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Is Seeing Remembering? Lee-Ann Danko OTR/L 2007 1 Is Memory... “The power or process of reproducing or recalling what has been learned and retained especially through associative mechanisms; A particular act of recall or recollection.” Webster Dictionary 2 Memory is… Memory is not just the recall of information but, the product of attention, encoding, storage and recall. 3 Memory is… “ Memory is an integral part of what makes us human. Memories connect us to the past and guide us through the future. They provide us with continuity and enable us to make sense of our world.” Weinstein, 1995 4 Memory & Assistive Technology To use the available assistive technology effectively, a knowledge of the processes involved in memory is needed. 5 Statistics 20 million people with cognitive impairments in the USA ( 7% of General Population) 6 Cognitive Disabilities Acquired Brain Injury Mental Retardation Autism Degenerative Neuro-Diseases (MS, ALS) Diabetes Cerebral Palsy Mental Illness Drug and Alcohol Abuse Mental Illness 7 Components of Memory (Sohlberg, Johansen, Geyer & Hornbeck, 1994) 8 Attention Basic level is arousal and alertness. Complex level can be thought of as the ability to sustain attention over time The ability to resist distractions, and the efficient use of attention based on the demands of the task or processing needs. 9 Attention the brain to “in-put” sensory data, and internal thought processes. Allows Distractions such as noise, worry,pain etc. impair encoding and recall 10 Encoding: The Process by which Information is Made Meaningful This is the step of processing the sensory input of what was seen, heard, tasted, felt, smelled, & etc. The point where information is understood and what was said and or read and is sent to “storage” 11 Encoding Language and visuoperceptual systems are essential for efficient processing. (Garbage in = Garbage out! ) 12 HOW DID YOU ENCODE? Vital organ? Valentine’s Day? Romance? Love? 14 15 Storage Hippocampus/ Temporal Lobes The assignment of a temporary memory to a form or location for more permanent storage or access. (Common area of dysfunction) 17 Recall Frontal Lobes Information that is needed is pulled back to conscious thought. 18 Recall Recall “remembering” without assistance of cues and do not have recall information in a certain order. Free Cued Recall : cues are used to facilitate the act of recalling information. Example: Thirty days has September, April, June and November. 19 Components of Memory Attention Encode Storage Recall 20 Types of Memory 21 Types of Memory Short Term Memory Temporary and limited capacity storage of information Gone in 30 seconds to a few minutes. If a conscious effort is made, short term memory can be processed by working memory and retrieved at a later time. 22 Types of Memory Working Memory Uses these methods to “hold”, or “encode” information. Rehearsal Visual imagery Verbal elaboration Chunking 23 Long Term Memory Permanent Storage of Information And has no limits in capacity 24 Types of Long Term Memory Declarative Factual knowledge. Explicitly learned and recalled. Includes facts, episodes, lists and routs The knowledge of word meanings 25 Types of Long Memory Term Episodic Memory: Tied to a specific time and place; Dependent on context. Personally experienced events in life are stored and retrieved. 26 Semantic Memory: The knowledge of word meanings Well learned facts Classes of information Ideas and abstract concepts that we generally consider “knowledge” Not reliant on context or space. 27 Prospective Memory The ability to remember to remember Needed to carry out specific actions in the future (pay bills, take medication) Most important for everyday living. 28 Metamemory Memory Awareness of your own ability to encode, retain, retrieve and use information from long and short term memory. 29 Sin of Fading Aware of the problem at time & could remedy it. Example: This information may fade but, you will know how to reference it if needed. ABSENT-MINDNESS “ Action Slips” Un-aware at the time of the event Caused by shallow processing. Distractions Divided attention Poor sensory input Example: Discovering the eggs were forgotten after you left the grocer. Sin of …Blocking Memories Temporally Unavailable Aware of problem at time & could remedy it. Failure is significant if the recall is urgent Failure is irritating if information is trivial (movie star’s’ name) Emergency number, highway name while driving Sin of …Distortion The right memory, wrong source Suggestibility Implanting a Memory Leading Questions Bias Distortions