Week 4 Lecture Flashcards
Name 2 assumptions of the Allen Cognitive Disabilities Model.
- OT and other disciplines cannot really change a client’s cognitive level (it’s pretty much static.)
- However, we can change the environment and adapt activities to meet pts. cognitive level (just right challenge). In order for client to be successful change their environment.
What is the Allen Cognitive Disabilities Model based on?
- Based on Piaget (theory of cognitive development) and Soviet psychology research.
- Based on task analysis and use of everyday tasks and crafts
- People functioning at this level are conscious and reflexes working but their level of awareness is markedly impaired.
- Characterized by automatic motor responses and changes in the autonomic nervous system.
- Conscious response to the external environment is minimal.
- Actions are spontaneous
- Most sensory cues are ignored.
- Introspection does not occur.
Allen Cognitive Disabilities Model - Level 1 - Automatic Actions
What is Level 1 of the Allen Cognitive Disabilities Model titled?
Automatic Actions
- Characterized by movement that is associated with comfort.
- There is some awareness of large objects in the environment.
- The individual may assist the caregiver with simple tasks.
Allen Cognitive Disabilities Model - Level 2 - Postural Actions
What is Level 2 of the Allen Cognitive Disabilities Model titled?
Postural Actions
- Begins with the use of the hands to manipulate objects.
- Motor actions are slow.
- May be disoriented.
- Focused on tactile cues and manual actions.
- Attention is restricted to what can be touched and manipulated.
- May be able to perform a limited number of tasks with long-term repetitive training.
- Fail to connect their manual actions to a purposeful goal.
Allen Cognitive Disabilities Model - Level 3 - Manual Actions
What is Level 3 of the Allen Cognitive Disabilities Model titled?
Manual Actions
- Characterized by the ability to carry simple tasks through to completion.
- Relies heavily on visual cues.
- Imitate a demonstrated direction one step at a time.
- May be able to perform established routines but cannot cope with unexpected events.
- There is very little initiative to find objects that cannot be seen.
- Needs visual samples.
- Memories of life histories may be disorganized.
- New goals for the future are unrealistic.
Allen Cognitive Disabilities Model - Level 4 - Goal-Directed Actions
What is Level 4 of the Allen Cognitive Disabilities Model titled?
Goal-Directed Actions
- Perceives all 5 senses
- A series of directions can be imitated, written directions can be followed to a limited extent.
- Characterized by overt trial and error problem solving.
- Inductive reasoning, exploratory behavior may uncover new effects that are evaluated, desirable effects are continued, undesirable effects are inhibited.
- Fail to anticipate errors, they fail to think before they act.
- New learning occurs.
- This may be the usual level of functioning for 20% of the population.
Allen Cognitive Disabilities Model - Level 5 - Exploratory Actions
What is Level 5 of the Allen Cognitive Disabilities Model titled?
Exploratory Actions
- characterized by the absence of disability.
- the person can think of hypothetical situations and do mental trial and error problem solving.
Allen Cognitive Disabilities Model - Level 6 - Planned Actions
What is Level 6 of the Allen Cognitive Disabilities Model titled?
Planned Actions
further define the levels bc they found that the 6 levels did not offer sufficient discrimination. allow the therapist to more precisely locate the patient’s function level.
Allen Cognitive Disabilities Model - Modes of Performance
Name the 6 levels of Allen Cognitive Disabilities Model.
- Automatic Actions
- Postural Actions
- Manual Actions
- Goal-Directed Actions
- Exploratory Actions
- Planned Actions
an aggregate; bits of info of the whole level
.0
distinctive characteristics of time and place; easily overwhelmed.
.2
consolidate the level; repeated use of the information. the classic description of the level.
.4
open to the next level; thought orientation shifts up.
.6
composite adds info from the next level but cannot understand how the pieces fit together; inflexible.
.8
Describe the Allen Cognitive Level Screening.
- 20 mins to administer.
- leather lacing task
- therapist demonstrates 3 different leather lacing stitches
Name the 4 different leather lacing stitches of the Allen Cognitive Level Screening.
- running stitch
- whipstitch
- whipstitch with 2 twist errors
- single cordovan stitch