Full Course Description
Module 1 - Cognitive Rehabilitation: Therapeutic Strategies for Effective Intervention
Program Information
Target Audience
Counselors, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers, Speech-Language Pathologists, and other Mental Health Professionals
Objectives
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Articulate the six types of attention and their connection to cognitive-linguistic impairments.
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Connect behavioral manifestations with specific cognitive and/or linguistic disorders.
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Analyze appropriate tools for the assessment of attention, memory function and visuospatial function.
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Characterize the attributes of executive functions and explain their connection to other cognitive processes.
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Formulate functional short-term and long-term patient goals for the remediation of cognitive-linguistic impairments.
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Distinguish impairments to the arousal, attention, and awareness continuum across etiologies (right hemisphere damage vs. dementias and traumatic brain injury).
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Integrate the appropriate therapy tasks, exercises and games in patient treatment programs.
Outline
Cognitive-Linguistic Assessments
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Screening tools
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Cognitive evaluations (standardized and non-standardized)
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Language assessments (standardized and non-standardized as they apply to cognitive assessments)
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Rating scales (provider and consumer)
Cognitive Rehabilitation Techniques
Documentation of Skilled Services
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Justification for skilled, necessary and reasonable therapy
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ICD-9 / ICD-10 codes pertinent to SLP intervention
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SMART goals
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Outcome measures
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Key elements required for:
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Daily notes
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Progress notes
Attention
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Posner’s Theory of Attention
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Anatomic substrates of the attention system
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Attention subtypes
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Functional manifestations of inattention
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Interventions strategies for promoting improved attention across recovery continuum
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Remediation
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Wakefulness (stimulation management programs)
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Reduced agitation (validation therapy, environmental modification, positive psychology)
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Increased function (direct attention training with reflection)
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Compensatory strategies (partner-based supports, environmental interventions)
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Adaptation techniques (assisted prompting)
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Goal writing for attention deficits
Memory
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Anatomy of the memory systems
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Memory types
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Encoding / Consolidation / Retrieval
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Interventions for facilitating recall
Executive Functions (EF)
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Anatomic substrates of the EF system
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McCloskey’s Executive Functions
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Executive functioning hierarchy
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Self-activation
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Self-regulation
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Self-realization
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Self-determination
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Functional manifestations of EF impairments
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Specific focus areas for EF’s
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Strategies for reducing the effects of executive dysfunction
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Remediation (Reflection, video self-modeling, Ylvisaker’s Goal-Plan-Do-Review)
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Compensation (routines, environmental interventions, partner-based interventions)
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Adaptation (cognitive prosthetics)
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Goal writing for EF and problem solving
Visual Perceptual Function
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Anatomy of the visual system
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Warren’s Visual Perceptual Hierarchy
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Functional manifestation of visual perception deficits
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Therapeutic strategies specific to:
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Low vision
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Hemispatial neglect
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Remediation (known quantities, metacognitive/self-regulatory interventions)
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Compensation (environmental interventions, partner-based interventions, edgeness and bookness)
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Adaptation (visual/attentional prosthetics)
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Goal writing for visual perceptual impairments
Special Considerations
Specific Therapy Activities
Case Studies
Copyright :
02/19/2016
Module 2 - Cognitive Therapy for Dementia: Effective Evaluation & Therapeutic Interventions
Program Information
Target Audience
Counselors, Marriage & Family Therapists, Nurses, Nursing Home Administrators, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers, Speech-Language Pathologists, and other Mental Health Professionals
Objectives
- Communicate the differences between cortical and sub-cortical dementias.
- Evaluate and accurately stage the patient with cognitive impairment to inform clinical treatment interventions.
- Discriminate the forms of memory and the dementia diagnosis associated with each form.
- Utilize an appropriate iPad® application for cognitive therapy.
- Articulate one functional long-term goal and two functional short-term goals for cognitive therapy.
- Implement the appropriate therapeutic intervention strategies for different cognitive impairments.