and Unconscious Influences Persistence The inability to forget The Saints of Memory 40 Saints of Memory SENSATI0N Vision Touch Smell Hearing Movement Saints of Memory Environment Repetition Saints of Memory Repetition Saints of Memory Medication Mnemonics Saints of Memory Repetition Repetition Repetition Saints of Memory Assistive Technology “Low Tech” Memory Books Day Planners Sticky Notes Wall Signs Mnemonics 47 Electronic “High Tech” Memory Aids Are “Cognitive Prosthetics’’ 48 Electronic “High Tech” Reminder Alarms (timers) Schedules Calendars To do lists Money management Maps (G.P.S) Vocal Prompts 49 Cognitive Prosthetics Can be covered by Medicaid if prescribed by a physician with documented justification. 50 Cognitive Prosthetics Can be provided by Vocational Rehabilitation if needed for employment 51 Cognitive Prosthetics Can be provided by IDEA if needed for educational goals 52 Scripts & AT Through scripting, memory and other executive functions(organizing, priority setting, time management, and decision making), can be completed by the hand held device. 53 Scripts & Prompting As technology advances with artificial Intelligence (AI) scripts will get more detailed. 54 AT=Assistive Technology AI=Artificial Intelligence 55 Scripts & Prompting Script: Mop the floor. The mop can not be found. Prompt: The Look in closet mop can not be found. Prompt: Call Lee-Ann. Ask for instructions. 56 Cognitive Prosthetics “Scripts” with “Prompts” can be composed of visual and verbal cues sequentially displayed on a hand held computer. With the new technology memorization and decision making can be off loaded to the device. 57 POCKET SUPERVISOR TeachEable, INC. Occupational Support Navigation System Adult Literacy and Cognitive Abilities Assistant Vocational Rehabilitation Tool English As A Second Language Assistant ESL Robotic Tutor P.E.A.T. SYSTEM Planning & Executive Assistant Trainer Artificial Intelligence developed by NASA Daily Schedules Change plans when needed Visual & Audible Cues Brain Aid Inc. FONIX fonix.com Add-on software to pocket PC’s for auditory prompts Alarms Reads Calendar 60 Consumer Based Technology “OFF THE SHELF” TECHNOLOGY 61 Personal Data Assistant Or PDA’s 62 Palm Zire Pictures Music Alarms Calendar Organizer Down load upgrades palmpilot.com IPOD / Mp3 Players Video Pictures Recording Music Timex Data Link Watch Alarms Down load from personal computer Interfaces with Outlook Memos Address/Telephones Pagers Wireless Programmable Monthly Fee Alarm System 66 Medication Reminders E-Pill www.epill.com Step Pad B INDEPENDENT INC. BINDEPENDENT.COM AUDIO RECORDERS Digital Recording Reminder Alarms Play Back At Different Speeds With can interface with voice to text software Note Taking Easy to use Multi-function Phones Alarms/ Calendar Contacts Video/Music Records GPS E mail-Phone Pictures PHOTO PHONE E.A.D.L. (Electronic Aids for Daily Living) Controls light, heat, etc. Locks appliances Automate bill paying, safety (fire, ambulance), e-mail family 72 TROUBLE Device Abandonment 72% of memory of assisted technology for memory devices are abandon. (Reimer-Reiss 2000) 74 DEVICE ABANDONMENT Configuration/programming of care giver Changing the device to fit the needs of the user Awareness of need by user Limited social support 75 SOLUTIONS A.T. Questions What kind of technology is used now? Telephone? CD player? Game Boy? Mom-Dad? 77 A.T. Questions What are the sensory skills? Hearing Vision Touch Pain 78 A.T. Questions What are the physical abilities? What is the dexterity? What is the strength? What is the coordination? 79 A.T. Questions What is the cognitive function ? What is the frustration tolerance ? What is the intelligence ? 80 A.T. Questions Can the user… Respond to a prompt? Complete a prompted task? Follow iconic commands? 81 A. T. Questions Interest? Awareness? (Does the user believe they need it?) Commitment? Fear? 82 A.T. Questions Who will do the programming? Who will do the training? How hard is it to program? 83 AT Questions How long is the battery life? How often does it need charging? What happens when the battery loses charge? 84 Summary Summary Memory is not just seeing, or the recall of information but, the product of attention, encoding, storage and recall. 86 Summary To use the available assistive technology effectively, a knowledge of the processes involved in memory is needed, so the application of the assistive technology (AT) can be successful. 87 Summary New AT solutions will bring increased ability. Increased ability may bring a need for more AT solutions, so…. 88 Valued Valued Customer: Customer: LET’S GET BUSY!