Laura Leach, PhD

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COGNITIVE REHABILITATION • Techniques designed to improve the functioning of those who have impairments in such areas as: attention, memory, information processing, learning, and reasoning. • To participate as independently and safely in daily activities and social roles as possible, within cognitive challenges. • Aimed at either restoring the function or compensating for the deficit.
TYPES OF COGNITIVE REHABILITATION • MEDICATIONS for SYMPTOM MANAGEMENT: Fatigue, Depression, Attention, Memory • DISEASE MODIFYING AGENTS: Avonex, Betaseron, Copaxone, Rebif All shown to slow the accumulation of MS lesions on MRI • RESTORATIVE COGNITIVE REHABILITATION: Attention and Memory Training • COMPENSATORY STRATEGIES: Planners, Checklists, Smartphones, Recorders, Smartpens
Page 2 and 3:
ADDRESSING THE COGNITIVE CHALLENGES
Page 4 and 5:
DISCLOSURES • This continuing edu
Page 6 and 7: BACKGROUND: Multiple Sclerosis Cent
Page 8 and 9: MULTIPLE SCLEROSIS SYSTEMS OF CARE
Page 10 and 11: HEALTH MANAGEMENT ISSUES CONTINUUM
Page 12 and 13: Model of Care for the Denver VA Med
Page 14 and 15: VA Facilities That Participated in
Page 16 and 17: Professional Roles
Page 18 and 19: Frequency of MS Team Meetings
Page 20 and 21: Disciplines Providing Follow-Up Bet
Page 22 and 23: Number of MS Patients Seen/Treated
Page 24 and 25: Services Provided to Cognitively Im
Page 26 and 27: Percentage of Patients Referred for
Page 28 and 29: Percentage of Patients Referred for
Page 30 and 31: Referral Sources for Cognitive Reha
Page 32 and 33: Providers of Cognitive Rehabilitati
Page 34 and 35: Multiple Sclerosis and Cognition
Page 36 and 37: Multiple Sclerosis and Cognition
Page 38 and 39: Assessment of Cognition in Individu
Page 40 and 41: Types of Cognitive Assessment • S
Page 42 and 43: Screening Tools - Disadvantages •
Page 44 and 45: Comprehensive Batteries and Flexibl
Page 46 and 47: Comprehensive Batteries • The Hal
Page 48 and 49: Flexible Batteries: Processing Spee
Page 50 and 51: Flexible Batteries: Visuospatial Sk
Page 52 and 53: Flexible Batteries: Verbal Skills
Page 54 and 55: New Cognitive Assessment Measures
Page 58 and 59: COGNITIVE REHABILITATION PROFESSION
Page 60 and 61: MENTAL HEALTH & COGNITION How you f
Page 62 and 63: DATA SYNTHESIS & CONCLUSIONS (O'Bri
Page 64 and 65: RESULTS: (N=16 with MS, & 16 matche
Page 66 and 67: MAPSS-MS Study Stuifbergen,et al 20
Page 68 and 69: RECOMMENDATION: Gerontology & MS Mo
Page 70 and 71: TYPICALPROBLEMS IN MS • ATTENTION
Page 72 and 73: TREATMENT STRATEGIES: Attention & I
Page 74 and 75: LEARNING & MEMORY STRATEGIES RESTOR
Page 76 and 77: PROBLEM SOLVING FLOWCHART DEFINE TH
Page 78 and 79: PRAGMATIC COMMUNICATION TREATMENT:
Page 80 and 81: HEALTHY HABITS • FATIGUE MANAGEME
Page 82: Obtaining CME/CE Credit If you woul
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Laura Leach, PhD

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