Cognitive disorders often accompany traumatic brain injury and other neurological disorders. The cluster of deficits can interfere with activities of daily living, goal attainment, and safety.
 Kimberly R. Wilson – A Home Health Approach to Traditional Rehabilitation
THE HOME HEALTH MODEL
Definitions
Benefits and limitations
Clientele
Elderly
Sufferers of debilitating physical or mental illness
Military service members
Differences from traditional therapy
COGNITIVE DEFICITS
Causes
Symptoms
Types of deficits
Differentiations between cognition and executive functio
CREATING A PATIENT-CENTERED ENVIRONMENT
Assessment
Standardized evaluations
Traditional
Computer-based
Clinical observation
Key elements to survey
Home evaluation
Diagnosis
Severity
Critically thinking about the results of assessment and clinical observation
Impacting factors
Medication
Pain
Family dynamics
Mental or behavioral health issues
Treatment
Patient-centered goals for the clinician and patient
Strategies
Home modification
Home Cognitive Exercise Program
High level therapy models
Return to work or school
Hobby-based
EDUCATION
Patient
Family or support system
Staff
CASE STUDIES
Rehearse application of the principles of patient-centered care
Stroke
Dementia
Traumatic Brain Injury
Practice all phases of patient-centered care
Assessment/diagnosis
Treatment
Discharge
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Description:
Cognitive disorders often accompany traumatic brain injury and other neurological disorders. The cluster of deficits can interfere with activities of daily living, goal attainment, and safety. Due to the nature of cognitive disorders, it can also interfere with progress in physician ordered therapy to improve functional skills of daily living and safety.
The decreasing inability to attend to, process, or recall information, and difficulty problem solving while executing a task can result in increased frustration and decreased quality of life for those with cognitive impairments. The families of these patients often have increased anxiety related to their loved one’s safety in independent living, and feel helpless in aiding their loved ones in boosting cognitive success in daily life. Accurate assessment and diagnosis coupled with an individualized treatment plan is crucial to improving a patient’s safety and quality of life.
In this recording, clinicians will learn how to create a patient-centered environment that facilitates increased practicality in assessing and treating cognitive disorders. In addition to providing an overview of the characteristics of cognitive impairments, clinicians will learn functional ways to track client progress and to facilitate increased generalization of techniques from the clinical setting to the patient’s home setting. Lastly, clinicians will take away practical tips on how to educate and incorporate the patient’s family in therapy for continued cognitive success long after discharge from formal cognitive rehabilitation.
