Week 13 Flashcards
multidisciplinary outpatient program with focus on the treatment of cognitive deficits caused by a neurological condition
kessler’s cognitive rehab program
name the 7 CRP program types.
- concussion
- brain injury
- revital cancer program
- dementia
- functional skills group
- individual therapy
- MS
name the 7 cognitive ability areas targeted in the CRP group.
- processing speed
- mental stamina
- social skills
- psychosocial adjustment
- executive function
- memory skills
- self awareness
what is the average length of stay of the CRP traditional group?
2-3 months with transition to individual follow up sessions or functional skills group program
individuals must be able to tolerate therapy for how many hours for the CRP traditional group?
2-5 hours
in addition to group sessions, clients will also have what?
1:1 sessions with OT and ST to address individual goals and help to identify and refine strategy use
- 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
CRP functional skills group
The CRP functional skills group provides clients with an opportunity to do what 3 things?
- generalize strategies to functional tasks (far transfer)
- adjust and modify strategies
- facilitate carryover of strategies to community tasks and LTGs
- 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
CRP individual
name 3 possible diagnoses for the CRP individual sessions.
- MCI
- chemo-related cog. impairments
- mild TBI/concussion
- 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
CRP individual - concussion
- 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
CRP - individual - MCI
- 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
CRP individual - cancer rehab
name 4 causes of cancer-related cognitive impairments.
- chemo medications
- radiation
- metabolic changes
- hormonal changes
- 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
CRP - MS program
- 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
CRP fundamentals
- 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.
CRP dementia program
name 5 roles of OTs in CRP.
- 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.
name 4 examples of cognitive screening tools.
- SLUMS
- MOCA
- Katz Basic ADL scale
- MMSE
- vision screening
name 3 examples of cognitive domain-specific testing.
- TEA
- motor free visual perceptual test (MVPT)
- rivermeade behavioral memory test (RMBT)
name 5 examples of performance-based assessment tools.
- EFPT
- multiple errands test
- PASS (IADL scale)
- hopkins medication schedule
- AR
how often should re-evaluations be conducted?
every 4 weeks/30 days
name the 5 core aspects of the OT intervention plan.
- maintain
- create or promote
- modify
- establish or restore
- prevention
- client-focused
- task/habit training
- strategy training
direct intervention
