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1. Discuss how to bridge the gap from philosophy to practice, and from paper-pencil therapeutic task to daily functioning activity, by identifying the underpinnings of the different systems and processes of cognition.
2. Discuss specific “Art of Memory” techniques and strategies (utilized by World Memory Championship competitors) to design specific therapeutic tasks that can create a structural change in memory.
3. Identify the critical role that awareness deficits play in contributing to rehabilitation outcomes and discuss the interventions and techniques that facilitate awareness and guide the patient to independent functioning.
4. Summarize the components of executive functions and discuss how these components are contingent upon other cognitive processes that manifest cognitive and behavioral disorders.
5. Define step-by-step therapeutic intervention techniques specifically designed for progressive neurological diseases and low-level cognitive patients.
6. Identify the components of a defendable skilled goal and discuss what medically defines a skilled from a non-skilled intervention.
7. Evaluate the role of self-efficacy and ownership and the principles needed to have the patient ultimately responsible for the treatment program.
8. Discuss caregiver training techniques, communication strategies and guidelines for patient intervention ultimately affecting therapeutic outcomes.
9. Recall specific therapeutic approaches for cognitive intervention with respect to specific medical diagnosis.

Therapy: The “First” Half

• Self-Awareness: Levels of Awareness and Interventions
• Self-Efficacy: Sources and Interventions
• Ownership: Increase Patient Participation

Models of Care/Approaches to Therapy

Direct Therapy/Indirect Therapy

Therapy via Medical Diagnosis: High-Level Cognition

High-Level Cognition Intervention: Structural Change

• Attention Systems
• Selective Attention
• Focused Attention
• Sustained Attention
• Divided Attention
• Directed Attention
• Shift Attention
• Visual Processing Systems
• Visual Cognition
• Visual Memory
• Pattern Recognition
• Scanning
• Visual Attention
• Oculomotor Skills
• Visual Fields
• Visual Acuity
• Information Processing Systems
• Processing Speed
• Processing Control
• Processing Capacity
• Memory: Declarative Memory System
• Method of Loci
• Visual Imagery
• Chunking
• Association
• Mental Organization
• Linking
• Elaboration
• Acronyms, Acrostics
• Rhymes, Rhythms, Rote
• Rehearsal and the Curve of Forgetting

Executive Functions

• Self-Regulation: Behavioral & Verbal
• Initiation/Inhibiting
• Time Management
• Plan/Organization
• Problem Solving

Therapy via Medical Diagnosis: Low-Level Cognition
Low-Level Cognition Intervention: Guidelines for Intervention

• Errorless Learning
• Cognitive Loss and Abilities

Low-Level Cognition Intervention: Skilled Enhancement

• Non-declarative Memory System
• Spaced Retrieval Therapy
• Montessori-Based Therapy
• Ability-Based Approaches/Therapy
• Validation Therapy
• Redirect Therapy
• Reminiscence Therapy

Caregiver Training

• FOCUSED: Communication Enhancement Program
• Allen’s Cognitive Disability Theory/Therapy

Documentation: Goals and Skilled Intervention

• Components of a Defendable Skilled Goal
• Skilled Terminology / Skilled Intervention

Bridge the Gap: Interactive Case Studies

Jane Yakel, M.S., CCC-SLP, is a certified and licensed (VA #2202005215) Speech-Language Pathologist with over 40 years of experience in the care of persons suffering from neuropathology disorders. Jane is currently a private contractor and consultant in Virginia and has worked in a variety of settings including acute care, outpatient clinics, home health agencies, skilled nursing homes, independent and assisted living facilities, hospitals and schools. She has taught at the University of Wyoming, Utah State University and DeVry University (Phoenix). She has been a regional clinical specialist and a national trainer for rehabilitation program directors and has served as a director of a community re-entry program for traumatic brain injury survivors. She has shared her expertise as an author and presenter at national and state board continuing education courses on various topics including, Prospective Payment System; Medicare Documentation; Ethics and Professionalism; Comprehensive Assessment of the Adult Patient; Quality Indicators; QA/QI; Customer Service; Nursing Documentation; Managing Dysphagia as well as Cognitive Communication Disorders in the Neurological Impaired; Cognitive Rehabilitation and Dementia.

Jane is the author of two comprehensive manuals and informative guides in the field of Dysphagia and Cognitive Rehabilitation. Jane’s book, Dementia: Interventions for Severe Cognitive Impairments, gives detailed intervention strategies for professionals working with patients who suffer from significantly decreased cognitive status. The book is tailored for multiple disciplines within the healthcare field as well as caregivers.

Jane is a member of the American Speech-Language-Hearing Association, served as a representative for the People to People Ambassador Program for America Speech and Hearing Association and is a prior member of the Wyoming Board of Examiners for Speech-Language Pathology and audiology. She completed her undergraduate and graduate studies at the University of Wyoming, specializing in neuropathology. Jane currently owns ProStar Communications, LLC, a professional communications company, and Yakel Educations, LLC, a professional publishing company.

Speaker Disclosures:

Financial: Jane Yakel is the owner of ProStar Communications, LLC and Yakel Educations, LLC. She receives a speaking honorarium from PESI, Inc.

Non-financial: Jane Yakel is a member of the American Speech-Language-Hearing Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant per program. 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. International CE rates may vary; 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. This self-study package may include multiple product formats. To receive full credit, please submit the CE test for each format that has self-study materials included. To access these documents, play disc #1 in your computer.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test(s)/evaluation(s) and paying the CE fee(s).

**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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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/26/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 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 6.25 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 6.0 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 7.6 contact hours.

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Speech-Language Pathologists & Audiologists
This course contains 6.0 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 6.0 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.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 6.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 6.0 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.

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Other Professions
This self-study activity qualifies for 6.25 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.

Speech-Language Pathologists, Occupational Therapists, Occupational Therapy Assistants Rehab Managers, Directors of Nursing, Rehabilitation Nurses, Restorative Nursing Staff Activities Professionals, Recreational Therapists, Audiologists, Physical Therapists Physical Therapy Assistants, Social Workers