Diagnosis:
Dementia Patients
Primary Progressive Aphasia Patients
Traumatic Brain Injury Survivors
Stroke Survivors
Multiple Sclerosis patients
Other individuals who have a cognitive impairment
(Sohlberg & Mateer, 2001)
Long Term Goal: By 1/4/2023, the client will explain objects by stating similarities and differences using compensatory strategies with 80% accuracy, as measured by SLP data and observations.
Abstract Reasoning Activity
Steps
Explain each object by providing 2 characteristics.
Client will provide 2 similarities and 2 differences.
Move on to the next set of 2 pictures.
After 3 trials, provide a 5-10 minute break.
Have the client attempt to recall at least 2 details from each of the pictures without looking at the visual stimuli.
(Arnold, 2009)
More Details of Implementation
Based on the evidence-based research, this activity will target the client's memory, abstract reasoning, critical-thinking, attention, and the speed of processing information in order to provide the similarities and differences of the items (Arnold, 2009). During the session, the clinician will provide any additional support to guide the client by using compensatory strategies in order to recall the targeted descriptions (Arnold, 2009; Sohlberg & Mateer, 2001, p. 21).
Cueing Levels (If Needed)
Provide verbal prompts (e.g., choice of 3).
If this prompt is too challenging, simplify the prompt.
Provide a verbal prompt (e.g., choice of 2) while showing the targeted pictures.
Session
The duration, intensity, and interval of cognitive communication rehabilitation should be determined by the individuals functional needs as well as the collaboration of the interdisciplinary team (MacLennan & MCD, 2012). For instance, a client may receive speech and language therapy for 30 minutes a day for five days per week.
Cognitive Rehabilitation
Enhancing an individual's area of needs by building on strengths (Sohlberg & Mateer, 2001, p. 21). Provide strategies that allow the client to continue to work on goals related to daily needs (e.g., remembering common characteristic of items shown from an image).
Evidence-Based Research
Language tasks that involve memory recognition and retrieval, abstract reasoning, social communication, problem-solving, judgment, initiation, self-monitoring, planning, speed of processing the information, and attention are highly recommended for professionals to provide effective interventions to cognitive communication disorder clients (MacLennan & MCD, 2012).
Family and Patient-Centered Approach
Through cognitive-communication rehabilitation, family's may be involved with the individual's treatment plan in order to support the client's active participation (MacLennan & MCD, 2012). Clients' may be motivated through engaging activities that promotes self-sufficiency and encourages education (Sohlberg & Mateer, 2001, p.21).
Data tracking system: The Subjective, Objective, Assessment, and Plan (SOAP) notes provide efficient documentation for health care providers to record client information regarding emotions, signs and symptoms, previous medical history, and additional notes regarding the session (Podder, Lew, & Ghassemzadeh, 2021).
SOAP Notes Template:
References
Arnold, L. A. (2009). Walc 5: Neuro rehab. LinguiSystems.
MacLennan, D. L., & MCD, L. M. P. (2012). Cognitive-communication rehabilitation for combat-related mild traumatic brain injury. Journal of rehabilitation research and development, 49(7), XI.
Podder, V., Lew, V., & Ghassemzadeh, S. (2021). SOAP notes. In StatPearls [Internet]. StatPearls Publishing.
Results for soap notes. TPT. (n.d.). Retrieved December 18, 2022, from https://www.teacherspayteachers.com/Browse/Search:soap%20notes
Sohlberg, M. K. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. Guilford Press.