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Digital Seminar

Functional Cognitive Activities for Adults with Brain Injury or Stroke: A Sequential Approach


Faculty:
Rob Koch, BS, OTR/L,
Duration:
5 Hours 44 Minutes
Format:
Audio and Video
Copyright:
Feb 24, 2016
Product Code:
WDS020145
Brochure Code:
WDPTBRAIN2-V3
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
 Purchase Additional Participant CE »

Description

Progressing from the Clinic to the Community

Typical therapy approaches used for rehabilitation of adults with cognitive deficits due to brain injury or stroke target primary cognitive sub-skills (memory, orientation, attention, etc.) in isolation. Therapy methods normally include tabletop activities, computer training, and pencil/paper tasks to improve underlying cognitive impairment. However, the learning associated with these methods does not always translate to the world outside the clinic. Patients may become frustrated with their lack of progress or find themselves unable to perform necessary tasks once they return to their home environment.

This recording introduces an innovative, alternative, and effective approach to TBI and stroke rehabilitation. It proposes that therapists dealing with cognitive deficits conduct therapy sessions that steer away from work on primary cognitive skills in isolation and switch to having the patient perform comprehensive activities in "real-life" environments. This is accomplished by utilization of a graded sequence of functional therapy activities. The main concept behind this approach is that three global factors influence the patient's "real-life" functioning. These factors include the awareness and management of interpersonal relationships, the environment, and time constraints. Therefore, therapy activities in this sequence have been structured to interweave the three global factors so that the patient interacts dynamically with other people, physical space, and time parameters during sessions. As the patient improves, expectations for sessions change as environmental demands increase and tasks become more complex. The levels of the sequence pertain to patients ranging from inpatient rehabilitation to those in community reintegration. Leave with a better understanding of how patients' successes in cognitive rehabilitation require a multidisciplinary effort, as well as an emphasis on "real-life" activities, to achieve maximum independence.

Credits


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6.0 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6.0 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Physical Therapists, Physical Therapist Assistants - Arkansas

This program has been approved by the Arkansas State Board Of Physical Therapy for 6.0 contact hour(s) for Physical Therapists.


Physical Therapists, Physical Therapist Assistants - District of Columbia

This program has been approved for 6.0 continuing education credit(s) by the District of Columbia Board of Physical Therapy for Physical Therapists. 


Physical Therapists, Physical Therapist Assistants - Illinois

is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 6.0 CE Credit Hour(s).


Physical Therapists, Physical Therapist Assistants - Indiana

This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.



Handouts

Faculty

Rob Koch, BS, OTR/L, Related seminars and products


ROB KOCH, BS, OTR/L, has been in clinical occupational therapy practice for more than 30 years, working with people of all ages with a diverse range of diagnoses. He spent the first 11 years of his career in Utah working in developmental disabilities. There, he specialized in adapting activities and learning environments for people who have severe multiple handicaps, as well as creating several published software programs that provide better opportunities to actively participate in learning.

For 22 years, Mr. Koch worked in inpatient and outpatient neurological rehabilitation in North Carolina where his occupational therapy practice included extensive emphasis on promoting the skilled use of functional therapy activities to optimize the independence of patients with CVA, ABI, and SCI. This focus resulted in the creation of Functional Therapy Activities, a CD-ROM for use in adult neurological rehabilitation. He currently practices in a skilled nursing facility working with persons in rehab and long-term care with a variety of cognitive deficits.

Over the last decade, Mr. Koch has been developing a functional approach to improving the lives of patients with cognitive deficits due to brain injury and stroke. This approach – utilizing a sequence of functional, "real-life" activities to promote independence – is presented in detail in this seminar.

Disclosure:
Financial- Functional Therapy Activities CD and website, and receives a speaking honorarium from Vyne, LLC.
Nonfinanical- No relevant nonfinancial relationship exists.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Occupational Therapists, Occupational Therapy Assistants, Physical Therapists, Physical Therapist Assistants, Speech-Language Pathologists, Activity Professionals, Recreational Therapists

Objectives

  1. Examine a sequence of functional therapy activities to use with adults with cognitive deficits due to brain injury and stroke
  2. Plan therapy sessions that emphasize real-life tasks and move away from tabletop activities
  3. Select meaningful therapy activities that match the patient's interest areas and occupations
  4. Evaluate abilities and document progress by considering performance of real-life tasks in natural environments
  5. Assess how to grade and adjust the therapy environment to accommodate various levels of cognitive deficits
  6. Develop realistic caregiver instructions that support the rehabilitative process in the home
  7. Discover how this therapy approach can be applied by multiple disciplines to promote progress

Outline

DEVELOPMENT OF THE APPROACH
  • The foundation of this approach
  • What is functional activity?
  • The three global elements of "real-life" activity
    • interpersonal awareness and management
    • environmental awareness and management
    • time awareness and management
MODELS OF INTERVENTION FOR COGNITIVE REHABILITATION
  • Remedial vs. compensatory vs. combination approaches
  • Multidisciplinary implications
    • apply this approach across disciplines
  • coordinating the effort to increase patient's independence
FUNCTIONAL COGNITIVE EVALUATION
  • Establishing levels
  • Low-level tasks
  • Mid-level tasks
  • High-level tasks
  • Awareness and emotion
SETTING GOALS AND MEASURING PROGRESS
  • Progress checklists
  • Functional goal setting
ACTIVITY DESIGN, SETUP AND IMPLEMENTATION
  • Preparing for sessions in advance
  • Ready-made materials
  • Grading the environment
  • Relevance to patient's interests and occupations
  • Applications for the teenage population
CAREGIVER SUGGESTIONS
  • Follow through in the home
  • Ideas for community reintegration
OVERVIEW OF THE EIGHT ACTIVITY LEVELS
  • Level 1: Initiating the Next Step
  • Level 2: What Time is It?
  • Level 3: Looking Around
  • Level 4: Follow a Time Schedule
  • Level 5: Beyond the Room
  • Level 6: Organize the Therapy Session
  • Level 7: Out the Door
  • Level 8: Planning/Multitasking
DETAILED DISCUSSION OF EACH OF THE EIGHT ACTIVITY LEVELS ABOVE
  • Specific activities at each level
  • Contrast characteristics of activities between levels
  • Case examples
  • Time awareness and management factors
  • Environmental awareness and management factors
  • Interpersonal awareness and interaction factors

Reviews

5
4
3
2
1

Overall:      4.2

Total Reviews: 69

Comments

Angela S - Morganton, North Carolina

"Great treatment ideas, examples!! Can use lots of the info Immediately with my patients and can't wait to build on our small grocery shelf!"

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