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Cognitive Eval > Week 13 > Flashcards

Week 13 Flashcards

1
Q

multidisciplinary outpatient program with focus on the treatment of cognitive deficits caused by a neurological condition

A

kessler’s cognitive rehab program

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2
Q

name the 7 CRP program types.

A
  • concussion
  • brain injury
  • revital cancer program
  • dementia
  • functional skills group
  • individual therapy
  • MS
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3
Q

name the 7 cognitive ability areas targeted in the CRP group.

A
  • processing speed
  • mental stamina
  • social skills
  • psychosocial adjustment
  • executive function
  • memory skills
  • self awareness
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4
Q

what is the average length of stay of the CRP traditional group?

A

2-3 months with transition to individual follow up sessions or functional skills group program

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5
Q

individuals must be able to tolerate therapy for how many hours for the CRP traditional group?

A

2-5 hours

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6
Q

in addition to group sessions, clients will also have what?

A

1:1 sessions with OT and ST to address individual goals and help to identify and refine strategy use

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7
Q
  • transition from traditional group program
  • direct referral to fx skills group for clients who need more functional approach vs didactic
  • functional tasks in a dynamic environment that best match real world experiences
A

CRP functional skills group

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8
Q

The CRP functional skills group provides clients with an opportunity to do what 3 things?

A
  • generalize strategies to functional tasks (far transfer)
  • adjust and modify strategies
  • facilitate carryover of strategies to community tasks and LTGs
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9
Q
  • mild cognitive impairments, considered “high functioning”
  • severe cognitive impairments such as poor attention, limited awareness, impaired short term memory, and behavioral issues
  • may need caregiver education and training for carryover to home/community
  • depending on case may transition to group therapy as progress is made
  • hourly sessions
A

CRP individual

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10
Q

name 3 possible diagnoses for the CRP individual sessions.

A
  • MCI
  • chemo-related cog. impairments
  • mild TBI/concussion
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11
Q
  • training in compensatory strategies for attention, memory, and EF deficits
  • gradual transition back to activities and responsibilities at home, work, school, and community
  • management of concurrent symptoms such as neurofatigue, pain, dizziness, anxiety
  • identify triggers, signs/symptoms, and management techniques
  • mental fatigue is a big component
  • develop gradual return to work or school plan and identify accommodations needed to return to these environments, approved by MD
A

CRP individual - concussion

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12
Q
  • compensatory strategy training, task specific training approach
  • training in strategies to manage IADLs at home, work, community
  • caregiver education and training
  • health and wellness - management of concurrent health problems
  • stress management techniques
  • development of meaningful activities and interest
  • establishment of physical activity and cognitive stimulating activities to routine
A

CRP - individual - MCI

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13
Q
  • functional treatment approach
  • compensatory strategy training
  • adaptation - environmental modifications/activity modifications
  • IADLs - training in strategies to enhance safety and independence
  • awareness may be limited
  • judgment may be impaired
  • caregiver training and education to facilitate carryover of strategies to home and ensure safety
  • establishment of meaningful activities in daily routine such as physical exercise, leisure interests, cognitive HEP
A

CRP individual - cancer rehab

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14
Q

name 4 causes of cancer-related cognitive impairments.

A
  • chemo medications
  • radiation
  • metabolic changes
  • hormonal changes
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15
Q
  • training in self-generated memory strategies for encoding of new information
  • generalization of compensatory strategies
  • energy conservation techniques
  • stress management - positive coping skills
  • address changes in IADL participation
  • development of strategies to maintain level of functioning for safety
A

CRP - MS program

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16
Q
  • individual therapy
  • moderate to severe cognitive impairments
  • emphasis on caregiver training
  • caregiver participation required at least 50% of the time
  • teach strategies for BADLs - such as self care, meal prep, daily routine, safety, dressing, hygiene
  • behavioral management training
  • task specific training, environmental adaptations, and compensatory strategy training
A

CRP fundamentals

17
Q
  • 4-8 weeks of individual treatment with family/caregiver attendance with focus on:
  • environmental modifications
  • task specific training
  • home safety
  • validation
  • meaningful activities and development of daily routine
  • caregiver training and education
  • emphasis on education, caregiver training, functional maintenance plan, resources for future planning/needs.
A

CRP dementia program

18
Q

name 5 roles of OTs in CRP.

A
  • assess and treat disorders of cognitive skills.
  • assess and treat ADLs and IADLs
  • provide family education and training
  • address pre-vocational skills and return to work goals as needed
  • make referrals for specialists, etc.
19
Q

name 4 examples of cognitive screening tools.

A
  • SLUMS
  • MOCA
  • Katz Basic ADL scale
  • MMSE
  • vision screening
20
Q

name 3 examples of cognitive domain-specific testing.

A
  • TEA
  • motor free visual perceptual test (MVPT)
  • rivermeade behavioral memory test (RMBT)
21
Q

name 5 examples of performance-based assessment tools.

A
  • EFPT
  • multiple errands test
  • PASS (IADL scale)
  • hopkins medication schedule
  • AR
22
Q

how often should re-evaluations be conducted?

A

every 4 weeks/30 days

23
Q

name the 5 core aspects of the OT intervention plan.

A
  • maintain
  • create or promote
  • modify
  • establish or restore
  • prevention
24
Q
  • client-focused
  • task/habit training
  • strategy training
A

direct intervention

25
Q
  • does not directly involve client
  • task adaptations
  • environmental modifications
  • caregiver training
A

indirect intervention

26
Q
  • work on same task, in the same way, using the same techniques until client masters that task
  • learn to perform the task again through repetition, practice, routine
  • transfer of learning is not expected
  • awareness is limited
A

task/habit training

27
Q

taught for the client to use in any context and for multiple cognitive limitations impacting OP

A

metacognitive strategies

28
Q

taught so that the client can compensate for specific limitations that impact OP across similar tasks such as taking notes to remember appointments and important information

A

domain-specific strategies

29
Q

name 4 ways to increase awareness.

A
  • self-monitoring
  • realistic goal setting
  • peer/family/therapist feedback
  • journaling
30
Q

what is particular difficult for the MS population?

A

encoding

31
Q

describe the importance of health history for the MCI population.

A

make sure they’re compliant with check ups, medications, nutrition, exercise, etc.

32
Q

describe the importance of social participation for the MCI population.

A

usually start to isolate themselves bc they’re embarrassed - social population is important to promote

Cognitive Eval (13 decks)

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