1. Interfering
medical stability
fac- tors with
-medical issues, such as metabolic, pulmonary, endocrine, and sleep
cogni- tive
dysfunction can compromise cognition
function
Impairments of emotional and behavioral control can result directly
from:
-damage sustained directly to the brain
-diflculties adjusting to deficits
-pre-existing factors
-a combo of these
-depression is a common co-morbid condition to a brain injury
-aggression, irritability, non compliance and emotional lability are
commonly seen after frontal lobe damage
2. Principles
-important to view both cog skills and their remediation as hierarchical
Cogni-
and in-
tive rehabilitation ter-related
-basic cog skills should be addressed before higher level
-less complex treatment should supersede treatments of greater
complexity
-hierarchical approach should target attention, perception,
categorization, abstract thinking, and memory to restore/reorganize
impaired cognition
3. Compensator -assumes certain cognitive functions cannot be recovered due to
y approach damage
to cognition -focuses on development of strategies to accommodate limitations (ie:
planners, checklists, smart phones)
-a functional application is essential
4. Coma-
emergent -incorporate both medication and behaviorally based interventions
treatment -often the safest and most eflcient technique for dealing with this type
of agitation in a behavior based manner is through environmental
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, CBIS Neurocognitive Issues Study Guide Test.
management
-the focus is on ottering a
quiet, organized, and
structured environment
with limited and carefully
managed stimulation
-the stability triangle
provides a guiding
philosophy for the
development of a
comprehensive
treatment plan
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