Jerome Quellier – Addressing Patient Behavior by Brain Lesion Site

Jerome Quellier – Addressing Patient Behavior by Brain Lesion Site

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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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