Cognitive Rehabilitation Therapy: Practical Interventions & Personalized Planning – Jane Yakel

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he United States is facing a situation without precedent: more than 16 million people are living with cognitive impairments and the World-Health Organization estimates that the number will increase to over 30 million by the year 2050, with fewer and fewer people available to care for them. Successful cognitive rehabilitation is crucial to improving overall quality of life—for the patient, family, and caregiver.

In this innovative recording, you will receive instruction in 101 evidence-based techniques, strategies and interventions for all levels of cognitive impairment. Whether a patient presents with a mild or severe cognitive impairment, this seminar teaches which approach to take and which avenue of interventions to pursue. You will be presented with techniques that will change the brain’s neuroplasticity, as well as offer compensatory strategies, and/or enhance a patient’s procedure memory. This recording emphasizes the importance and effectiveness of creating highly individualized treatment strategies and provides attendees with the needed skills to choose and adapt techniques into tailored, personalized therapy plans. Active case studies will be examined and participants will learn to design a patient profile with therapy interventions and goal documentation.

1. Compare and contrast the appropriate application of direct, indirect and patient-centered cognitive therapeutic approaches
2. Determine cutting-edge therapy interventions utilizing state-of the-art memory techniques designed to change the brain’s neuroplasticity
3. Apply “meaning” to everyday therapeutic tasks to increase patient participation, engagement and functional outcomes
4. Identify patients “Levels of Awareness” and their self-efficacy level, discussing treatment techniques that facilitate acceptance and outcomes
5. Discuss how medications can be utilized as a direct therapeutic intervention for degenerative neurological diseases
6. Explain how to document patient-centered goals, measure progress, and justify medical necessity 

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

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