Archive for the ‘Improve Cognitive Functions’ Category

Okay. Before I begin, please rest assured that I am not engaged in, nor do I intend to engage in, any kind of inappropriate behavior with this person whatsoever. This is going to take a LOT of explanation, but there is literally nowhere else I can think of to ask something like this, so please bear with me!

I work in a nursing home. The patient population is largely composed of older folks, with the occasional mentally handicapped adult mixed in. Among the latter, there is a 50-something gentleman who suffered a traumatic brain injury a few years ago and apparently functions at approximately the level of your average two or three-year-old. He is able to communicate verbally up to a point but his language skills are comparable to those of a toddler, he can feed himself, use the toilet, comprehend and engage in simple games, etc. Whenever you have to care for other people, there are some who are more or less difficult to deal with, and some with whom you develop a closer bond than others — this guy is definitely of the second distinction. I adore him, but only as one would adore a very charming, but totally innocent little kid. He is by far the sweetest, most endearingly earnest and unassuming patient I have ever had. He never shows aggression (except occasionally towards himself out of frustration, but never anyone else), and he’s always trying to get a smile out of me, even if it’s just by casting a dubious sideways glance at me when I say something silly. He is strangely adept at just this sort of thing, and actions like this are indicative of a level of understanding beyond what he is outwardly capable of expressing in any other way, which brings me to my main question: Could it be possible that he ISN’T as brain damaged as he appears to be? In light of his very reserved and civilized behavior, I cannot completely discount the small possibility that he is somehow less incapacitated than anyone believes, and is capable of far more advanced, adult-like thinking than we are giving him credit for. Sometimes I SWEAR, his cognitive ability is close to that of a normal adult, but his physical awkwardness and his inability to verbally express himself belies that, and the thought of it is enough to bring me to tears. All of the doctors on the staff here insist that although he’s exceptionally personable and empathetic, he is incapable of more advanced cognition and his status will likely never improve. I wish I could agree, but I am becoming more and more doubtful.

Nobody ever comes to visit this poor man, and he was basically left alone in his room and ignored until I started working here about a year ago and came to notice how different he was from the other patients. Supposedly, he was beaten nearly to death by some creeps who wanted to rob him, but before that incident he was like a sports columnist for a newspaper or something completely decent and normal like that. I can’t imagine why he never gets any visitors — he must have had family or friends out there somewhere. He is so sweet and easy to deal with that I find myself making excuses to interact with him. All of the other staff members at the facility now joke that he is "my boyfriend" because it’s obvious he is enamored of me — supposedly the first thing he does now when he awakens is to inform the nurse on duty that "Mary be here soon" or "Mary on her way" repeatedly, likely as a way of seeking reassurance that I am indeed on my way. If I am off, he tells everyone he can that I am "to the beach", because I guess that’s where I usually tell him I’ve been. I would give ANYTHING to be able to take him places or spend more time with him, because he doesn’t deserve to sit in this dreary, depressing place day after day, where everyone is basically waiting to die. But I’m scared to say anything to anyone anymore because I’m afraid they’ll think I have some sort of inappropriate attraction to him, even though I am only interested in giving him the opportunity to have a chance at a worthwhile life. In spite of his injuries, it remains apparent that he was a very good looking guy, he still is, he has very sad blue eyes and a big smile and he’s just a total charmer, which adds to the suspicion that we have some sort of secret romance going on. I think it’s mostly just an inside joke here, but stuff like that is usually rooted in reality in some way, so I don’t want to push it.

So if you wanted to cut to the chase, I am curious to know if anyone out there has encountered someone who was thought to be very brain-damaged but wound up being much less so than was formerly believed. If so, how did you figure this out? Were you able to prove it to the doctors in charge of their care?
(cont.) Do you think I should ask to take him out or to at least spend more time working with him, or will it look bad to the rest of the staff? I’d hate to think my baseless paranoia is depriving him of having a better life.

(I have no idea where to ask this! Also, this is my friend’s account, so before you email her about being a "troll", those are HER initials, not mine… thanks)
Due to his disabilities he is more like a kid than a father figure, but I do see your point. He absolutely DOES NOT DESERVE to sit in here for the rest of his life!!!

