Cognitive Disabilit Frame Of Reference Flashcards

1
Q

What is the purpose of the cognitive disability frame of reference

A

To describe intervention strategies

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2
Q

What does the information processing model consist of

A

Input-sensory Cue
throughput-information processing
output-motors response

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3
Q

What is the goal of the cognitive disability frame of reference

A

To improve the clinicians ability to collaborate with individuals with cognitive impairments and with their caregivers to find ways to help them participate in the highest level they can

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4
Q

What do the six cognitive levels measure

A

The ability to perform daily routine tasks

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5
Q

Cognitive level one

A

Automatic actions
conscious awareness is significantly significantly impaired
can chew food, drink liquids
sensory cues ignored
motor actions have no purpose
total assistance is needed 24 hours a day

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6
Q

Cognitive level two

A

Postural actions
Sensory cues that capture attention are proprioceptive Cues
will move to increase comfort or decrease pain
can assist with hygiene (move arm or leg)
Aimless pacing
24-hour supervision
attention for about 5 to 10 minutes

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7
Q

cognitive level three

A

Manual actions
Tactile cues capture the attention of an individual
repetitive actions
focus on actions not outcomes or goals
attention is easily diverted by other cues and environment
24 hour supervision is recommended to remove excess of danger learning is not expected at this level
keep environment simple

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8
Q

Cognitive level four

A

Goal directed action
attention is directed to visual cues as well as tactile
Aware of short-term goals
actions become goal directed
familiar activities can be done independently
can follow step-by-step instructions
relies on visual cues need to be shown want to do
without supervision frequent health problems or injuries are common

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9
Q

Cognitive level five

A

Exploratory actions
individual learns by doing or being shown
trial and error is typical
Errors are understood after action is performed
Can live independently with periodic assistance
sensory cues-relationship between events

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10
Q

Cognitive level six

A

Considered normal adult functional cognitive level
Can live independently
can anticipate events
pauses to think
attention is captured by spoken or written instructions visual images diagrams
Asks questions

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11
Q

What are the modes of performance

A

They were added to the six cognitive levels and are more sensitive and descriptive to small changes
more sensitive measure of cognitive ability that emphasize the persons remaining abilities on an ordinal scale that is cumulative

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12
Q

What are the assessment tools in the cognitive disability frame of reference

A
Interview 
Alan cognitive level screen 
lower cognitive level screen 
large Allen cognitive level screen 
routine task inventory 
Allen diagnostic modules 
cognitive performance test
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13
Q

What is the Allen cognitive level screen

A

Visual motor tasks of leather lacing that provides an estimate of the persons ability to learn to do other visual motor tasks

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14
Q

What is the lower cognitive level screen

A

Assesses levels one and two

asks individuals to imitate a motor action

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15
Q

Who is the large Alan positive level screen used for

A

individuals with impaired vision or impaired fine motor skills

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16
Q

What does the routine task inventory do

A

Evaluates ability to perform routine tasks through direct observation and interview
Assists in interpreting cognitive levels

17
Q

What is Alan diagnostic modules

A

Instruction manual with a selection of craft projects correlated with the cognitive performance modes

18
Q

What does the cognitive performance test assess

A

Cognitive levels in individuals with Alzheimer’s (adls)

19
Q

What is your biggest concern with individuals with a cognitive disability

A

Safety

20
Q

Interventions for those with cognitive disability

A

Assistance
environmental adaptation
adapting task demands

21
Q

What is the major focus in this model of practice

A

Environmental adaptation and caregiver education

22
Q

What is the expected outcome of the post acute phase

A

Recommendation of the least restrictive environment the person can function in safely at time of discharge

23
Q

What is the outcome in intervention rehabilitative phase

A

Individual will use remaining abilities to fit back into routine community activities in spite of cognitive disability

24
Q

Settings for OT intervention with cognitive disability frame of reference

A
Mental health 
partial hospitalization 
skilled nursing facilities 
home health
Pediatrics
General Hospitals
25
Q

Who created the cognitive disability frame of reference

A

Claudia Allen