Anysia Ensslen-Boggs – Stroke Recovery Strategies, Functional Cognition through Neuroplasticity

This recording will give you the most recent evidence-Based knowledge about cognitive deficits and their effect on stroke recovery.

Anysia Ensslen-Boggs – Stroke Recovery Strategies, Functional Cognition through Neuroplasticity

Stroke This can have a profound impact on patients and their loved ones and can dramatically alter all aspects of one’s life. Cognitive deficits as a result of stroke may have a permanent impact on all activities carried out during a patient’s daily life, and lead to accelerated physical decline as well as increased falls risks. These may include problems with attention, memory, thinking organization, reasoning, and problem solving. These issues can often be overlooked by the patient, or they may not even know about them. It is crucial for the rehabilitation professional to recognize and understand these issues and how they impact a patient’s ability to complete ADLs and plan for discharge.

This recording will give you the most recent evidence-Knowledge based on cognitive deficits, and their effect on stroke recovery. You will be able to apply the principles of experience-Neuroplasticity dependent to choose and implement functional treatment goals that will help your patients maintain or improve their current function. This will improve your ability to treat patients.-Focused interventions that encourage independent language completion-ADLs that are not based on disability. To maximize reimbursement for skilled services, you will be taught how to properly document patient goals and outcomes.

1. Recognize the causes of cognitive impairments and how they relate to stroke neuroanatomy
2. Define experience-Rehabilitation and the impact of dependent neuroplasticity
3. You can use the following assessments to assess cognitive deficits in stroke survivors
4. Explain how cognitive impairments can impact swallowing, feeding, and overall swallow function.
5. Use treatment methods to prevent falls, stroke, and cognition for functional improvement in ADLs
6. Create measurable goals that will allow you to document the patient’s outcomes

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Cognitive Deficits Review

• Stroke Etiology
• Neuroanatomy
• Orientation & awareness
• Attention
• Memory
• High-Level cognitive deficits in right CVA

Effect of cognitive deficiencies on swallowing

• Feeding
• Recommendations and changes to diet
• Swallowing strategies

Assessment of Cognitive Deficits Stroke

• SLUMS
• MOCA
• Other screening and standardized assessments
• Setting treatment goals

Neuroplasticity

• What is neuroplasticity?
• Ten Principles of Experience-Dependent Neuroplasticity?
• Neuroplasticity Evidence-Based Practice
• Application to the Level of Assistance and Cueing Hierarchy

Interventions

• Techniques for stroke, cognition and fall prevention
• Strategies for feeding and swallowing
• Cueing hierarchy and levels of assistance
• Functional treatment objectives can be achieved by facilitating neuroplasticity
• Improving completion of ADL’s by improving cognition
• Executive Functioning and patient safety
• Demonstrations of cognitive intervention

Effectively communicating with other disciplines

• Cognitive goals in OT and PT
• Interdisciplinary treatment plans/co-Treat
• Family/caregiver/staff education
• Discharge plans: Are they safe for the patient at home?

Documentation Tips & Tricks

• Goal-Writing
• Patient outcomes
• Justification of medical necessity
• ICD-10 and Medicare Guidelines

Case Studies

• Review of small-scale intergovernmental cases-Discipline groups
• Application of knowledge