There are many people, if not most people, who have poor communication skills, who are assumed to be much less intelligent than they are. How you find this out is to spend time with him, listening to him, helping him write down his thoughts. You might try a laptop computer to see if he can type independently.

Of course spend time with him if you want. On your own time you can interact with patients on a professional basis on a volunteer basis. If he wants to go out with you – take him. Start with something very close by and a short time period and build-up. Partly to be sure he is just as easy to care for when out and about and also to be sure he understand that you are doing this as his friend.

I used to pick up an elderly man who had no speech to take him out for coffee. I used to read him the newspaper. People thought I was stupid for doing that as they thought he didn’t understand – but he would point to the articles he wanted me to read.

Okay. Before I begin, please rest assured that I am not engaged in, nor do I intend to engage in, any kind of inappropriate behavior with this person whatsoever. This is going to take a LOT of explanation, but there is literally nowhere else I can think of to ask something like this, so please bear with me!

I work in a nursing home. The patient population is largely composed of older folks, with the occasional mentally handicapped adult mixed in. Among the latter, there is a 50-something gentleman who suffered a traumatic brain injury a few years ago and apparently functions at approximately the level of your average two or three-year-old. He is able to communicate verbally up to a point but his language skills are comparable to those of a toddler, he can feed himself, use the toilet, comprehend and engage in simple games, etc. Whenever you have to care for other people, there are some who are more or less difficult to deal with, and some with whom you develop a closer bond than others — this guy is definitely of the second distinction. I adore him, but only as one would adore a very charming, but totally innocent little kid. He is by far the sweetest, most endearingly earnest and unassuming patient I have ever had. He never shows aggression (except occasionally towards himself out of frustration, but never anyone else), and he’s always trying to get a smile out of me, even if it’s just by casting a dubious sideways glance at me when I say something silly. He is strangely adept at just this sort of thing, and actions like this are indicative of a level of understanding beyond what he is outwardly capable of expressing in any other way, which brings me to my main question: Could it be possible that he ISN’T as brain damaged as he appears to be? In light of his very reserved and civilized behavior, I cannot completely discount the small possibility that he is somehow less incapacitated than anyone believes, and is capable of far more advanced, adult-like thinking than we are giving him credit for. Sometimes I SWEAR I look into his eyes and I can see a spark that shouldn’t be there. I worry that his cognitive ability is close to that of a normal adult, but his physical awkwardness and his inability to verbally express himself belies that, and the thought of it is enough to bring me to tears. All of the doctors on the staff here insist that although he’s exceptionally personable and empathetic, he is incapable of more advanced cognition and his status will likely never improve. I wish I could agree, but I am becoming more and more doubtful.

To make matters worse, nobody ever comes to visit this poor man, and he was basically left alone in his room and ignored until I started working here about a year ago and came to notice how different he was from the other patients. Supposedly, he was beaten nearly to death by some creeps who wanted to rob him, but before that incident he was like a sports columnist for a newspaper or something completely decent and normal like that. I can’t imagine why he never gets any visitors — he must have had family or friends out there somewhere. He is so sweet and easy to deal with that I find myself making excuses just to interact with him. All of the other staff members at the facility now joke that he is "my boyfriend" because it’s obvious he is enamored of me — supposedly the first thing he does now when he awakens is to inform the nurse on duty that "Mary be here soon" or "Mary on her way" repeatedly, likely as a way of seeking reassurance that I am indeed on my way. If I am off, he tells everyone he sees that I am "to the beach", because I guess that’s where I usually tell him I’ve been. I would give ANYTHING to be able to take him places or spend more time with him, because he doesn’t deserve to sit in this dreary, depressing place day after day, where everyone is basically waiting to die. But I’m scared to say anything to anyone anymore because I’m afraid they’ll think I have some sort of inappropriate attraction to him, even though I am only interested in giving him the opportunity to have a chance at a worthwhile life. In spite of his injuries, it remains apparent that he was a very good looking guy, he still is, he has very sad blue eyes and a beautiful smile and he’s just a total charmer, which adds to the ridiculous suspicion that we have some sort of secret romance going on. I think it’s mostly just an inside joke here, but stuff like that is usually rooted in reality in some way, so I don’t want to push it.

