Cognitive Rehabilitation Revisited

Abstract

Many controversies remain with respect to how best to work with individuals who are challenged by cognitive impairments. Yet in the last decade, there has been substantial new research and a proliferation of literature, which has served to clarify major principles underlying cognitive interventions, and specified training procedures and teaching techniques that have demonstrated some effectiveness. Increasingly, it is possible to identify what techniques are likely to work for a particular individual, based on a number of variables including their cognitive profile, level of insight, and capacity for self-regulation. Education, the development of compensatory behaviours, the use of specialised instructional techniques and the inclusion of activities to improve self awareness and self-efficacy are but a few of the important components of most efforts at rehabilitation for cognitive impairments. Cognitive rehabilitation must be creative, eclectic, functionally oriented, and based in a partnership between clients, families/caregivers, and professionals.

Treating Persons With Traumatic Brain Injury

“…Examples of cognitive rehabilitation methods for improving memory include training and supported practice of a range of compensatory strategies that can be helpful when used together to address specific problems [11]. Both low-tech (paper) and high-tech methods (computers, cell phones) have been shown to be effective for improving memory [36]. Pagers, personal data assistants, computers, smart phones, and accompanying applications are all highly effective memory prostheses for the person with TBI, and these devices can be individually tailored to his or her needs [37].…”

“…Pagers, personal data assistants, computers, smart phones, and accompanying applications are all highly effective memory prostheses for the person with TBI, and these devices can be individually tailored to his or her needs [37]. While the steps to use these devices must be carefully trained and practiced, a memory log with a calendar, schedule, and important telephone numbers or e-mail addresses can be an effective, low-tech, lowcost intervention [36].…”

“…There are a variety of interventions for improving visual and general attention [36]. Improving attention is important given its role in memory on a day-to-day basis [36,38,39].…”

“…Improving attention is important given its role in memory on a day-to-day basis [36,38,39]. Evidence-based methods for increasing attention include the Lighthouse Strategy, which is a 3-session mental imagery and cognitive rehabilitation strategy for improving hemispatial inattention and neglect [38].…”

O cuidado após um acidente vascular cerebral: reflexões do indivíduo à saúde pública

“…nesse novo contexto, o portador de AVC necessita de uma série de medidas planejadas e desenvolvidas com vistas a lhe facultar a maior integralidade possível. Como procedimento essencial nesse processo sobressai-se a realização de ações para a reabilitação dos déficits neurológicos surgidos (MATEER;SOHLBERG, 2003).…”