Neurological Patients: Psychosocial Problems and change Flashcards
(29 cards)
When treating neurological patients ____ change is your objective and patient _____ is a tool for that change
behavioral
education
what are the levels of patient education?
information (general)
Instruction
Education
Guidance, coaching (specific)
What are the phases of behavioral change?
Being receptive (having an open mind) Understanding Wanting (motivated) being able to doing (intention and implementation) persevering (maintenance)
What are typical personal factors/problems in neurological patients?
Neurological problems (paresis) Neuropsychological/cognitive problems (caused by the CND) Psychological problems (can be a reaction to the CND or caused by the CND)
What is cognitive ability?
the ability to interpret information from daily life, ability to combine knowledge and new information
What do neuropsychological problems concern?
Orientation attention information processing memory language reading,writing,figures reasoning learning abilities
some examples of neuropsychological problems include: aphasia, apraxia, agnosia, amnesia, visual neglect
Describe each one
Aphasia = communication impairment
apraxia = Inability to perform learned movement
agnosia= Inability to recognize people, objects, sounds
amnesia= memory loss
Visual neglect= partial loss of visual field
What do psychological problems concern?
what are two examples of psychological problems in CND patients
Psychological problems are either caused by ______ changes and/or a ______ to the illness and have no detectable _____
thoughts, feelings, and behavior
- Adjustment process (coping process)
- Mood: depression, emotional instability, fatigue
neurological
reaction
reason
What is the nine-cell model used for?
It is a why to distinguish neurological, neuropsychological, and psychological problems.
What is memory? what is meant by encoding, storage, and retrieval?
memory is a system that encodes, stores, and retrieves information.
- Encoding= modification of information
- Storage= retention of encoded material
- Retrieval= location and recovery of information from memory
What are 3 stages of memory?
1. Sensory memory - from sensory input By attention it becomes.... 2. Short-term memory When is encoded it becomes... 3. Long-term memory
In which stage of memory is maintenance rehearsal important?
short-term
What is needed to imprint something to long term-memory?
Attention Interest Emotional arousal connection with previous experience rehearsal
What are the divisions of long-term memory?
Which division of long-term memory do physiotherapists influence most?
Procedural memory (how to do something) Declarative memory (facts, data, events) which is subdivided into Episodic memory (personal experiences) and semantic memory (general factual information, the meaning of words)
Procedural
What is procedural memory?
What is priming?
skills, classical/operational conditioning, and priming
When one stimulus influences a response to another stimulus without conscious guidance are attention. It is when you presort.
What is anterograde amnesia?
What is retrograde amnesia?
anterograde= unable to store, retain new information Retrograde= unable to access memories that happened in the past
Which specific neuropsychological/cognitive problems do patients with stroke face?
orientation memory loss attention/concentration visual neglect aphasia/language information processing apraxia
Which specific psychological problems do patients with stroke face?
Depression
Anxiety (ongoing worries about illness, future, family)
Emotional instability: laughing or crying out of context
Indifference
Which specific neuropsychological problems do patients with Parkinson disease face?
concentration
dementia
psychosis (hallucination)
Which specific psychological problems do patients with Parkinson face?
Depression
Fatigue
Which specific neuropsychological problems do patients with multiple sclerosis face?
Processing of new information
concentration
memory (amnesia)
Which specific psychological problems do patients with multiple sclerosis face?
depression
fatigue
sleeping problems
What is depression?
What is the prevalence of depression?
what is the difference between men and women
a mood disorder: abnormal depressive mood which is inappropriate to the situation
5% of population
twice as many women as men suffer from depression
What is the prevalence of depression among CND patients?
40% of Parkinson patients suffer depression
40% of patients with CVA
and 50% of MS patients