So if you want to cut to the chase, I am curious to know if anyone out there has encountered someone who was thought to be very brain-damaged but wound up being much less so than was formerly believed. If so, how did you figure this out? Were you able to prove it to the doctors in charge of their care? Do you think I should ask to take him out or to
(cont.) Do you think I should ask to take him out or to at least spend more time working with him, or will it look bad to the rest of the staff? I’d hate to think my baseless paranoia is depriving him of having a better life.
I definitely see our relationship as being a lot like a mother and child, and in no way do I feel like there is any romantic possibility there, believe me. He is totally innocent of that kind of thing and I’d rather keep it that way.

Firstly, I would trust the doctors (the plural is, for me the swinger) whilst it is possible that there is more going on there, it is more than likely a complex series of reactions learnt as a result of observing his surroundings. The kind of responses you talk about are normal for someone sufferring from the level of brain damage you have described, if he was a child of 2-3 this would be perfectly normal. However, if he was more aware than first thought then he would be unlikely to show it at all.

That said, there is no harm in treating him like a normal human being (beyond medical treatment obviously) because everyone benefits from conversation, even if they don’t understand it. I know you have already confirmed that nothing illicit is going on, but I cannot stress enough that it must stay that way. He is in every way a child, to whom you are now his surrogate mother.

Seek the doctors advice, but a walk (even wheelchair bound) through a park or along the beach would make his life all the better. Shame on your more childish colleagues.

In short, he is brain damaged with little likely going on behind the scenes, but that is no reason why someone should prevent you for caring for the human being he still is. Life is finite

Okay. Before I begin, please rest assured that I am not engaged in, nor do I intend to engage in, any kind of inappropriate behavior with this person whatsoever. This is going to take a LOT of explanation, but there is literally nowhere else I can think of to ask something like this, so please bear with me!

I work in a nursing home. The patient population is largely composed of older folks, with the occasional mentally handicapped adult mixed in. Among the latter, there is a 50-something gentleman who suffered a traumatic brain injury a few years ago and apparently functions at approximately the level of your average two or three-year-old. He is able to communicate verbally up to a point but his language skills are comparable to those of a toddler, he can feed himself, use the toilet, comprehend and engage in simple games, etc. Whenever you have to care for other people, there are some who are more or less difficult to deal with, and some with whom you develop a closer bond than others — this guy is definitely of the second distinction. I adore him, but only as one would adore a very charming, but totally innocent little kid. He is by far the sweetest, most endearingly earnest and unassuming patient I have ever had. He never shows aggression (except occasionally towards himself out of frustration, but never anyone else), and he’s always trying to get a smile out of me, even if it’s just by casting a dubious sideways glance at me when I say something silly. He is strangely adept at just this sort of thing, and actions like this are indicative of a level of understanding beyond what he is outwardly capable of expressing in any other way, which brings me to my main question: Could it be possible that he ISN’T as brain damaged as he appears to be? In light of his very reserved and civilized behavior, I cannot completely discount the small possibility that he is somehow less incapacitated than anyone believes, and is capable of far more advanced, adult-like thinking than we are giving him credit for. Sometimes I SWEAR, his cognitive ability is close to that of a normal adult, but his physical awkwardness and his inability to verbally express himself belies that, and the thought of it is enough to bring me to tears. All of the doctors on the staff here insist that although he’s exceptionally personable and empathetic, he is incapable of more advanced cognition and his status will likely never improve. I wish I could agree, but I am becoming more and more doubtful.

Nobody ever comes to visit this poor man, and he was basically left alone in his room and ignored until I started working here about a year ago and came to notice how different he was from the other patients. Supposedly, he was beaten nearly to death by some creeps who wanted to rob him, but before that incident he was like a sports columnist for a newspaper or something completely decent and normal like that. I can’t imagine why he never gets any visitors — he must have had family or friends out there somewhere. He is so sweet and easy to deal with that I find myself making excuses to interact with him. All of the other staff members at the facility now joke that he is "my boyfriend" because it’s obvious he is enamored of me — supposedly the first thing he does now when he awakens is to inform the nurse on duty that "Mary be here soon" or "Mary on her way" repeatedly, likely as a way of seeking reassurance that I am indeed on my way. If I am off, he tells everyone he can that I am "to the beach", because I guess that’s where I usually tell him I’ve been. I would give ANYTHING to be able to take him places or spend more time with him, because he doesn’t deserve to sit in this dreary, depressing place day after day, where everyone is basically waiting to die. But I’m scared to say anything to anyone anymore because I’m afraid they’ll think I have some sort of inappropriate attraction to him, even though I am only interested in giving him the opportunity to have a chance at a worthwhile life. In spite of his injuries, it remains apparent that he was a very good looking guy, he still is, he has very sad blue eyes and a big smile and he’s just a total charmer, which adds to the suspicion that we have some sort of secret romance going on. I think it’s mostly just an inside joke here, but stuff like that is usually rooted in reality in some way, so I don’t want to push it.

