New ABI Training: Module 3

Welcome back all you wonderful RS W’s enhanced PSWs. This is acquired brain injuries training module number three. 

In this module, we’re going to be looking at self monitoring and insight strategies to help clients with their insight and planning, predicting prioritizing and problem solving. That last one before PS is a big one. You’re going to hear this a lot in the brain injury field. So really pay attention to this one. 

A lack of insight is when the client is unable to self monitor. They don’t know when they’re being inappropriate, annoying, obnoxious, rude. They may also have trouble knowing when they’re tired or hot or cold. They may not even realize they have a brain injury or what their symptoms are. You may have to gently point this out to them. Describe what you’re seeing to the client. Hey, you look really hot and sweaty. Why don’t we take a break and you can drink some water or your memory isn’t so great. So we should probably use a timer to remind us when to take dinner out of the oven. 

With a client with limited insight into their injuries. You’re going to have to gently and politely let them know what their deficits are. 

Planning, predicting prioritizing and problem solving. deficits in this area are very common with TBI. It’s one of the biggest deficits that clients can have as it affects all areas of daily living. Keep in mind that planning something doesn’t have to be a big major goal like planning a wedding or planning what to do with the next five years of your life. It can be something as small as planning to go to the movies or planning on what you’re going to make for dinner this week, or even planning what you’re going to wear according to the weather. 

All of these things take planning, predicting prioritizing, and potentially some problem solving. 

Here are some strategies to help with the four P’s you want to help the client generate ideas for their goal, then help them make predictions on what might go wrong. Help them with ways to potentially solve what might go wrong and help them with prioritizing how to accomplish the goal. The next slide has a great worksheet that you can use to help your clients with the task. You can see just how much thought goes into planning and predicting and problem solving. 

Remember that even small mundane tasks require planning prioritizing, predicting and problem solving. Even thinking like cleaning up the basement or doing your laundry for example. 

So here’s an example of the goal plan predict do review worksheet. 

I want you to think about this system and we’re going to use cleaning up your kitchen as the goal. So I want you to think what will the finished goal look like? 

What do you plan to do first, second, third. 

What are some things that might go wrong? What might you need help with? 

How are you going to solve those problems when they come up? 

And I really want you to focus on the first part of the plan. What will I do first, second and third. This is prioritizing. This is something that a lot of clients with brain injuries are going to have difficulty with as well as the predicting what might go wrong and how to potentially solve it. So you can see after doing this worksheet yourself something as simple and mundane as cleaning up the kitchen is actually a pretty complex task that requires quite a bit of planning, prioritizing, predicting and potentially some problem solving as well. 

Okay, it’s time to show me what you’ve learned. 

I want you to write these questions down and email answer them in your own words, and then send them off to your Rs W manager. Good luck.