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1. Examine a sequence of functional therapy activities to use with adults with cognitive deficits due to brain injury and stroke
2. Plan therapy sessions that emphasize real-life tasks and move away from tabletop activities
3. Select meaningful therapy activities that match the patient's interest areas and occupations
4. Evaluate abilities and document progress by considering performance of real-life tasks in natural environments
5. Assess how to grade and adjust the therapy environment to accommodate various levels of cognitive deficits
6. Develop realistic caregiver instructions that support the rehabilitative process in the home
7. Discover how this therapy approach can be applied by multiple disciplines to promote progress

DEVELOPMENT OF THE APPROACH

• The foundation of this approach
• What is functional activity?
• The three global elements of "real-life" activity
  • interpersonal awareness and management
  • environmental awareness and management
  • time awareness and management

MODELS OF INTERVENTION FOR COGNITIVE REHABILITATION

• Remedial vs. compensatory vs. combination approaches
• Multidisciplinary implications
• coordinating the effort to increase patient's independence

FUNCTIONAL COGNITIVE EVALUATION

• Establishing levels
• Low-level tasks
• Mid-level tasks
• High-level tasks
• Awareness and emotion

SETTING GOALS AND MEASURING PROGRESS

• Progress checklists
• Functional goal setting

ACTIVITY DESIGN, SETUP AND IMPLEMENTATION

• Preparing for sessions in advance
• Ready-made materials
• Grading the environment
• Relevance to patient's interests and occupations
• Applications for the teenage population

CAREGIVER SUGGESTIONS

• Follow through in the home
• Ideas for community reintegration

OVERVIEW OF THE EIGHT ACTIVITY LEVELS

• Level 1: Initiating the Next Step
• Level 2: What Time is It?
• Level 3: Looking Around
• Level 4: Follow a Time Schedule
• Level 5: Beyond the Room
• Level 6: Organize the Therapy Session
• Level 7: Out the Door
• Level 8: Planning/Multitasking

DETAILED DISCUSSION OF EACH OF THE EIGHT ACTIVITY LEVELS ABOVE

• Specific activities at each level
• Contrast characteristics of activities between levels
• Case examples
• Time awareness and management factors
• Environmental awareness and management factors
• Interpersonal awareness and interaction factors

Rob Koch, BS, OTR/L, has been in clinical occupational therapy practice for more than 30 years, working with people of all ages with a diverse range of diagnoses. He spent the first 11 years of his career in Utah working in developmental disabilities. There, he specialized in adapting activities and learning environments for people who have severe multiple handicaps, as well as creating several published software programs that provide better opportunities to actively participate in learning.

For 22 years, Mr. Koch worked in inpatient and outpatient neurological rehabilitation in North Carolina where his occupational therapy practice included extensive emphasis on promoting the skilled use of functional therapy activities to optimize the independence of patients with CVA, ABI, and SCI. this focus resulted in the creation of Functional Therapy Activities, a CD-ROM for use in adult neurological rehabilitation. He currently practices in a skilled nursing facility working with persons in rehab and long-term care with a variety of cognitive deficits.

Over the last decade, Mr. Koch has been developing a functional approach to improving the lives of patients with cognitive deficits due to brain injury and stroke. This approach – utilizing a sequence of functional, “real-life” activities to promote independence – is presented in detail in this seminar.

Speaker Disclosures:

Financial: Rob Koch receives a speaking honorarium from PESI, Inc.

Non-financial: Rob Koch has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.7 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.8 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Speech-Language Pathologists & Audiologists
This course contains 5.5 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.5 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists: Approved for 6.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Speech-Language Pathologists
• Activity Professionals
• Recreational Therapists