What is cognition?
Cognition is the act of knowing or thinking. It includes the ability to choose, understand, remember and use information. Cognition includes:
- Attention and concentration.
- Processing and understanding information.
- Planning, organizing, and assembling.
- Reasoning, problem-solving, decision-making, and judgment.
- Controlling impulses and desires and being patient.
After a TBI it is common for people to have problems with attention, concentration, speech and language, learning and memory, reasoning, planning and problem-solving
Problems with processing and understanding information
After brain injury, a person’s ability to process and understand information often slows down, resulting in the following problems:
- Taking longer to grasp what others are saying.
- Taking more time to understand and follow directions.
- Having trouble following television shows, movies, etc.
- Taking longer to read and understand written information including books, newspapers or magazines.
- Being slower to react. This is especially important for driving, which may become unsafe if the person cannot react fast enough to stop signs, traffic lights or other warning signs. Individuals with TBI should not drive until their visual skills and reaction time have been tested by a specialist.
- Being slower to carry out physical tasks, including routine activities like getting dressed or cooking.
What can be done to improve the ability to process and understand information?
- Place your full attention on what you are trying to understand. Decrease distractions.
- Allow more time to think about the information before moving on.
- Re-read information as needed. Take notes and summarize in your own words.
- If needed, ask people to repeat themselves, to say something in a different way, or to speak slower. Repeat what you just heard to make sure you understood it correctly.
Language and communication problems
Communication problems can cause persons with TBI to have difficulty understanding and expressing information in some of the following ways:
- Difficulty thinking of the right word.
- Trouble starting or following conversations or understanding what others say.
- Rambling or getting off topic easily.
- Difficulty with more complex language skills, such as expressing thoughts in an organized manner.
How family members can help:
- Use kind words and a gentle tone of voice. Be careful not to “talk down” to the person.
- When talking with the injured person, ask every so often if he or she understands what you are saying, or ask the person a question to determine if he or she understood what you said.
- Do not speak too fast or say too much at once.
- Limit conversations to one person at a time.
Problems learning and remembering new information
- Persons with TBI may have trouble learning and remembering new information and events.
- They may have difficulty remembering events that happened several weeks or months before the injury (although this often comes back over time). Persons with TBI are usually able to remember events that happened long ago.
- They may have problems remembering entire events or conversations. Therefore, the mind tries to “fill in the gaps” of missing information and recalls things that did not actually happen. Sometimes bits and pieces from several situ¬ations are remembered as one event. These false memories are not lies.
What can be done to improve memory problems?
- Put together a structured routine of daily tasks and activities.
- Be organized and have a set location for keeping things.
- Develop daily schedules and routines, also daily task lists.
- Be well rested and try to reduce anxiety as much as possible.
Planning and Organization Problems
- Persons with TBI may have difficulty planning their day and scheduling appointments.
- They may have trouble with tasks that require multiple steps done in a particular order, such as laundry or cooking.
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I hope this article may be helpful, as I’ve learnt, developed and refined these (my) various strategies (mentioned above) to compensate for deficiencies …over many years.
“We share what we know, so that we all may grow.”