Cognition

Question 1

Assessment for cognition

Answer 1

MoCA
Digit span / Trail making test
Wechsler Adult Intelligence scale

Question 2

Area of cognition

Answer 2

attention (sustained, selective, alternating, divided)
short term memory
working memory
time, place, person orientation
calculation
problem solving
decision making/judgement
lanuage
thought

Question 3

Mx of cognitive impairment
(Remedial approaches)
(Ideational apraxia)
(Ideomotor apraxia)

Answer 3

Utilizes structured or repeated practice of specific cognitive task and mental exercise (e.g. games, audio book, reading through laptop at home for attention and executive function)

Ideational apraxia:
difficulty with multiple-step task / inappropriate use of object

Tx: sequencing: Ask the client which clothing item should be selected next (socks or shoes?)

Ideomotor apraxia:
unable to imitate/copy a movement / cannot perform a verbal command

• internal mental rehearse
• visually imagine the steps before performing
• speak out loud to him/herself while executing the steps

Question 4

Mx of cognitive impairment
(Compensatory approach)

Answer 4

External strategies:
memory aids/ written instruction/ checklist/ day planner
- new technologies:
e.g.use smart phone

spread demanding tasks throughout the day → allow rest periods (scheduling); greater cognitive ability: in the morning, after rest

Setting up a quiet work space and free from visually distracting stimuli

break down task into smaller steps

minimize multitasking

allow increased time to complete tasks