Multidisciplinary Patient Intervention Plan
Uploaded by
ScribdTranslationsMultidisciplinary Patient Intervention Plan
Uploaded by
ScribdTranslationsPatient Intervention Plan: XXXXXX
Below is a comprehensive and multidisciplinary intervention plan to stimulate
of the affected areas of the patient. The neuropsychologist will focus on improving the abilities
patient's cognitive processes, as well as reduce maladaptive behavioral patterns,
improving their social skills at the same time. Throughout the process, they will be provided with a
comprehensive support to the family taking into account their needs. The speech therapist will be responsible for
work on the more formal aspects of language. The occupational therapist will aim to
the objective is to improve the patient's autonomy. Additionally, it is recommended that the patient go to
physiotherapy to work on muscle tone, as well as motor aspects that include exercises
vestibular and coordination. The neuropsychological stimulation program for the patient
includes the intervention in the areas that are detailed below:
Cognitive stimulation program
Attention Executive functions
Complex attentional processes (Selective/Alternating) Planning/Organization
Memory: Resolution rate of
Verbal Memory problems
Auditory Memory Decrease in Impulsivity
Memory recovery training Flexibility
Language: Work report
Phonological awareness Processing Speed
Oral Comprehension/Expression Motor skills:
Lexical/Semantic/Syntactic Process Laterality
(symbolic gesture, coordination, constructive) Fine psychomotricity
Calculation
Behavior Modification Program
Low Asthma Low Initiative
Reduce social isolation Reduce tantrums
Family support and guidance
OBJECTIVES AND INTERVENTION
Selective and alternating attention:
Objective: Improvement of complex attentional processes.
Intervention: Selective and alternating attention exercises, aiming to reduce the tempo.
employee and errors. When measuring the tempo we will not only work with the processes
attentional, but we will also train processing speed and the
work memory. Techniques: Cancellation tasks of letters, numbers, or symbols.
mazes, joining sequences, pairing cards, counting geometric shapes,
look for figures different from a model etc.
Memory
Objective: Improvement of the patient's memory processes and reduction of difficulties
in learning.
Intervention: Exercises that work on memory, mainly the verbal area and
audit, which help to compensate for their language deficit. Strategies will be employed.
repetition, organization, association, and visualization. Techniques: Memorize a list of
words to remember. (If you can't, give clues), short texts with questions,
recognition exercises, associated pairs. Add stories to listen to.
while reading, storytelling auditions, adding rhythm with claps or slaps that sound like
the time when the word is said.
Language
Objective: Improve and stimulate the basic processes of language (phonological,
morphological, syntax, semantics, and pragmatics
Intervention: Stimulation through exercises of verbal comprehension, improvement of
expression and verbal fluency, training in oral expression and comprehension. Increase the
phonological awareness. The patient will also be provided access to applications
information to be able to continue working from home. Techniques: Recognize if two
words that start with the same phoneme, say their meaning about objects,
transform sentences, perform actions according to the given instructions, tell a story
make rhymes of words, cause/effect exercises. Applications: Talkin on the go:
(auditory discrimination and linguistic production and expression) P.E.L.O. Program
train articulation, phonological awareness, praxis, breathing, discrimination
auditory and lexical and syntactic areas
Praxias
Object: Normalization
Intervention: Stimulation of praxias, with progressively more difficult exercises.
constructive praxias will start by guiding you in the action until the patient achieves
be completely autonomous. Techniques: Imitation of intransitive gestures, imitation
of familiar gestures, copying patterns, drawing patterns by tracing
numerical, making drawings through copying or spontaneous, puzzles, construction
with blocks etc.
Calculation
Objective: Improvement of performance in the areas of mathematical reasoning or calculation
Intervention: Training in problem-solving skills, simple calculations
knowledge of rules or mental number line, manage the concept and use of money.
Techniques: Money management exercises, sorting, identification of numbers and
counting, arithmetic calculation
Executive functions
Objective: Improve low impulse control, flexibility, and planning.
such as the difficulties in establishing adequate strategies. Improvement of autonomy and
of adaptive behavior.
Intervention: Foster the ability to concentrate, Exercise the ability to
planning, exercising sequencing ability and inhibiting behaviors
inadequate. Stimulation of the ability to solve a problem. Techniques:
Sorting exercises and following series, reverse sorting tasks, tasks of
resistance to interference, alternating series tasks, mazes, keys of
numbers, resolution of hypothetical everyday situations, lists of things.
Motor skills:
Objective: Acquisition of laterality and improvement of fine motor skills
Intervention: Enhancement of the patient's dominant side through activities
of reinforcement and play.
Técnicas: juegos de puntería,tangram, juegos presión manual o modelado(plastlina),
object localization in a drawing to the right or to the left, activities of
stamping, tracing and drawing.
Behavioral Modification
Low Initiative
Objective: Reduce lack of initiative
Intervention: Stimulating the patient's spontaneous proposal of activities/games
both in leisure and in their daily activities.
Reduce Social Isolation:
Objective: Learn to relate to other children.
Intervention: I train in social skills through modeling and reinforcement in
consultation with the participation of another child/children, provide guidelines to the family.
Lower Asthma
Objective: To return to the child a positive and accurate image of themselves.
Intervention: Provide guidelines to the family, conducting games and activities to enhance
self-esteem, positive thinking training.
Reduce Tantrums:
Objective: Train self-control techniques
Intervention: Teach the patient repair/relaxation techniques, technique of
traffic light, from the turtle, help identify emotions, give guidelines to the family.
Intervention with the Family
The intervention in the family will include a psychoeducation session where the disorder is clarified.
of your child's neurodevelopment and presents the treatment plan. It will be provided to the
family guidelines for working with the child at home in the following areas:
Self-esteem: Avoid negative comments, reinforce tolerance to frustration: "it's okay if we don't..."
Positive behaviors, delegating works well" We breathe and that's it!
small tasks.
Disobedience: giving easy orders all at once, Tantrums y Rage: Registration of
Congratulate him if he does well, if he obeys give him a number/stimulation duration of tantrums, do not give attention.
Positive, if disobeying for the 3rd time give reinforcement during the tantrum, reinforce when it does not exist.
negative tantrum
Training on Social Skills: avoiding shyness and social withdrawal behaviors: set goals
overprotection, not being responsible for him, controlling little things, reinforcing and praising when he interacts
all types of anxiety or negative attitude in front of other children, help to express their
of the child, to attend to listen before speaking. opinions.
Planning/Schedule of treatment:
A 6-month treatment is planned, at the end of which a new one will be carried out.
evaluation. Two weekly sessions of 45 minutes will be established with the neuropsychologist,
dedicating one day a week to the patient's cognitive process work and another to
behavioral work. Sessions with the speech therapist will be approximately 45 minutes once per
week. A 1-hour session with the physiotherapist is scheduled every two weeks. For
The neuropsychologist will meet with the family every 6 weeks to share the
patient evolution, resolve doubts, and provide new guidelines.
