Jerome Quellier – Addressing Patient Behavior by Brain Lesion Site

Description:

You are faced with a growing caseload, diminished resources/reimbursement, and increasingly complex patients with the expectation of improving outcomes and reducing length of stay. On top of it all, when working with patients with brain lesions, the behavioral and cognitive challenges can be taxing.

Jerome Quellier, MS, CCC-SLP will bring decades of acute care experience to the table and arm you with an improved clinical eye to predict dysfunction and expedite the pathway to treatment.

Neuroanatomy is admittedly complex and overwhelming, but this course provides today’s cutting edge neuroscience – in plain English. You’ll tie what you learned (and may have forgotten) about neuroscience to a clear understanding of how you can work around the damage to optimize your patient outcomes!

• A framework for understanding the recovery pathway for each type of lesion
• Clinical implications for abrupt visual changes and an in-depth understanding of the difference between visual field cuts and neglect
• Simple modifications to your interventions that will streamline your treatment time and patient outcomes

Best of all? We’ll explore what we can we learn from each other! OTs, PTs and SLPs all have powerful treatment tools up their sleeves. This training will emphasize the best practices from each that help to overcome specific patient deficits.

Feel confident with your next patient as you unlock the keys to working with behavior barriers and engagement. Watch me for a high-energy, dynamic program filled with interesting case studies, insightful discussions and interactive learning. You will finish this training with practical techniques that you can apply the next day!

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NEUROANATOMY AND THE IMPACT ON COGNITIVE PROCESSING  (CASE STUDY ICON)

• Basic neuronal anatomy
• Brain wiring: Association, projection, and commissural fiber tracts
• Brain lobes locations and ties to cognitive processes
• Cerebellum and impact upon cognition
• Case Study 1: Jacob’s anxiety and how pacing the halls became therapeutic

OPTIC SYSTEM AND VISUAL PERCEPTION (CASE STUDY ICON)

• Optic constructs, anterior-posterior fiber tracts
• Visual cortices and unique roles in visual processing
• Effect of tumors, shear injuries, CVA lesions upon visual perception
• Case study 1: Why can’t my patient just see the whole worksheet like I do?
• Group Exercise: Review of vision diagnostics by discipline (PT/OT/SLP)

HOW NEUROTRANSMITTERS DRIVE THE BUS

• Internal communication systems within the brain
• Dopamine pathways and effects on cognition and reward systems
• Serotonin pathways and mood modulations

EXECUTIVE FUNCTIONS OF THE FRONTAL LOBE

• The Cognitive Pyramid and moving patients upward
• Skull anatomy and effects of shear injury
• Shear injury as it affects anxiety and behavioral health
• Therapy implications for PT/OT/SLP
• Group Exercise: Review of executive function diagnostics by discipline (PT/OT/SLP)

COMMUNICATION AND THE LEFT HEMISPHERIC FUNCTIONS

• Broca’s vs. Wernike’s areas
• Function of the arcuate fasciculus upon communication

SPATIAL PROCESSING AND THE RIGHT HEMISPHERIC FUNCTIONS

• Neurophysiology vs neuropathology, understanding patients’ nonverbal challenges
• Inferential language and social cognition
• A sense of time and spatial organization revealed

THE HIDDEN PROCESSORS-THALAMIC INFLUENCES

• Auditory pathways and neuroanatomy
• Thalamic engagement on sensory information
• Modulation of sleep and vigilance

MEMORY: HOW THE HIPPOCAMPUS AND THE AMYGDALA PARTNER  (CASE STUDY ICON)

• Memory processes
• Memory types: Right vs Left hippocampal functions
• Hypoxia and anoxia upon memory function
• Sleep and memory consolidation, effect of exercise on memory structures
• Amygdala’s influence upon fear-based learning and hijacking executive control
• Case study 3: Nile’s hypoxia and long tern rehab outcomes

RECOVERY FROM ACCELERATION/DECELERATION INJURIES: DIFFUSE AXONAL INJURY (DAI)

• Microanatomical features of DAI
• CTE: Chronic Traumatic Encephalopathy
• Where medications have failed

AGITATION MANAGEMENT STRATEGIES

• Review how working knowledge of the Rancho Los Amigos levels and Practitioner tips can avoid confrontation
• Learn trick of the trade for avoiding escalation
• Confabulation and denial—addressing the elephant in the room

ENRICHING PATIENT AND CLINICIAN RELATIONSHIPS

• The science behind mediations and mindfulness
• Reigning in the runaway situation

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