Cognitive Rehabilitation Therapy from Jane Yakel

Outline:

CRUCIAL ELEMENTS FOR TREATING THE COGNITIVELY IMPAIRED

IDENTIFICATION AND TREATMEMT OF:

• Self-Awareness: Diagnose levels of, and treatment for patient awareness/insight and acceptance
• Self-Efficacy: Identify four major sources to increase patients self-belief
• Ownership: Interventions to increase patient participation and engagement
• Meaningful Therapy Theory: Making therapy personal!
• Patient self-rating scales

COGNITIVE THERAPEUTIC APPROACHES

• Direct therapy
• Indirect therapy
• Patient-centered

NEUROSCIENCE APPROACHES TO THE MEMORY SYSTEMS

• Declarative/Explicit/Conscious
• Non-Declarative/Implicit/Unconscious
• Work within the correct memory system for diagnoses

MEDICARE COMPLIANCE/MEDICAL NECESSITY/GOAL WRITING/DAILY DOCUMENTATION

• Components of a defensible, skilled goal
• Daily skilled terminology
• Measuring progress and justifying medical necessity

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CHANGING NEUROPLASTICITY

• Direct Therapeutic Intervention for High-Level Cognitive Impairment
  • Attention Systems: Essential for learning
    • Selective Attention
    • Focused Attention
    • Sustained Attention
    • Divided Attention
    • Directed Attention
    • Shifting Attention
  • Visual Processing Systems and How to Maintain Them
    • Visual Cognition
    • Visual Memory
    • Pattern Recognition
    • Scanning
    • Visual Attention
    • Oculomotor Skills
    • Visual Fields
    • Visual Acuity
  • Information Processing Systems:
    • Relating them to function
    • Processing Speed
    • Processing Control
    • Processing Capacity
  • Memory Interventions for Neuroplasticity Changes in the Brain
    • Method of Loci
    • Visual Imagery
    • Chunking
    • Association
    • Mental Organization
    • Linking
    • Elaboration
  • Memory Interventions for Compensation Interventions
    • Acronyms, Acrostics
    • Rhymes, Rhythms, Rote
    • Rehearsal and Curve of Forgetting

DIRECT THERAPEUTIC INTERVENTIONS FOR DEGENERATIVE NEUROLOGICAL DISEASES/DEMENTIA

• Spaced Retrieval Therapy
• Errorless Learning Techniques
• Montessori-Based Therapy
• Ability-Based Approaches/Therapy
• Reminiscence Therapy
• Memory Books/Aids
• Allen Cognitive Techniques
• Medications

DIRECT THERAPEUTIC INTEVENTIONS FOR PATIENT COMMUNICATION

• Validation Therapy
• Redirecting Therapy
• Reflective Listening

INTERACTIVE CASE STUDIES

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