Cognition Flashcards

1
Q

Cognition?

A

Mental processes to used to receive and perceive information received from senses, and transform it into ideas and goal-directed actions.

1st = need Arousal
2nd = need Orientation
3rd = need Attention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Arousal?

A

The state of responsiveness to sensory stimulation

The ability to respond to sensory feedback
Eg) hot coffee = you know it will be hot so drink it slowly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Orientation?

A

Awareness of the current situation, environment and passage of time

  • Person
  • Place
  • Time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Attention?

A

Foundational cognitive skill
- Pre-curser to memory

We need it for memory, learning, active attention/process & usually guided by eye

Pre-frontal Cortex

f no pre-frontal attention difficult to work with = attention deficit, they cannot attend

If attention is an issue then we focus our attention first in treatment so the brain is attending to what is being said (GOAL #1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sustained Attention?

A

keeping attention on one thing over period of time

If don’t have a reason or motivation to do it then you lose interest

EG) Bryce—– Sustained = Raise you hand when hear a letter B
- Grade UP by saying hear letter G AND B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Selective Attention?

A

You think you have all the info but you are selective to what you observe & don’t get all the info

EG) Bryce—- Selective = reducing distractions
Take out all jacks & queens out of deck of cards
- Grade UP by have him talk to me while doing it or using more cards, or sequence cards from ace to king

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Divided Attention?

A

Attending to two SAME stimuli at once

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Alternating Attention?

A

Attending to one DIFFERENT task at a time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Memory?

A

The precursor for all learning
- if don’t have it they cannot learn something new

Sensory info -> Selective attn -> Encoding -> Storage -> Retrieval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Types of Memory?

A

Short-term memory:
Temporary storage of 7 chunks (+/- 2) of information

Working memory:

  • A mental work space, temporary storage and manipulation of info
  • Critical to FUNCTION (remember go to lab AND get a coffee on way)

Long-term memory:

  • Permanent storage
  • Declarative (facts & info) vs Procedural (how to get things done eg.laundry) memory

Prospective memory:

  • Remembering to perform a task in the future
  • Critical to function
  • Places high demand on working memory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Retrieval: Free Recall vs Recognition?

A

Free recall is good to have to be able to pull up the info you need

eg) needs to be well encoded(using lab) so when need to use them you can pull it up & use the info. eg. patient safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Recognition?

A

Recognition:
= 2 walkers, both silver, one 2 wheeled, one standard, which one did we use last time?
- if cant answer he didn’t encode it well so no free recall
- if doesn’t remember lifting walker but remembers dragging then this is you cuing to pullout the info so he remembers

  • **encoding is important so need to know as an OTA
  • if free recall/recognition is part on my role to determine where problem is so work around encoding so Joe remembers free recall. Joe will never be safe if we do not teach him this
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Abilities sequence - lowest to highest?

A
1 = orientation
2 = sustained
3 = divided
4 = recognition
5 = free recall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Learning?

A

Information processing that allows for

  • Encoding of NEW information
  • Retrieval of information

Trying to learn the brain something new when they brain is broken (just like hip precautions for a broken hip)

When treating for memory matching card games etc.. Is mean UNLESS you have done encoding because you haven’t taught them to do it any better

Need selective ATTENTION (selective sustained is better)
AWARENESS & INTEREST (why we are using this technique/working on memory, cause they often don’t remember why, so need this attention & interest to function)
ENCODING = MEMORY

If achieve working memory then it will be stored into long term then we use it to function every day

  • That is why this sequence is important for treatment
  • If do not have these 3 they don’t see why we do it & nothing will work, we need these 3 to encode,
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Strategies for Encoding?

A

Repetition (over & over) = the weakest strategy

Consolidation = based on information you already know (kindergarten) We build on it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ENCODING STRATEGIES FOR CONSOLIDATION?

A
Hear it, read it, practice it, visualize it
Reorganize
Write about it
Explain/teach it
Generalize to new examples/situations
Use information/skill in a new way
17
Q

Cognitive Assessment - OT & OTA role?

A
OT role:
Formal / standardized evaluation
Objective, quantifiable data 
Example:  MMSE, MOCA
Performance-based assessments

OTA role:
Performance-bases assessments
Functional implications of deficits
Activity analysis: Dependant upon observational and interviewing skills

18
Q

TREATMENT - Remedial Approach?

A

Remedial works best if functional

Cog retraining via practice, exercises AND simulation
Post-acute
Focus on specific areas of cognition
Use table-top & computer activities vs functional (specific-skills) training
Requires ++repetition and rehearsal
Goal:
client internalizes strategies or cues practiced, reducing the need for external/ environmental cues

19
Q

Approaches to Remediation (to learn something new)?

A

Priming
Previous exposure to a task improves perceptual and cognitive processing
Decreases response time and increases accuracy
Errorless learning
Perform the task without errors
Awareness training
Awareness of deficits commonly compromised
Predict performance and evaluate outcomes
Task-specific training
Observation of task completion, task analysis for barriers, consistent practice and cue fading
Use in combination with compensatory technique

20
Q

TREATMENT - Compensatory/Adaptive Approach?

A

Using skills that are intact to compensate for deficits
Utilize functional activities in realistic settings

External strategies:
Adapt the situation, establish routines, use assistive devices

Internal strategies:
Visual imagery, mental rehearsal, chunking, association, repetition, over-learning (automatic behaviour).

21
Q

How to combat Cognitive Fatigue?

A

Chunking,

lots of breaks,

Basic needs have been met(meds & food),

health care team – split to half session morning other half in afternoon