|Physical||Communication||Cognitive||Behavioural / Emotional|
Cognition is the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. It includes processes such as knowledge, attention, memory and working memory, judgment and evaluation, decision making, comprehension and production of language.
Human cognition is both conscious and unconscious, concrete or abstract, as well as intuitive and conceptual. Cognitive processes involve the use of existing knowledge and the generation of new knowledge.
Unlike physical complaints, which are easily diagnosed, cognitive impairments can be very subtle. This is especially true with higher-level cognitive abilities which are referred to as executive functioning. The primary components of executive functioning are:
The most debilitating cognitive complaint is a lack of awareness of one’s deficits. Without this realization, the person sees no reason to work hard to recover their cognitive abilities and, therefore remain seriously impaired. They may be unable to understand why their life has become so difficult.
Problems in cognition may not be recognised until a person returns home or to education or work. During rehabilitation, cognitive abilities can improve dramatically.
"Different 'experts' involved in pediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"When different organisations assess different aspects of a child's neuro-rehabilitation needs, everyone looks at things from a different perspective and highlight needs and conflicting priorities"
"Children and young people have poor social competence post brain injury due to reduced cognition, executive functions, and emotional control. As a result they are twice as likely to have mental health issues in the future"
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
"Our 10 year study proves that family-led home-based neuro-rehab interventions deliver the best outcomes for children and young people"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"