So if you wanted to cut to the chase, I am curious to know if anyone out there has encountered someone who was thought to be very brain-damaged but wound up being much less so than was formerly believed. If so, how did you figure this out? Were you able to prove it to the doctors in charge of their care?
(cont.) ? Do you think I should ask to take him out or to at least spend more time working with him, or will it look bad to the rest of the staff? I’d hate to think my baseless paranoia is depriving him of having a better life.

(I have no idea where to ask this — also, I am using a friend’s account, before you email her about "trolling", etc., that’s her initials up there…)

I know of a boy who was diagnosed as Autistic within the first few years of his life. Generally, Autistic people cannot talk, which led scientists to only speculate about their brain patterns; if they could think and if they had feelings, etc. This boy – who was from India – had a very patient and loving mother. This mother spent every waking moment with the boy, trying to figure out what has eluded scientists all these years. She constantly talked to the boy, pointing out things and telling him the names for everything. She kept his mind continuously occupied and focused. By the time the boy was in his adolescent years, he could type and write with a pencil. The boy wrote about how he felt and he also wrote poems. He was interviewed by Dateline (don’t quote me on that) and he was able to understand and respond correctly to their questions. The constant mental stimulation from his mother kept his mind from turning into "a vegetable" as he put it. After his story went public, a center for children with disabilities started to adopt the constant stimulation idea, and had success within six weeks with the majority of their patients. They were able to get many to type and do basic math. Until then, doctors and scientists would never have dreamed about being able to communicate with (let alone teach) an Autistic person. So yes, you SHOULD spend quality time with this man. He deserves a chance, and you could even perhaps make a breakthrough in the medical field. It would deffinitly make a difference to this man, because I would guess that most people do not spend time with him, and if he is not as slow as people think, then it probably hurts his feelings that he is so alone. No matter what people tell you (he is too far gone; he will never get better; he cannot understand you) remember the story I told you, and know that ANYTHING is possible with a little time and effort.

Okay. Before I begin, please rest assured that I am not engaged in, nor do I intend to engage in, any kind of inappropriate behavior with this person whatsoever. This is going to take a LOT of explanation, but there is literally nowhere else I can think of to ask something like this, so please bear with me!

I work in a nursing home. The patient population is largely composed of older folks, with the occasional mentally handicapped adult mixed in. Among the latter, there is a 50-something gentleman who suffered a traumatic brain injury a few years ago and apparently functions at approximately the level of your average two or three-year-old. He is able to communicate verbally up to a point but his language skills are comparable to those of a toddler, he can feed himself, use the toilet, comprehend and engage in simple games, etc. Whenever you have to care for other people, there are some who are more or less difficult to deal with, and some with whom you develop a closer bond than others — this guy is definitely of the second distinction. I adore him, but only as one would adore a very charming, but totally innocent little kid. He is by far the sweetest, most endearingly earnest and unassuming patient I have ever had. He never shows aggression (except occasionally towards himself out of frustration, but never anyone else), and he’s always trying to get a smile out of me, even if it’s just by casting a dubious sideways glance at me when I say something silly. He is strangely adept at just this sort of thing, and actions like this are indicative of a level of understanding beyond what he is outwardly capable of expressing in any other way, which brings me to my main question: Could it be possible that he ISN’T as brain damaged as he appears to be? In light of his very reserved and civilized behavior, I cannot completely discount the small possibility that he is somehow less incapacitated than anyone believes, and is capable of far more advanced, adult-like thinking than we are giving him credit for. Sometimes I SWEAR, his cognitive ability is close to that of a normal adult, but his physical awkwardness and his inability to verbally express himself belies that, and the thought of it is enough to bring me to tears. All of the doctors on the staff here insist that although he’s exceptionally personable and empathetic, he is incapable of more advanced cognition and his status will likely never improve. I wish I could agree, but I am becoming more and more doubtful.

