- Shayla Haynes
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Signs/Characteristics
- • Inability to do simple tasks
- • difficulty in initiating/completing a task
- • difficulty in switching from one task to the next
- • diminished capacity to locate visually or to identify objects necessary for task completion
- • inability to follow simple one step instructions, despite apparently good comprehension
- • may make the same mistakes over and over
- • activities may take an extremely long time to complete or they may be done impulsively
- • may hesitate many times, appeared distracted & frustrated, & exhibit poor planning
- • frequently inattentive to one side of the body & extrapersonal space, & may deny the presence or existence of their disability
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Cognitive Deficits
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Attention Disorders
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4 Types of Attention
- Sustained
- Focused/Selective
- Alternating
- Divided
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Memory Disorders
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Levels of Memory
- Immediate Recall
- STM
- LTM
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Higher-Order Cognition Deficits
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Executive functions
- Volition
- Planning
- Purposive Action
- Effective Performance
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Perception Deficits
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Body Scheme/body image disorders
- Unilateral neglect
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Somatoagnosia
- Inability to ID/orient one's body parts or others'
- Right-Left Discrimination
- Finger Agnosia
- Anosognosia
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Spatial Relation Disorders
- Difficulty perceiving relationship between self & 2+ objects
- Figure-Ground Discrimination
- Form Discrimination
- Spatial Relations
- Position in Space
- Topographic Disorientation
- Depth and Distance Perception
- Vertical Disorientation
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Agnosias
- Can't recognize object w/1 sensory but can with other sensory
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Apraxia
- Impairment of voluntary skilled learned movement
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Ideomotor Apraxia
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Disconnect between idea of movement & its motor execution
- can't move on command but can move automatically
- Buccofacial Apraxia
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Ideational Apraxia
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Failure in the conceptualization of the task
- can't move on command or automatically; doesn't know how to do it
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Standardized Tests
- MOS
- SF-36
- TOM
- COPM
- RNL
- FIM
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Intervention/Treatment
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Retraining/Transfer-of-Training Approach
- skills learned from one task can generalize to others
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Sensory Integrative Approach
- adaptive responses influence the way the brain organizes & processes sensation-->enhanced learning ability
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Neurofunctional Approach
- Retraining Real World Skills
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Functional Approach
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Cognitive Approach
- Training to structure & organize info & carryover to functional activities
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KR vs KP
- KR-Correct outcome Attained?
- KP-How task accomplished?
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Memory Retraining
- Remedial Approach
- Compensatory Approach