Cognitive challenges in everyday life. Marie Peny-Dahlstrand Reg. OT PhD. Regional Rehabilitation Centre

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1 1 Cognitive challenges in everyday life Marie Peny-Dahlstrand Reg. OT PhD Queen Silvia Children s Hospital Sahlgrenska Univerisity Hospital

2 21 Everyday life Play grocery store with a friend. Take part in pupil s council. Go to the toilet Be in time for the train Apply for a job. is complex

3 It is not just Knowing how to do something

4 Started/ Initiated Just in time Things have to be Planed and sequenced so they can be started in the right order Changed/re-planned if a problem occurs Adapted to context and other people Terminated ( in time) to start new activities.

5 They have to be done!!

6 61 Doing To Do is to actually carry out something from an idea to the goal. Can be understood both in a general and specific sense.

7 A model of doing in a general sense: Idea Planning, sequencing Initiate Enacting Adjust End

8 Model of performing a specific occupation A defined person, doing a defined occupation, in a defined environment/context person Environment Occupation

9 91 Challenges for individuals with SB in getting an activity done Not being motivated/ might be difficulties with having an idea Planning /sequencing; where to start in what order- or I don t start Initiate going from thinking to action Problem solve and adjust using online information and re-plan/re-initiate (notice and respond) Enacting; calibration and spatial orientation Ending ; change focus

10 10 1 Challenges in getting along with everyday life Managing time perceive time and plan the day and prospective memory

11 11 1 Autonomy Making decisions about what should happen and/or carrying out something by oneself on one s own initiative

12 12 1 Participate Being involved or just being there Being involved in a life situation on the societal level. To involve one-self, autonomy in an important person factor

13 Model of performing a specific If one have problems with the process of doing How to overcome them? occupation person Compensation Environment Occupation

14 Model of performing a specific If one have difficulties with the process of doing Can this be trained on the personal level? occupation person Environment Occupation

15 15 1 Doing, being, becoming and belongning.

16 Thank You!

17 17 1 Exempel: skola: Gå på toa Ta sig lite mat. Handla Sköta mat

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