COGNTIVE DISABILITIES

Question 1

Methods of assessment for Claudia Allen’s Cognitive Disabilities model

Answer 1

• ACL (levels 3-5)
• Routine Task Inventory

Question 2

Which Assessment gives you the most information about ADL performance?

Answer 2

Routine Task Inventory

Question 3

Primary methods of Allen assessments

Answer 3

Interview and Observation

Question 4

Who gives leather lacing evaluation?

Answer 4

OTR

Question 5

Can COTA perform leather lacing evaluation?

Answer 5

Performed by an OTR, COTA may assist in data collection and interview. With service competency training, the COTA may also administer the ACL.

Question 6

Populations that ACL assist

Answer 6

Psychiatric D/O
- Schizophrenia
- Mood D/o
- Dementia
- Substance Abuse
can be used in phys dys

Question 7

Concepts from Allen’s model

Answer 7

Impaired Thinking affects tasks performance

Question 8

Cognitive Level I

Answer 8

Automatic Actions

Conscious but profoundly disabled. Stares, may sit, walk or chew with simple commands.

OT: one action at at time - use physical contact to start an action

Question 9

Cognitive Level II

Answer 9

Postural Actions

Actions related to comfort and discomfort.

Shortens attention span of less than 10 mins

Unaware of movements. Sits and initiates some gross motor actions.

Assume bizarre positions or perform strange-looking movements.

OT: use simple sensory motor activities - use familiar objects - repetition

Question 10

Cognitive Level III

Answer 10

Manual Actions

Pointless manipulation of objects. Behaviors may be inappropriate or not goal-directed.

Capable of repetitive actions (spontaneous motor actions)

OT: enjoys repetitive hand movements - action more than product, have demonstration

Question 11

Cognitive Level IV

Answer 11

GOAL DIRECTED

Goal directed with cues. Needs visual cues. what is not in plain sight is often ignored

OT: verbal directions, can use simple tools, motivation is by the product rather than just the motions

Question 12

Cognitive Level V

Answer 12

Exploratory Actions

Failure to think before acting. Trial and error problem solving. Impulsive or careless

OT: clients benefit from social skill training, learns most demonstrated skills, can use hand tools, can process trial and error mistakes

Question 13

Cognitive Level VI

Answer 13

PLANNING AHEAD

Thinks before acting, can predict consequences of behavior. Has attention sensory cues, independent and organized

Question 14

Cognitive Disability

Answer 14

a disturbance in mental functions that guide motor actions

Question 15

Precautions for Allen’s Cognitive Disability Model

Answer 15

1. Do not label the person with a cognitive level since this level fluctuates
2. Let the client do as much for himself as possible – just structure the environment to facilitate improved performance.

Question 16

Types of cognitive assistance described by Claudia Allen

Answer 16

FACILITATE: use sensory cues appropriate to the person;s level of function

PROBE: ask task-focused questions to increase problem - solving

OBSERVE: allow adequate time for the person to process information and try out possible strategies.

RESCUE: only when frustration arises. can either correct the person’s error of do the next step.

NEVER DO FOR THE CLIENTS WHAT THEY CAN DO FOR THEMSELVES.