Adapting leisure activity for adults with neuropsychological deficits following acquired brain injury

Abstract

Adapting leisure activities is sometimes required for adults with neuropsychological deficits following acquired brain injury. Such adaptations are illustrated through a brief review of relevant literature and case vignettes describing both group-based and individual intervention provided within a holistic milieu-oriented neuropsychological rehabilitation programme. Particular emphasis is placed on the impact of cognitive deficits on a person's ability to engage in their desired activities. The personal meaning and psychological adjustment to injury is considered a crucial factor when considering adapting activity. The article will conclude with implications for clinical practice in other settings.

Approaches to Managing Executive Cognitive Functioning Impairment Following TBI: A Focus on Facilitating Community Participation

“…As discussed throughout this chapter, interventions to address social competence and social participation represent a critical element of any rehabilitation program addressing executive cognitive functions. The effect of impaired social skills manifest in virtually every discussion of important community based TBI outcomes -family, friendships, employment, school, and leisure [69][70]. For example, while most adult survivors remember how to do their pre-injury job and, at some point, may be able to return to work, their success tends to be temporary because of interpersonal difficulties, especially in the presence of deficits in executive cognitive functioning [71].…”

“…For example, while most adult survivors remember how to do their pre-injury job and, at some point, may be able to return to work, their success tends to be temporary because of interpersonal difficulties, especially in the presence of deficits in executive cognitive functioning [71]. Social skills include both basic competencies and situational relevant behaviors that enable a person to be accepted and liked in chosen social settings [69,72]. Socially skilled people are capable of influencing others in a positive manner and with the effect that they intended.…”

The Benefits and Barriers to Leisure Occupations

“…This special edition contains articles about adapting activities to the needs of the individual be they physical [4] or cognitive [10]. It also addresses adaptations to leisure through computer use [1] and creativity [6] based leisure occupations and the use of sensory stimulation as a leisure tool through activities such as multi sensory environments [5], music [9] and a sensory spectacular [12] are proposed.…”

Real‐time daily fatigue, sleep, physical activity, and health‐related fitness in adults with cerebral palsy

“…The way people perceive fatigue or cope with it varies. 6,7 Clinical experience shows that in CP, a complex and heterogeneous disorder, many factors may potentially play a role in fatigue, such as cognitive dysfunction and muscle characteristics, medication side-effects, higher frequencies of depressive feelings, physical (in)activity, and sleep disturbances. The nature of fatigue appears hard to unravel by those who experience it, as well as by measurement instruments.…”