Nobody ever comes to visit this poor man, and he was basically left alone in his room and ignored until I started working here about a year ago and came to notice how different he was from the other patients. Supposedly, he was beaten nearly to death by some creeps who wanted to rob him, but before that incident he was like a sports columnist for a newspaper or something completely decent and normal like that. I can’t imagine why he never gets any visitors — he must have had family or friends out there somewhere. He is so sweet and easy to deal with that I find myself making excuses to interact with him. All of the other staff members at the facility now joke that he is "my boyfriend" because it’s obvious he is enamored of me — supposedly the first thing he does now when he awakens is to inform the nurse on duty that "Mary be here soon" or "Mary on her way" repeatedly, likely as a way of seeking reassurance that I am indeed on my way. If I am off, he tells everyone he can that I am "to the beach", because I guess that’s where I usually tell him I’ve been. I would give ANYTHING to be able to take him places or spend more time with him, because he doesn’t deserve to sit in this dreary, depressing place day after day, where everyone is basically waiting to die. But I’m scared to say anything to anyone anymore because I’m afraid they’ll think I have some sort of inappropriate attraction to him, even though I am only interested in giving him the opportunity to have a chance at a worthwhile life. In spite of his injuries, it remains apparent that he was a very good looking guy, he still is, he has very sad blue eyes and a big smile and he’s just a total charmer, which adds to the suspicion that we have some sort of secret romance going on. I think it’s mostly just an inside joke here, but stuff like that is usually rooted in reality in some way, so I don’t want to push it.

So if you want to cut to the chase, I am curious to know if anyone out there has encountered someone who was thought to be very brain-damaged but wound up being much less so than was formerly believed. If so, how did you figure this out? Were you able to prove it to the doctors in charge of their care?
(cont.) Do you think I should ask to take him out or to at least spend more time working with him, or will it look bad to the rest of the staff? I’d hate to think my baseless paranoia is depriving him of having a better life.

(I have no idea what section to ask this in, BTW)

The one thing I know from doing biological psychology is that the brain is a strange and mysterious thing and no one actually really know exactly how it works, or how much it can recover after a traumatic incident. It functions a lot on what is called redundant systems, which means there can be incidences where the main system is compromised, but eventually a redundant system can bring back more functionality over time – maybe not as slickly, but enough to get the job done. What is also possible is that 1) this can improve over time as more functions are rerouted but it can be very slow 2) very different functions of the brain can be effected by an injury leaving a mish-mash of higher cognitive skills and basic skill left.

It would not surprise me that he either has some areas of cognitive skills that are preserved – it depends where the damage took place. He evidently has some of the abstract concepts such as time preserved as well as recognition. It’s very difficult to say with brain trauma if things will improve or not – often it is the worst case scenario, but it can’t be said for certain.

In terms of helping him, perhaps if you can show you want to explore something that would also be counted as something like professional development for you – like a skills set. If he can’t read any more he might be able to access one of the communication forms such as Makaton (Writing with symbols) that they use in SEN schools. If you perhaps suggested you could try and learn that or other "techniques" as you have a rapport with him as well, that should be an acceptable professional rationale.
Otherwise, you could potentially organise something which is not limited to just him, or suggest other people take him out too. I would ask! Nothing to lose!

Okay. Before I begin, please rest assured that I am not engaged in, nor do I intend to engage in, any kind of inappropriate behavior with this person whatsoever. This is going to take a LOT of explanation, but there is literally nowhere else I can think of to ask something like this, so please bear with me!

