Flashcards in Vision and Cognition Deck (83)
The individual's capacity to acquire and use information in order to adapt to environmental demands
What is the roll of an OT in a medical team when working with a patient with cognition impairments?
Cognition in occupation, of course! Usually a TBI
T/F: The modern day approach to cognition is moving away from the idea that cognition can be divided into specific subskills
What are the 3 levels of the cognitive hierarchy
1. Primary cognitive capacities
2. Higher-Level thinking abilities
3. Metaprocessing Abilities
The lowest level of the cognition hierarchy
Primary Cognitive Capacities (Orientation, Attention, Memory). Seen as prerequisites to higher-level thinking abilities and to influence meta-processing.
What are the subsections within the Primary Cognitive Capacities?
1. Orientation: Awareness of self in relation to person, place, time, and circumstance (X4)
2. Attention (Limited Capacity)
3. Memory: Information storage and retrieval
-Sensory registers -> Short-term memory -> Long-term memory
Awareness of self in relation to person, place, time, and circumstance (X4)
Orientation. It is one of the primary cognitive capacities along with attention and memory
Deployment of mental resources for concentration
Attention. It is one of the primary cognitive capacities along with orientation and memory
The capacity to maintain attentional performance over time
Concentrates on one set of stimuli while ignoring competing stimuli
Allows person to respond to more than one task at a time-more complex
Flexibly shifting attention between multiple operations
Four types of attention
Sustained, selective, divided, alternating. Attention is one of the three primary capacities along with orientation and memory
Information storage and retrieval
Memory. Sensory registers to short-term memory to long term memory
Problem solving, reasoning, and concept formation are all...
Higher level thinking abilities. Middle of the cognitive hierarchy after primary capacities and before metaprocessing abilities
T/F: Higher-Level thinking abilities depend on Metaprocessing abilities
False. Higher-Level thinking abilities depend on primary cognitive capacities.
Identifying the problem, defining the problem generating possible solutions and select one, implement the preferred solution, and evaluate the outcome against the desired goal are all under the umbrella of...
Problem solving. One of the higher-level thinking abilities along with reasoning and concept formation
The three higher-level thinking abilities are...
3. Concept formation (ability to analyze relationships between objects and their properties.)
Why is it useful to assess problem-solving in a client?
Helpful in identifying where client may be having difficulty. But, everyday problem-solving does not always follow a specific sequence. Use a sequence to organize your observations rather than as "right" sequence
This cognitive ability allows you to draw inferences or conclusions from known or assumed facts and involves sequencing, classification and deductive and inductive reasoning
Reasoning. One of the three higher-level thinking abilities along with problem solving and concept formation.
The ability to analyze relationships between objects and their properties
Concept formation. One of the three higher level thinking abilities along with problem solving and reasoning
T/F: Executive functions and self-awareness are both primary cognitive capacities
False! Executive functions and self-awareness are metaprocessing abilities. Orientation, memory, and attention are primary cognitive capacities.
Self-awareness is necessary for the successful performance of unstructured multi-step occupational tasks and roles
False. Executive Functions are necessary for the successful performance of unstructured multi-step occupational tasks and roles
The four components to executive function are...
Volition, planning, purposive action, and effective performance.
Formulate goal or intention to act, plan (identify and sequence steps to move toward goal or end point), translation of intention into productive, self-serving activity...initiate, maintain, switch and stop sequences of complex behavior in orderly and integrated manner, monitor and self-correct
The ability to process information about the self and compare it to a longstanding self-evalution
Self-Awareness. One of the metaprocessing abilities along with executive functions
T/F: Observations of cognition during occupation are standardized
False. Observation of cognition during occupation should be non-standardized
In this assessment, a client performs 4 IADL activities with graded cues. The level of independence recorded and categorized into 5 executive function constructs (initiation, organization, sequencing, judgment and safety, and completion
The Executive Function Performance Test Assessment. E.g., client is asked to cook oatmeal while given cues
This assessment rates for independence, safety and adequacy and includes 26 core tasks, categorized into 4 functional domains (functional mobility, self care, IADL with cognitive emphasis and IADL with physical emphasis)
Performance Assessment of Self-Care Skills (PASS)
This treatment approach has an emphasis on self-discovery and is a performance-based, problem-solving, intervention approach
The CO-OP approach. Clients learn best when they succeed according to their OWN goals. Assists clients to develop an individualized approach to therapeutic treatment. Enables skill-acquisition (strategy use and guided discovery)