121: Cognitive Fatigue: Assessment & Management in Brain Injury with Katie Brown, MA, CCC-SLP, CBIS

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How many patients have you had that complain of “brain fog”? (If you work with TBI, probably countless!) This episode introduces speech pathologists to the common symptom of cognitive fatigue after brain injuries. We will discuss the basics of cognitive fatigue, assessment using patient-reported outcome measures, and how SLPs can help their patients to conserve and manage their cognitive energy in order to promote self-efficacy and improve quality of life.

topics covered:

  • What is Cognitive Fatigue? How is it unique to the brain injury population and different from how Leigh Ann feels at the end of a long day?

  • Using PROMs to identify treatment goals, increase insight, and just generally be awesome.

  • Intervention - Time Pressure Management

  • Intervention - The Spoon Theory


Download your free Discussion Guide to unpack the information covered in the episode at a deeper level. The Discussion Guide can be used in a group setting or on your own.


Resources mentioned in the episode

Spoon Theory Resource

More about the Spoon Theory

Assessments:

Mental Fatigue Scale

Modified Fatigue Impact Scale (MFIS)

Self-Awareness Deficit Interview (SADI)

Literature:

Wylie, G. R., & Flashman, L. A. (2017). Understanding the interplay between mild traumatic brain injury and cognitive fatigue: models and treatments. Concussion (London, England), 2(4), CNC50.

Hicks, E., Larkins, B., & Purdy, S. (2011) Fatigue management by speech-language pathologists for adults with traumatic brain injury. International Journal of Speech-Language Pathology, 13(2). 145-155.

Thanks for these great resources, Katie!


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Katie Brown, MA, CCC-SLP, CBIS, is a speech-language pathologist and certified brain injury specialist living in Buffalo, NY. She owns a private practice called Neuro Speech Solutions where she specializes in treating communication and cognitive disorders caused by stroke and brain injuries. Katie is passionate about providing functional and personally-relevant therapy as well as helping other medical SLPs become confident in utilizing person-centered care in their practice. She strives to expand the way SLPs think of speech therapy through clinical education and tips on social media.



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