Outline
Differentiation of Dementias
- Cortical & Sub-cortical
- Static or Dynamic/Reversible
Etiology of Various Dementias
- Alzheimer’s
- Parkinson’s
- Vascular Dementia
- Huntington’s
- Lewy Body
- Frontotemporal Dementia
- Wilson’s
- PSP
- Cerebral Degeneration
- Basil Ganglia Degeneration
Stages of Dementia/Clinical Staging
Identification of Models of Memory & Their Relationship to Dementia
- Etiology & Symptoms
- Sensory Memory
- Working Memory
- Declarative Memory
- Non-declarative Memory
Medicare Compliance, Medical Necessity, Goal Writing
- Jimmo v. Sebelius – Impact on treatment
Evaluation Tests
- Brief Cognitive Rating Scale
- Global Deterioration Scale
- St. Louis University Mental Status Test (SLUMS)
- Stroop Test
- Trails A & B
- Cognitive Linguistic Quick Test
- Scales of Cognitive and Communication Ability for Neurorehab (SCCAN)
- Environmental and Communication Assessment Toolkit for Dementia (ECAT )
- MCI Screen
- Allen Crosswalk & Cognitive Levels
Direct Therapeutic Interventions for Dementia
- Spaced Retrieval
- Priming
- Reminiscence Therapy
- Medications
- Montessori Principles
- Allen’s Techniques
- Chaining Techniques
- Attention Training Techniques
- Sensory Stimulation Techniques
- Errorless Learning Techniques
- Meta-memory Exercises
- Cognitive Rehab Dining
- Appropriate iPad® Apps for Cognitive Therapy
Indirect Therapeutic Interventions for Dementia
- Environmental Adaptations
- Assistive Techniques for Cognition
- Simulated Presence Therapy
- Linguistic Manipulations
- External Aids
- Caregiver Education
Copyright :
01/22/2016
Module 3 - Rehabilitation to Support Memory and Cognitive Decline: Effective Interventions for Managing the Aging Brain
Program Information
Target Audience
Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers, Speech-Language Pathologists, and other Mental Health Professionals
Objectives
- Assess the advantages/disadvantages of the three most commonly used cognitive assessments.
- Implement effective evaluation/treatment interventions in the management of memory/cognition decline.
- Implement assessment tools that quickly determine a patient’s ability to retain new information.
- Characterize at least six conditions/comorbidities that impact cognitive/memory function.
- Categorize normal vs. abnormal cognitive/ memory deficits through the aging process and implement appropriate interventions for each stage.
- Implement the evaluation tools related to cognitive/memory deficits that are best for determining driving ability and driving skills assessment.
- Communicate the most up to-date evidence based resource information for patient/family education.
Outline
Spectrum of Cognitive/Memory Decline: Latest Research
- Neuroplasticity
- Reversible causes
- Effect on Executive Function (EF)
- Cannabis use
Memory Loss and Cognitive Impact: Clinical Examples
- Normal memory/cognitive decline
- Mild Cognitive Impairment (MCI)
- Mild Alzheimer’s Disease (AD)
- Moderate AD
- Severe AD
- Relationship to EF
Cognitive Assessments: Hands on Activities
- MoCA
- SLUMS
- Trail Making
- MMSE
- ACLS
- Stroop Color
Interventions for Contributing Factors
- Depression and suicide: Assessments, referral needs, non-medication therapy
- Sleep issues: Sleep log, sleep hygiene program, environmental strategies
- Mental and physical inactivity: Brain stimulation activities, exercise programs/guidelines
- Vision and hearing loss: Sharpen your observational skills, referral needs, lighting strategies
Interventions for Independence and Safety Issues
- Falls: Computer-based training, decrease risk, increase reaction time, home safety checklist
- Driving: Assessment tools, strategies for cessation of driving, state requirements
- Medication: Self-medication management assessment tool, self-strategies for adherence, caregiver training
- Home Management: Adaptive equipment, strategies for home safety, appropriate discharge environment
- Communication: Strategies for working with caregivers and physicians
Interventions for Managing Memory/Cognitive Decline
- Physical Exercise: Best type, program implementation, shoes
- Communication: Creating stage appropriate handouts
- Computer-based Cognitive Training: Use and evidence-based outcomes
- Spaced Retrieval: Incorporating into treatment, baseline for patient education
- Compensatory Strategies: Lists, calendars, skill set money management
Education and Resources
- Caregiver: Burnout, support systems, community services
- Medicare Guidelines: Documentation requirements, assessment facts
- Web resources: Support groups
Copyright :
10/13/2017