Infusing Executive Functioning Into Rehabilitation Plans of Care

presented by Pamela A. Smith, PhD, CCC-SLP, ASHA Fellow

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Disclosure Statement:

Financial: Pamela A. Smith receives compensation from MedBridge for this course. She also receives stipends from Relias and the University of St. Augustine for Health Sciences, Moravian University, and Ohio University. She has no other relevant financial relationships.

Nonfinancial: Pamela A. Smith has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 43 Minutes; Learning Assessment Time: 48 Minutes

This course discusses the role of cognition (in particular, executive functioning) in rehabilitation programs and describes ways that clinical staff can harness the power of executive functioning to maximize their patients' progress in rehabilitation programs. It will include discussion of dual-task paradigms as well as adding self-assessment as a process to heighten recall and value of supports to the patient receiving care.

Meet Your Instructor

Pamela A. Smith, PhD, CCC-SLP, ASHA Fellow

Pamela A. Smith has been a speech-language pathologist for 35 years with experience in acute care, acute rehab, skilled nursing, and outpatient settings. Dr. Smith completed her undergraduate education at Kutztown University (Pennsylvania) with a degree in special education - speech/language pathology, her master's degree at Ohio University (hearing and speech sciences), and her doctoral…

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1. What Is Cognition? What Is Executive Functioning?

Cognition is an underpinning of everything we do for which we have conscious awareness. Here we discuss the structure of cognition, how the components of cognition overlap and interact, and how executive functioning “oversees” function for individuals regardless of cognitive status.

2. Executive Functioning Across Modalities

We discuss dual-task modalities that involve the patient completing motor and cognitive activities simultaneously. We also discuss self-assessment strategies (Goal – Plan – Predict – Do – Review) that heighten patients’ awareness of their need for supports to maximize safety and involve them in the creation of supports.

3. Interprofessional Infusion of Executive Functioning and Physical Activity

Our work does not take place in silos. We discuss how to measure dual-task cost, implement self-assessment in the clinic, document progress, and collaborate with our colleagues across disciplines.

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