EF
The neurofunctional approach
What cognitive approach is described below:
- Strategy based
- Metacognitive framework
- Self monitoring skills during tasks to recognize errors
- Guided questioning
- Based on dynamic interaction model
- For patients with subtle/mild cog impairments to moderate cognitive impairments
- has 3 components (pre activity discussion, during and post discussion)
- Certification is not needed to use
Multicontext approach
What cognitive approach is described below:
- Strategy based
- 4 objectives (skill acquisition, generalization, transfer of learning, cognitive strategy use)
- 7 components
- Global strategy & domain specific strategy use
- Certification is not needed to use
- Used for people with milder neuro injuries
- Client goal based
- Guided discovery
The CO-OP approach
What is the target population for the NFA?
- Sever/profound cognitive impairments
- Impaired trial/error learning
What is the target population for the multicontext approach?
- Subtle/milder cognitive impairments to moderate cognitive impairments
