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The Components of Cognitive Rehabilitation
Retraining of the cognitive processes:
- Attention/concentration
- Perception
- Memory
- Communication
- Visual/spatial
- Executive functions
- Motivations
- Adherence to other therapies
Psychotherapy to address the psychological aspects:
- Egocentricity
- Poor self control
- Social dependency
- Personality changes
- Reduced self awareness
- Inability to learn from experience
- Denial
- Conceptual rigidity
- Depression
- Reduced self esteem
- Exaggerated premorbid personality traits
- Stress management
NeuroNutrition to provide optimum results from neurotraining:
- Eating schedule
- Balanced protein and complex carbs
- Avoidance of simple carbs
- Avoidance of vasoactive foods
Exercise to promote optimal brain function:
- 3+ times weekly, within limits
- walking
- weight resistance exercise
Pain management to address:
- Post traumatic headaches
- Dizziness
- Neck and shoulder pain
Social skills retraining to address:
- Inability to engage in purposeful activity
- Disinhibition
- Inability to respond appropriately to cues
- Inappropriate social behavior
- Impulsivity
- Poor initiation
Family Education Programs to address:
- Expectations
- Nature of head injury
- Behavior management techniques
- Understanding of rehabilitation process
- Learn to be disability managers
Family Counseling to address family members issues:
- Fear and/or guilt
- Sense of inadequacy
- Grieving
- Adjustment to changes in the injured member
- Adjustment to changes in roles of members
- Locating a support group
- Denial
- Acceptance of the injured member
- Control issues
Safety monitoring to ensure safe performance of:
- Driving
- Money management
- Social situations
- ADL's: cooking, ironing, locking, emergency
- Medication consumption with backup system
Vocational rehabilitation commensurate with impairments involves:
- Job analysis
- Work transition
- On-site job supervision
- Vocational assessment
- Job search and matching
- Job coaching
- Job placement
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