Cognitive Rehab

Question 1

Cognition is essential for

Answer 1

independent living

Question 2

causes of cognitive dysfunction

Answer 2

tumor
trauma
infection (anoxia)
toxins
disease

Question 3

Cognitive Rehabilitation Therapy (CRT)

Answer 3

relearning cog skills that have been lost, or newly taught for compensating for lost functions

Question 4

CRT 2 methods

Answer 4

1. Remediation: reestablishing previously learned behaviors, assume generalization
2. Adaptation: establishing new patterns of cog activity or compensatory mechanisms, not focus on impairments, function only

Question 5

4 components of CRT

Answer 5

1. awareness
2. process training
3. strategy training
4. functional activities training

Question 6

history of CRT

Answer 6

70s-80s - remediation, assumed generalizable to improved ADL (doing a puzzle to making a meal)

80s-today - function, compensation, adaptive equipment, task specific

Question 7

integrated functional approach

Answer 7

challenge impairment via function

Question 8

example/explanation of how integrated functional approach works

Answer 8

if you work on the impairment during function (work on feeding, with goal of <2 cues to also work on attention), you increase that function AND may also decrease the impairment

rather than just focusing on the impairment, you won’t increase function and may not necessarily decrease the impairment

Question 9

3 principles of neuroplasticity

Answer 9

1. repetition
2. task specificity
3. intensity

Question 10

strategic approach

Answer 10

goal: to improve a functional skill/independence
focuses on generalization to other tasks
using a checklist, memory notebook

Question 11

task specific approach

Answer 11

procedural learning, automaticity

making favorite meal in the same location and same sequence

Question 12

how to determine which approach is appropriate

Answer 12

if they have poor learning ability/insight: task specific with repetition

if they have great insight and problem solving: strategic approach with functional goals

Question 13

research supports which approach

Answer 13

strategic

means to compensate for deficits, better likelihood of generalizing outside the tx setting

Question 14

external strategies

Answer 14

visual, auditory, tactile cues

planner, computer systems, cue cards, alarm clock, post its

Question 15

internal strategies

Answer 15

self cueing

mnemonics, visual memory, meaningful connections

Question 16

greatest challenge in cog rehab

Answer 16

generalization

Question 17

strategies to enhance generalization

Answer 17

1. avoid teaching activity in same context
2. practice same strategy across multiple tasks and contexts
3. metacognitive training (recognize errors and adjust)
4. meaningful and realistic activities
5. start where you mean to end