I work in a nursing home. The patient population is largely composed of older folks, with the occasional mentally handicapped adult mixed in. Among the latter, there is a 50-something gentleman who suffered a traumatic brain injury a few years ago and apparently functions at approximately the level of your average two or three-year-old. He is able to communicate verbally up to a point but his language skills are comparable to those of a toddler, he can feed himself, use the toilet, comprehend and engage in simple games, etc. Whenever you have to care for other people, there are some who are more or less difficult to deal with, and some with whom you develop a closer bond than others — this guy is definitely of the second distinction. I adore him, but only as one would adore a very charming, but totally innocent little kid. He is by far the sweetest, most endearingly earnest and unassuming patient I have ever had. He never shows aggression (except occasionally towards himself out of frustration, but never anyone else), and he’s always trying to get a smile out of me, even if it’s just by casting a dubious sideways glance at me when I say something silly. He is strangely adept at just this sort of thing, and actions like this are indicative of a level of understanding beyond what he is outwardly capable of expressing in any other way, which brings me to my main question: Could it be possible that he ISN’T as brain damaged as he appears to be? In light of his very reserved and civilized behavior, I cannot completely discount the small possibility that he is somehow less incapacitated than anyone believes, and is capable of far more advanced, adult-like thinking than we are giving him credit for. Sometimes I SWEAR, his cognitive ability is close to that of a normal adult, but his physical awkwardness and his inability to verbally express himself belies that, and the thought of it is enough to bring me to tears. All of the doctors on the staff here insist that although he’s exceptionally personable and empathetic, he is incapable of more advanced cognition and his status will likely never improve. I wish I could agree, but I am becoming more and more doubtful.

Nobody ever comes to visit this poor man, and he was basically left alone in his room and ignored until I started working here about a year ago and came to notice how different he was from the other patients. Supposedly, he was beaten nearly to death by some creeps who wanted to rob him, but before that incident he was like a sports columnist for a newspaper or something completely decent and normal like that. I can’t imagine why he never gets any visitors — he must have had family or friends out there somewhere. He is so sweet and easy to deal with that I find myself making excuses to interact with him. All of the other staff members at the facility now joke that he is "my boyfriend" because it’s obvious he is enamored of me — supposedly the first thing he does now when he awakens is to inform the nurse on duty that "Mary be here soon" or "Mary on her way" repeatedly, likely as a way of seeking reassurance that I am indeed on my way. If I am off, he tells everyone he can that I am "to the beach", because I guess that’s where I usually tell him I’ve been. I would give ANYTHING to be able to take him places or spend more time with him, because he doesn’t deserve to sit in this dreary, depressing place day after day, where everyone is basically waiting to die. But I’m scared to say anything to anyone anymore because I’m afraid they’ll think I have some sort of inappropriate attraction to him, even though I am only interested in giving him the opportunity to have a chance at a worthwhile life. In spite of his injuries, it remains apparent that he was a very good looking guy, he still is, he has very sad blue eyes and a big smile and he’s just a total charmer, which adds to the suspicion that we have some sort of secret romance going on. I think it’s mostly just an inside joke here, but stuff like that is usually rooted in reality in some way, so I don’t want to push it.

So if you want to cut to the chase, I am curious to know if anyone out there has encountered someone who was thought to be very brain-damaged but wound up being much less so than was formerly believed. If so, how did you figure this out? Were you able to prove it to the doctors in charge of their care?
(cont.) Do you think I should ask to take him out or to at least spend more time working with him, or will it look bad to the rest of the staff? I’d hate to think my baseless paranoia is depriving him of having a better life.

(I have no idea what section to ask this in, BTW)

The one thing I know from doing biological psychology is that the brain is a strange and mysterious thing and no one actually really know exactly how it works, or how much it can recover after a traumatic incident. It functions a lot on what is called redundant systems, which means there can be incidences where the main system is compromised, but eventually a redundant system can bring back more functionality over time – maybe not as slickly, but enough to get the job done. What is also possible is that 1) this can improve over time as more functions are rerouted but it can be very slow 2) very different functions of the brain can be effected by an injury leaving a mish-mash of higher cognitive skills and basic skill left.

It would not surprise me that he either has some areas of cognitive skills that are preserved – it depends where the damage took place. He evidently has some of the abstract concepts such as time preserved as well as recognition. It’s very difficult to say with brain trauma if things will improve or not – often it is the worst case scenario, but it can’t be said for certain.

In terms of helping him, perhaps if you can show you want to explore something that would also be counted as something like professional development for you – like a skills set. If he can’t read any more he might be able to access one of the communication forms such as Makaton (Writing with symbols) that they use in SEN schools. If you perhaps suggested you could try and learn that or other "techniques" as you have a rapport with him as well, that should be an acceptable professional rationale.
Otherwise, you could potentially organise something which is not limited to just him, or suggest other people take him out too. I would ask! Nothing to lose!