Signs of

Unilateral neglect

using only one hand

don't cross midline

using one side of the stove for example...

No...

diplopia is double vision

What is this an example of...

Black buttons on a black shirt?

What is this an example of?

The person knows they need to do something. They can't start the task...

What does this scene describe?

The person's depth perception is off... They are over reaching or under reaching for objects. They will be self correcting when they noticed they didn't grasp object.

Diplopia - double vision (images overlapping)

What is this an example of?

Red line in a Left margin in a book. This is for someone with hemianopsia. You can use with inattention too, but they do not have the insight.

What is this an example of?

Not able to imitate mov't.

"executive" function-

Example of?

"I can't listen to lecture and take notes at the same time. I can't switch back and forth quickly enough."

What is this an example of?

" I can't brush my daughter's hair while talking on the phone. I can't do two things at once anymore."

How long it takes to move through a task.

attention

(first stage)

Retrieval probelm-

can be the result of damage to the language area (aphasia) or can occur directly to many areas of the brain

This is an example of a treatment for someone with _______problems:

Calendar with dates and times that you can use for scheduling appointments and other activites.

________ is the ability to use internal and external feedback to control and change your behavior. Often with frontal lobe damage, this ability may be compromised.

visual processing includes:

• balance
• strength
• loss of limb (or absence of limb)

1. Compensate for deficits
2. Decrease pain & weight bearing
3. provide sensory cues for balance
4. increase stability (BOS)

• offers more support

• involved side
• want to put less weight on their affected side

Hemi Walker-

wider base of support

used for pts. who are affected on one side.

• Crutches move faster
• more like a swing gate (nature gate)
• Can be used on stairs
• Younger pt. with upper body strength

Why does the USA use axillary crutches?

vs. Canadian crutch?

For people with a weaker UE what is the better option than crutches for a walking aid?

To use a four wheeled walker, what problem must a NOT person have?

What amt of weight bearing should they be able to do?

- balance problem

-FWB

What is this?

Why would you use it?

[image]Takes weight off the WRIST

Wrist fracture or RA. Bulky, people hate it. Requires more energy...

SMO

Supramalleolar

AFO

(ankle foot orthotic)

People who have weakness in their knee would use what kind of orthotic?

Knee Ankle Foot Orthotic

(KAFO)

Diagnoses: Paraplegia, CP, SB, SCI (low level), polio

HKAFO

(hip knee ankle foot orthotic)

Reciprocating gait orthosis.

Would this be an example of "functional ambulation?"

Carrying an object to the table.

This is an example of what?

Carrying groceries from the car to the house?

functional ambulation

1. Driving
2. Car transfer
3. Tub/shower transfer
4. Bed transfer
5. Mat/chair transfer
6. Bed mobility

What is the beginning of independent mobility?

(type of mobility from the hierarchy)

1. Multi-tasking
2. attn, memory, visual spatial, endurance, trunk control, weight shifting, visual scanning, head turning, & reflexes.

1. chronological
2. biological
3. social

• ADLs (taking care of yourself)
• Meaningful activity (IADL)
• Positive attitude

• Memory- slower at retrieval
• less visual input
• less auditory input
• increased time in recall and processing

What does the STOOP word test assess?

(Where the words are colors)

inability to recognize objects or identify item via visual imput only

1. Strong preference to age in place
2. physical environment can enhance or impede functional ability
3. potential mismatch between person and environment
   

• accessibilty
• functional mobility
• reaching and transporting
• awareness of risk
• safety judgment

1. avoidance of disease/disability
2. maintenance of cog. and physical capacity
3. Active engagement with life

• id individual goals
• determine factors that support or impede goals
• environment
• mobility options
• Fall risk

This is an example of what?

Matching present skills and interests with activities that are stimulating, challenging, enjoyable, goal directed, and purposeful.

Modification or substitution of activities

(Remediation)

What does this describe?

-unintentional, sudden change in position causing an individual to land at a lower level other than consequence of a sudden onset of paralysis, seizure, etc.

Female, Caucasian, Single, >80 yrs.

:(

What are the primary Cognitive Function according to the pyramid for the 

Basic Level?

aware of the environment, person, time.

Orientated X3

What is the hierarchy of Attention?

(five)

1. Arousal

2. Selective Attention

3. Sustained attention

4. Shifting attention

5. Divided attention

Working Memory

1. Semantic
2. Episodic
3. Procedural

-knowing appropriate behavior in different situations

-knowing how your cognition was affected after a TBI

This is an example of what?

"What do I know?"

Metacognition- the ability to think about what you think.

1. Multiple Errand Test (MET)

2. Executive Function Performance Test (EFPT)

1. sensory-perceptual memory

2. Short-term working memory or working memory

3.long-term memory

How would someone who is CONCRETE answer this question?

What brought you here today?

A car.

How would someone who is being ABSTRACT answer this question:

"What brough you here today?"

"My need to learn."

True or False

Cognitive impairment can be quite subtle and not easily recognized until the person has difficulty performing occupational tasks.

-To establish baselines

-To inform intervention and d/c planning

-To ID those who would benefit from a more detailed neuropsychological eval.

MMSE

MoCA

Cognistat

SLUMS

Trail-making A & B

Ability to successfully execute more than one action at a time. 

Ex: Someone can make soup and a sandwhich in isolation but cannot prepare both simultaniously. 

performing calculations in your mind.

This demonstrates _______memory.