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Disorders of Consciousness: Intervention Best Practices

presented by Jessica Asiello, OTD, OTR/L and Kristen Keech, OTD, OTR/L, CBIS

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Disclosure Statement:

Financial: Kristen Keech receives compensation from MedBridge for the production of this course. She’s also the founder of Conscious Care Consulting, LLC, and an employee for The Queen’s Health System. She has no other relevant financial relationships.

Nonfinancial: Kristen Keech has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: Jessica Asiello receives compensation from MedBridge for the production of this course. She’s also an employee of MGH Institute of Health Professions and Massachusetts General Hospital, an advisor for ScribePT, and a contractor for the American Occupational Therapy Association. She has no other relevant financial relationships.

Nonfinancial: Jessica Asiello is an associate reviewer for the Journal of Acute Care Occupational Therapy.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
Video Runtime: 60 Minutes; Learning Assessment Time: 46 Minutes

In this course, discover the best evidence-based treatment in disorders of consciousness, and translate treatment results with clear and accurate language to improve documentation, goal writing, interprofessional collaboration, and patient and caregiver education. This course is applicable for all members of the interprofessional team, especially nursing and allied health professionals, across the continuum of acute and post-acute care settings.

Learning Objectives
  • Apply knowledge of evidence-based treatment recommendations to facilitate recovery of consciousness and improve advocacy efforts for persons with disorders of consciousness (DoC)
  • Examine evidence-based treatment options for individuals with DoC
  • Determine key components of caregiver education/training
  • Implement at least two strategies for documentation and goal writing
  • Analyze how accurate documentation can result in increased advocacy and access to rehabilitation

Meet Your Instructors

Jessica Asiello, OTD, OTR/L

Jessica Asiello is an assistant professor in the Department of Occupational Therapy in the School of Health and Rehabilitation Sciences at the MGH Institute for Health Professions in Boston, Massachusetts. She primarily teaches in the online postprofessional OTD program. Her clinical practice is in acute care at Massachusetts General Hospital, with specialty experience with medically…

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Kristen Keech, OTD, OTR/L, CBIS

Kristen Keech is an occupational therapist working in the acute care setting at The Queen's Medical Center in Honolulu, Hawaii. She evaluates, treats, and advocates for individuals hospitalized for various medical and traumatic-related injuries, alongside the interprofessional team, beginning in the intensive care unit. Kristen's area of expertise is moderate to severe traumatic brain injury…

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Chapters & Learning Objectives

1. Evidence-Based Treatment Approaches: Pre-awareness State

In this chapter, discover the state of current evidence around treatment interventions that can facilitate recovery of consciousness by examining evidence-based treatment options for individuals with DoC while highlighting key components of caregiver education/training.

2. Evidence-Based Treatment Approaches: Emerging State of Awareness

In this chapter, instructors will combat myths that this patient population is not appropriate for a functional-based approach. Discover ways to incorporate graded command following (object-directed and non-object-directed); facilitate therapeutic engagement in ADLs, functional mobility, and other meaningful occupations; and incorporate best practices around caregiver education.

3. Evidence-Based Documentation and Goal-Writing: What You Need to Know

In this chapter, learn how to accurately document environmental and manual techniques used during assessment, and the patient’s neurobehavioral responses. Discover best practices for translating assessment results into clear and accurate communications with interprofessional team members, patients, and caregivers. This information is critical to ensuring interprofessional collaboration and optimizing patient care and discharge plans.

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