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Cognition, Perception, and Communication. Topics. Module 1: Understanding stroke Module 2: Physical changes and challenges Module 3: Swallowing and nutrition Module 4: Cognition, perception and communication Module 5: Emotions, roles and relationships
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Cognition, Perception, and Communication
Topics Module 1: Understanding stroke Module 2: Physical changes and challenges Module 3: Swallowing and nutrition Module 4: Cognition, perception and communication Module 5: Emotions, roles and relationships Module 6: Reducing the risk of stroke and moving forward
How are you doing on the goals you committed to?
Cognition, Perception and Communication • Understanding cognitive, perceptual and communication difficulties • Ways of compensating and dealing with cognitive, perceptual, and communication difficulties
Cognition COGNITION is the act or process of knowing information
Cognitive difficulties after stroke • Thinking clearly • Concentrating • Remembering Handout page 25
Cognitive difficulties after stroke • Paying attention • Making decisions • Planning Handout page 25
Cognition Heart & Stroke Living with Stroke Participant Manual page 50
Coping strategies • Establish routines • Simplify tasks and instructions • Pace yourself • Focus on one thing at a time Handout page 26
Coping strategies • Break tasks into small steps • Organize yourself • Use memory aids • Minimize distractions (e.g., turn off TV or radio if trying to have a conversation) Handout page 26
Perception PERCEPTION is the ability to understand and interpret sensory information from within the body and from the environment.
Perceptual problems after stroke • Vision • Hearing • Time • Body neglect Handout page 27
Perception Heart & Stroke Living with Stroke Participant Manual page 51
Compensate for neglect If you have difficulty paying attention to one side of your body or an object on that side try to: • Position your hand in front of you • Remind yourself to check that side • Put objects you need to reach on your right side (e.g., plate or cup) Handout page 27
Communication • COMMUNICATION is the exchange of information between a speaker and the listener • Non-verbal communication includes written communication, gestures, and use of augmentative devices
Communication difficulties after a stroke • Speaking • Understanding • Reading • Writing Handout page 28
Aphasia changes across situations
Aphasia changes across situations
Cognition, perception and communication problems are all INVISIBLE barriers; they are not as obvious as physical problems.
Do you feel some people assume you are not intelligent or competent?
Strategies to help caregiversget their message across • ACKNOWLEDGE that you know that the person with aphasia knows what they want to say but cannot say it • LOOK at the person with aphasia when speaking • Communicate ONE idea at a time Handout page 29
Strategies to help caregivers get their message across • WRITE down KEY WORDS • Use YES/NO questions • DRAW simple pictures • Use GESTURES and FACIAL EXPRESSIONS • VERIFY to make sure you have understood the information correctly Handout page 29-30
Strategies to help the person with aphasia get their message across • WRITE down a word or DRAW if you can • POINT to something • Attempt to identify the TOPIC first then move on to the details • Use words communication partner wrote down Handout page 31
Strategies • If you do not have TIME to communicate or are having trouble, try to return to finish the conversation at another time Handout page 32
Strategies Handout page 32
Can you come up with a goal to improve your communication, cognition or perception?
Cognition, Perception and/or Communication goal • Use memory aids • Pay more attention to your affected side • Teach others communication strategies • Use more gestures and pointing • Write down key words • Other: _______ Handout page 33
Acknowledgements • Aphasia Institute • Providence Healthcare