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Cognitive Intervention Essay

1976 words - 8 pages

Cognitive Intervention: Cognitive Restructuring Theory
BSHS/312
Elaine McCullough
Marc Warren, Samantha Smith, Brandy Schneider, and Herlinda Rahn
University of Phoenix

Abstract
This paper will examine the use of Cognitive Restructuring in regards to Stroke Victims and Adolescent Interventions. It will also identify questions regarding interventions. It is an in depth look into interventions too help assist the victims suffering from stroke and adolescent issues. The paper includes an introduction, in depth analysis of backgrounds and interventions associated with stroke and adolescent behavior, intervention questions, and the conclusion.

Cognitive Restructuring Definition
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One of the challenges one may face after a stroke is difficulty relating with others among other behavioral challenges relating to this type of injury.
One of the steps in overcoming this challenge is building a trusting relationship with the stroke victim; this develops throughout the rehabilitation process. Encouraging the patient too understand the benefits of setting goals. This trust is achieved through honesty, caring and regular interaction always trying to achieve realistic expectations. Other Interventions include developing a plan that the stroke victim is happy with, so that it is more likely to be effective(White, Seckinger, Doyle, and Strauss, 1997). Take into consideration their weaknesses and strengths, and prioritize the needs. Take into consideration the individuals learning style through written information, oral or both. Take into consideration the willingness of the injured during the therapy or other rehabilitation strategy. Strategies should be practical, considering time, cost, concerns, and environment limitations.
Psychotherapy is another intervention that may also benefit a stroke victim affected with less severe cognitive deficits. Prigatano (1986) suggests that psychotherapy would increase the understanding of what has happened, the injury and its effects. I would also help the person with accepting, being realistic of expectations, strategies, and changes that have to be made.
In addition to the interventions a structured feedback may be necessary, as an individual may not recall the moment the stroke occurred. A therapist may want to review with an individual insight of the event providing an opportunity for preventative strategies and be able to develop self monitoring skills to be included in the plan.
Research and studies have been conducted using the Functional Independence Measure (FIM). Patterns and analysis have been noted that based on hazard rate analysis, from observation on individual respondents, stroke survivor's chance of falling in any given month is 11%. FIM is used to assess progress during inpatient rehabilitation and can predict stroke rehabilitation outcomes. FIM is used to assess a patient’s level of independence while bathing, grooming, bowel and bladder control, transfers, ambulation and communication. FIM is a tool that has been studied extensively to study a patient's progress. Preventing falls in a stroke victim is very important. That is why understand the occurrence of falls following discharge is key to prevention and timing appropriate prevention interventions to maximize their effectiveness.
Cognitive restructuring is made part of a process to change a client’s thoughts, feelings or behavior. Adolescent interventions have centered on behavior modification, this has been used to both change and manage behavior. An example of an exercise used to assist...

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