Best practice guidelines for the treatment of patients with cognitive deficits via telepractice are still evolving. In this module, we explore patient and caregiver characteristics and abilities, as well as factors to consider when determining the appropriateness of telepractice. We consider standardized evaluations, goal setting, and treatment methods for patients with cognitive impairments due to stroke. Modifications to traditional therapy, as well as resources and tips to engage patients and caregivers to maximize outcomes are presented.
Intermediate Level
0.10 ASHA CEUs
Approved for 1.0000 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.0000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Past and the Future of Telepractice
Short History of Telepractice
The Future of Telepractice
Telepractice Delivery: Flexibility Is Key
Review
Summary
Section 3: The Right Candidate
Who Is Appropriate?
Examples
Patient and Family Goals
Review
Summary
Section 4: Assessments
Interviews
Cognitive Screening Tools
Standardized Testing
Review
Summary
Section 5: Best Practice Treatment Methods and Modifications
Engaging the Patient and Caregiver
Treatment Best Practice: Evidence Based Practice
Person-Centered, Montessori Type Interventions
Language and Metalanguage Treatment
Memory Training
External Memory Aids
Unilateral Visual Field Neglect Treatment
Cognitive Stimulation
Caregiver Education/Training
Modifications and Adaptations in Telepractice
Computer Assisted Cognitive Rehabilitation and Cognitive Stimulation
Guidance from ASHA
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References
Congratulations!
Karen is a Speech-Language Pathologist with more than 30 years’ experience in a variety of medical settings, including acute care, subacute care, skilled nursing, and home health. She received her B.A. in English and Developmental Psychology from the University of California at Santa Barbara, and her M.S. in Speech-Language Pathology from Rutgers. She currently resides in Santa Barbara, California and works in home health. When time allows, Karen enjoys teaching others by combining her clinical experience with her love for writing.Writer: Wendy Phillips, PT, BSPT
Wendy holds a Bachelor of Science degree from Florida State University in Biology, as well as a Bachelor of Science degree in Physical Therapy from Florida A&M University. She has more than 25 years of experience working as a Physical Therapist in multiple care settings, including acute care, inpatient rehab, independent living, assisted living, skilled nursing, and outpatient orthopedics. Wendy has a strong manual therapy background and has completed additional training in McConnell taping, geriatric care, McKenzie MDT, Maitland Mobilizations for the joints and spine. She is most passionate about using her manual skills to improve mobility and reduce pain in individuals of all ages. As a Lead Physical Therapy writer for Relias, Wendy enjoys being able to combine her clinical knowledge with her interest in research and staying up-to-date with changes and advances in the field of rehabilitation.
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