204 (Executive Dysfunction)
Executive Function is?
Resposible for initiating, planning, organizing, information processing, inhibiting inappropriate responses, error correction, self monitoring, working memory, flexible thinking, metacognition
What do people with executibve function deficits have difficulty with?
- Time management
- Decision making
- Working memory
- Planning
- Procrastination
- Poor judge of self efficacy
Metacognition
Awareness, understanding and ability to manipulate one's own thought and perceptual process
Executive Function Deficits?
Damage to frontal lobe in mid 20's brain fully developes
Executive developement timeline
6y simple planning organized visual search
10y impulse control hypothesis testing
Adolescence vrbal influecy complex motor sequencing
ADLs
IADLs are usually more so affected by LESS severe issues with executive function. Examples:
-Cooking, Driving, Paying bills
BADLs can also be affected if executive function is severely impacted. Examples:Dresses inappropriately for weather, Can’t follow direction, Can’t organize bathing routine
Importance of Executive Function
“Conclusions: The findings indicate that consideration of cognitive ability, rather than reliance on demographic and injury severity variables, provide a more accurate representation of functional outcome over the first year postinjury. In addition, the results suggest that specific cognitive domains, particularly executive functions, are likely to have the strongest effect on functional outcomes”
Evaluating Executive Function?
- Non specific, open ended tasks
- Multi tasking
- Time management
- Interruptions and unexpected outcomes
- No immediate feedback
- Delayed intentions (returning to a task to complete)