From the desk of our CEO Kris Mastrangelo:     

 

Cognitive Linguistic Speech Therapy in the SNF

 

Treating a patient with deficits of cognition can present as a challenge if the goal areas set are vague or not patient related with a functional outcome.  Cognitive linguistic goals are functional performance objectives that the therapist expects their patient to achieve based on their speech and language intervention. Each cognitive-linguistic goal should be relevant to the performance of functional activities including communication effectiveness, basic ADL performance, high level ADL tasks, behavior management, and activity performance. They are established by the SLP and the patient based on the functional deficits identified in the comprehensive cognitive assessment.

 

Goals are written as behavioral objectives or actions or skills that result in a desired outcome. Goals are well defined so that daily observation and assessment of the behavior, action, or skill can be measured. Goals are needed to effectively plan treatment and meet the needs of the patient, they help prioritize treatment to measure the effectiveness of the treatment, and they help communicate the therapy process to the patient, family, and interdisciplinary team. Goals are written to reflect the patient's functional status. They are measurable and need to be realistic and achievable.

 

Harmony provides examples of cognitive-linguistic goals that meet these criteria:

 

• The patient will follow simple commands using functional objects provided during ADLs with ___% accuracy.

• Resident will increase and maintain concrete reasoning skills for ADLs as evidenced through verbalizations with ___% accuracy with caregiver.

• Patient will maintain abstract reasoning skills for ADLs through completion of tasks with ___% accuracy (tasks may include similarities/differences, selecting best alternatives, provide information, name problem)

• The patient will use calendar to identify select dates described and respond to questions at ___% accuracy to increase interaction in ADLs.

• The patient will increase consistency of responses to orientation to environment questions to ___%.

• The resident will accurately identify the location of key information using external memory aid ___% of the time to improve memory in the environment.

• The resident will obtain directions using learned strategies with ___% accuracy to facilitate carryover of communication skills.

• The resident will select grocery store item from among 3 advertised specials with ___% accuracy to improve problem solving in a functional task.

• The resident will complete order form for catalog with ___% accuracy to improve problem solving in a functional task.

Harmony welcomes your questions on this topic.  Please contact us for more information. 

 

Summer Webinar Education Schedule    

 

 July 21, 2011

Pain Assessment  

 

August 4, 2011

MDS 3.0 Updates   

 

 August 18, 2011

RUG-IV Updates    

 

 QIS PREPAREDNESS PROGRAM

8:30AM - 3:30PM 

July 18, 2011 - Wayne, NJ

July 22, 2011 - Schenectady, NY  

August 1, 2011 - Seattle, WA

August 26, 2011 - Syracuse, NY

September 1 2011 - Pleasant Prairie, WI   

October 3, 2011 - Portland, OR   

November 1, 2011 - Rye, NH

November 14, 2011 - Indianapolis, IN  

 

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