The Context for Treatment of Cognitive-Communicative Disorders Flashcards
Treatment Team
SLP, PT, OT Neurologist Physiatrist (Rehab medicine doctor) Neuropsychologist- cognitive function Social Worker Recreation Therapist-therapeutic arts and crafts Clinical Psychologist/psychiatrist Dietician- nutritional needs
Candidacy for treatment depends on:
5
Amount of brain injury Medical and physical condition patient's motivation response to trial therapy financial resources/funding
Characteristics of a Treatment Session
In early stages of recovery, use short sessions (15-30 minutes) and lengthening sessions as patient can tolerate. May work on only one objective initially and extend to more as patient can tolerate
Format of session
Opening-general chatting
Do easy tasks
Do goal-directed work using stimuli, response, feedback model
Cool down with tasks patient is familiar with to start and end with success
As complexity increases
patients performance declines
Stimuli should be
presented with stimuli with greater clarity & intelligibility. Don’t give ambiguous visual or auditory stimuli whether
What should you do to manipulate stimuli
redundancy and context
make stimuli novel and interesting
Cues (phonemic, rhyming, semantic)
Increasing salience (prominence) & intensity (strength)
Response Manipulation for Delay
Immediate memory problems of pts often make it hard to hold information for more than a few seconds. A patient will do better if allowed to respond immediately to a stimulus than if a delay is imposed.
Relative level of impairment approach
determine strengths/weaknesses the build on strengths
Fundamental processes approach
Identify underlying processes related to linguistic/communicative abilities
Functional abilities approach
Emphasizes those skill necessary for functional daily life, for example: establishing reliable yes/no responses
For Instruction and Feedback
Use simple, understandable language, clear and concise. Demonstrate what you want the patient to do.
Incentive feedback
Used to increase frequency of a desired behavior (making eye contact) or to reduce an unwanted behavior (perseveration). The type of incentive feedback depends on what would be an incentive for that individual.
Information feedback
give information about correctness of responses.
Baseline-treatment design
measure patient performance several times before treatment then measure after treatment, helps to see if change occurs is related to treatment
