Management and rehabilitation of persons with anosognosia and impaired self-awareness
7 important questions on Management and rehabilitation of persons with anosognosia and impaired self-awareness
Prigatano (2010) offers a simple model for classifying disturbances in self-awareness after brain disorders. Shortly describe the model.
Give a definition of denial as coping mechanism and explain the consequence of ISA with denial for management of pt.
2. Psychiatric method as a defense against anxiety and emotionally painful experiences
When denial accompanies impaired self-awareness it can complicate management of the patient
How can pt. with ISA with and without denial be distinguished?
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Describe the clinical guideline for pt. with impaired self-awareness
2. Determine non-defensive or defensive method of coping is present
3. Determine chronicity of anosognosia or ISA and likelihood of spontaneous recovery
4. Form working alliance with family
5. Develop individual neuropsychological rehabilitation plan that considers: how symptom picture is changing with time and treatment, preserved and disturbed neurological and neuropsychological functions, level of awareness for different functional capacities (for hierarchical treatment plan)
Give an example for a hierarchical treatment plan for pt. with anosognosia for hemiplegia
Give an example for a hierarchical treatment plan for pt. with anosognosia for TBI
2. Involved in cognitive retraining tasks helping them perceive awareness of neuropsychological capabilities and how it influences group interactions, feeling states and how to function within social business activities
3. Activities for improving perceptions of other persons psychological states
Give an example for a hierarchical treatment plan for pt. with anosognosia for dementia
2. Teach them how to control tension in body’s through motor or implicit memory skill
3. Memory activities
4. Route-finding tasks
5. Frontal lobe tasks
6. Personal and social awareness taking
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