Cognitive Communication Disorders - TBI

Vocabulary flashcards for Cognitive Communication Disorders lecture.

Challenges Faced by TBI Survivors in Healthcare

Specialized interdisciplinary rehabilitation services for TBI survivors may be lacking, and TBI survivors face challenges in accessing services due to communicative deficits, concomitant medical conditions, and lack of awareness.

Special Considerations for Clinicians Working with TBI Survivors

Expertise in cognitive communication, collaboration, complex symptoms, and real-life assessment is essential for clinicians working with TBI survivors.

Memory Impairments After TBI

Impairments in short-term and long-term memory, declarative, procedural, visual, and verbal memory, with difficulty storing and retrieving declarative information.

Post-Traumatic Amnesia

The time between injury and recovery of continuous memory (ability to remember events for a 24-hour period).

Anterograde Amnesia

Inability to create new memories after the incident, leading to difficulty recalling recent events while long-term memories remain intact.

Retrograde Amnesia

Loss of memories created prior to the TBI incident.

Awareness Deficits in TBI

TBI can cause awareness deficits (intellectual, emergent, anticipatory) in up to 97% of individuals, hindering rehabilitation.

Theory of Mind

The ability to perceive another individual’s perspective; may be related to impaired self-awareness in TBI.

Speech and Language Impairments in TBI

Apraxia, dysarthria, and mutism are common speech impairments; Aphasia, word-finding deficits, and linguistic processing issues are common language difficulties.

Memory Interventions for TBI

External memory aids and internalized strategies aimed at acquisition, application, and adaptation.

Internalized Strategies for Mild Memory Impairments

Visual imagery, verbal rehearsal, storytelling, or mnemonics, spaced retrieval techniques.

Executive Function Intervention Approaches

Metacognitive strategy instruction, training strategic thinking, and multitasking instruction are examples

Discourse Deficits in TBI

Problems in narrative and conversational discourse, social disconnection, and reduced awareness.

Challenges in Narrative and Conversational Discourse

inferences, quantity and quality of expressed language, and recognition of alternative meanings may affected

Pragmatic Goals in TBI Treatment

Increasing awareness of listener needs, improving use of social conventions, and reducing Theory of Mind deficits.

Augmentative and Alternative Communication (AAC)

Strategies used by people with TBI to meet communication needs, ranging from simple choice-based systems to complex voice output systems.

AAC Strategies - Early Stage (RLA-R I-III)

Simple choice-based systems and eye gaze or direct selection are examples.

AAC Strategies - Middle Stage (RLA-R IV-VI)

Written Choice Communication Strategy and simple voice output for basic information

AAC Strategies - Late Stage (RLA-R VII-X)

Alphabet board for supplemented speech with familiar listener, Text-to-speech for unfamiliar listener

Group Treatment for TBI

Supports cognition and communication, focusing on intervention of skills, counseling, education, or psychosocial support.

Foci of Group Treatment

Sociolinguistic groups, transition groups, and maintenance groups.