Changing activities for different cognitive levels

Once a week we do a group focusing on cognitive stimulation. One of the activities we do for that group is based on replicating a 3-D design printed on a card with blocks that match the  colors in the design; hence, the activity involves a visual-perceptual piece as well as a visual-motor piece. This is fairly challenging for the patients, depending on their cognitive level, based on Allen’s Disabilities Model. 

Patients at level 4.0, 4.2 and up can usually understand the three- dimensionality of the designs, but patients at the level 3’s usually cannot. The last time I did this with a pt at a level 3, he was just becoming increasingly frustrated because he could not understand the 3-D aspect of it no matter how many clues I gave. He kept replicating the design as it would look in 2-D, rather than 3-D, even though the picture was printed in 3-D. I think next time, I can problem solve the issue by creating a 3-D version of the design I want the patient to replicate rather than having the patient look at the card; just making sure there are enough blocks and the correct colors is a challenge enough for a patient functioning at a level 3.

Boy, it was difficult to keep thinking of clues! I finally ended up saying things like, “does the yellow block look like it goes on top of, or below, the green block,” taking it one step at a time.

However, it makes sense that I would have to give simple, 1-2 step directions to cue a patient functioning at one of the level 3’s, but it was very difficult to think of cues for an activity that is so intuitive to us (those functioning at 5.2 and above, hopefully!)



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