Addressing Patient Behavior by Brain Lesion Site: Clinical Tools Specific to Patient Deficits

Credit

Handouts/Brochure

Speaker

Jerome Quellier, MS, CCC-SLP Related seminars and products

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Mr. Quellier is a retired clinical specialist in traumatic brain injury and communication disorders from a 450+ bed level 1 trauma hospital in Saint Paul, MN with over 28 years of acute, residential, and outpatient rehabilitation experience. Throughout his career, he focused on neuro-based diagnostics and intervention for dysphagia, cognitive-linguistic deficits, head and neck cancer management, patient advocacy, and curriculum development. Mr. Quellier completed advanced training in brain dissection at Marquette University, actively engaged in curriculum creation and staff development training, and collaborated with a neurosurgery team in preserving language function during tumor resections.

Mr. Quellier is excited to bring this topic to the forefront after working with the interdisciplinary team’s challenges in understanding the “what and why” of aberrant cognitive control that places patients at heighten dysphagia risk.

 

Speaker Disclosures:
Financial: Jerome Quellier 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.

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Objectives

1. Categorize the anatomy and function of lobes of the brain as they apply to behavioral control.
2. Evaluate the optic system and lesion locations that affect engagement and accuracy in therapy.
3. Investigate the left vs right hemispheres to better describe unique and complimentary functions as well as common lesion-based changes to behavior.
4. Inspect the neurophysiology of memory, the effect of fear/anger upon new learning, and assess neuro-behavioral barriers that impact memory formation.

Outline

• Neuroanatomy and The Impact on Cognitive Processing
  • Brain development and amazing facts & functions
  • Neuronal anatomy and supportive tissues of the brain
  • Brain wiring: association, projection, and commissural fiber tracts
  • Brain lobes by location and contribution 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
  • Optic constructs, anterior-posterior fiber tracts
  • Visual cortices and unique roles in visual processing
  • Effect of tumors, shear injuries, CVA lesions upon visual processing
  • Discriminating field cuts from neglect syndromes
  • Karen’s Story: A Speech-Language Pathologist’s personal tumor experience
• 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
  • Confabulation and denial – addressing the elephant in the room
  • Anosognosia: how therapists consistently hit the wall and learn to overcome
  • A sense of time and spatial organization revealed
• 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

Target Audience

• Chiropractors
• Nurses
• Physicians
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Other Rehab Health Professionals