Jerome Quellier – PESI – Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits

Description

Jerome Quellier – PESI – Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits download, Jerome Quellier – PESI – Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits review, Jerome Quellier – PESI – Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits free

Jerome Quellier – PESI – Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits

Neuroanatomy is admittedly complex and overwhelming. Clinicians working in rehabilitation are faced with growing caseloads, diminished resources/reimbursement, and increasingly medically complex patients with the expectation of improving outcomes and reducing length of stay. Honing knowledge of clinically-relevant neuroanatomy and neuropathology can predict dysfunction and intuitively create a scaffold for assessment and treatment even before meeting the patient.

Predetermining potential deficits leads to a more tightly defined diagnostic battery and expedites treatment formulation. By deducing the patient’s experience, the clinician can also prepare for behavioral barriers to engagement and understand the healing process with greater compassion.

In this recording, participants will learn intermediate-level neurophysiology as it relates to cognitive-linguistic skills and behavioral control, as well as explore mindfulness techniques for stress reduction. The overlying foci of the course are to arm treating professionals with an improved clinical eye, predicting dysfunction, and expedite the pathway to treatment. Course content will also include patient-focused educational materials for stroke and traumatic brain injury ready to utilize by treating practitioners.

Speaker

Jerome Quellier, MS, CCC-SLP
Jerome Quellier, MS, CCC-SLP, is a specialist in tracheostomy/vent management and traumatic brain injury at a 500+ bed level 1 trauma hospital in Saint Paul, MN. He has accumulated 27+ years of acute, residential, and outpatient rehabilitation experience. During his tenure at the hospital, he has focused on neuro-based diagnostics and intervention for cognitive-linguistic deficits, dysphagia, head and neck cancer management, and patient advocacy. Mr. Quellier has completed advanced training in brain dissection at Marquette University, is a member of a neurosurgery team focused on preserving linguistic & speech function during “wake” craniotomies, and has shared his expertise with interdisciplinary audiences around the country for over a decade.

Speaker Disclosures:
Financial: Jerome Quellier has an employment relationship with Regions Hospital. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Jerome Quellier is a member of the American Speech-Language and Hearing Association.

Objectives

1. Categorize the anatomy and function of lobes of the brain as they apply to behavioral control.
2. Inspect the neurophysiology of memory and effect of fear/anger upon new learning and memory.
3. Analyze the effect of traumatic and non-traumatic injuries upon cognitive centers.
4. Analyze the connection between neurotransmitters and the communication system within the brain.
5. Evaluate the optic system and lesion locations that affect engagement and accuracy in therapy.
6. Employ simple neuroanatomy-based techniques to rapidly de-escalate stress for patients and caretakers.
7. Assess neuro-behavioral barriers that impact new learning.

Outline

Neuroanatomy And The Impact On Cognitive Processing

• 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 become therapeutic

Optic System And Visual Perception

• Optic constructs, anterior-posterior fiber tracts
• Visual cortices and unique roles in visual processing
• Effect of tumors, shear injuries, CVA lesions upon visual processing
• Case study 2: 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 area
• Function of the accurate 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

• 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 term 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

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech-Language Pathologists
• Certified Brain Injury Specialists
• Recreational Therapists
• Nurses
• Nurse Practitioners
• Social Workers

Reviews 

JulieAnn E
“Jay was an incredible presenter! He made neuroanatomy interesting and relatable. My only complaint was delay in slides appearing vs where speaker was in presentation. With that often times what was being shown on his video screen was not being filmed for audience.”

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