Seminar Detail

Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits
Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits


When:  Monday, July 15, 2019 at 8:00 AM - 3:30 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Neuroanatomy is admittedly complex and overwhelming. Clinicians working in rehabilitation are faced with growing caseloads, diminished resources/reimbursement, and increasingly medically complex patients with the expectation of improving outcomes and reducing length of stay. Honing knowledge of clinically-relevant neuroanatomy and neuropathology can predict dysfunction and intuitively create a scaffold for assessment and treatment even before meeting the patient. Predetermining potential deficits leads to a more tightly defined diagnostic battery and expedites treatment formulation. By deducing the patient’s experience, the clinician can also prepare for behavioral barriers to engagement and understand the healing process with greater compassion.

In this one-day seminar, participants will learn intermediate level neurophysiology as it relates to cognitive-linguistic skills and behavioral control, as well as explore mindfulness techniques for stress reduction. The overlying foci of the course are to arm treating professionals with an improved clinical eye, predicting dysfunction, and expedite the pathway to treatment. Course content will also include patient-focused educational materials for stroke and traumatic brain injury ready to utilize by treating practitioners.

  • Categorize the anatomy and function of lobes of the brain as they apply to behavioral control.
  • Characterize the neurophysiology of memory and effect of fear/anger upon new learning and memory.
  • Analyze the effect of traumatic and non-traumatic injuries upon cognitive centers.
  • Connect neurotransmitters with the communication system within the brain.
  • Evaluate the optic system and lesion locations that affect engagement and accuracy in therapy.
  • Recommend simple neuroanatomy-based techniques to rapidly de-escalate stress for patients and caretakers.
  • Assess neuro-behavioral barriers that impact new learning.

Case Study

Neuroanatomy And The Impact On Cognitive Processing
  • Basic neuronal anatomy
  • Brain wiring: Association, projection, and commissural fiber tracts
  • Brain lobes locations and ties to cognitive processes
  • Cerebellum and impact upon cognition
  • Case Study 1: Jacob’s anxiety and how pacing the halls become therapeutic
Case Study

Optic System And Visual Perception
  • Optic constructs, anterior-posterior fiber tracts
  • Visual cortices and unique roles in visual processing
  • Effect of tumors, shear injuries, CVA lesions upon visual processing
  • Case study 2: Why can’t my patient just see the whole worksheet like I do?
  • Group Exercise: Review of vision diagnostics by discipline (PT/OT/SLP)
How Neurotransmitters Drive The Bus
  • Internal communication systems within the brain
  • Dopamine pathways and effects on cognition and reward systems
  • Serotonin pathways and mood modulations
Executive Functions Of The Frontal Lobe
  • The Cognitive Pyramid and moving patients upward
  • Skull anatomy and effects of shear injury
    • Shear injury as it affects anxiety and behavioral health
  • Therapy implications for PT/OT/SLP
  • Group Exercise: Review of executive function diagnostics by discipline (PT/OT/SLP)
Communication And The Left Hemispheric Functions
  • Broca’s vs. Wernike’s area
  • Function of the accurate fasciculus upon communication
Spatial Processing And The Right Hemispheric Functions
  • Neurophysiology vs neuropathology, understanding patients’ nonverbal challenges
  • Inferential language and social cognition
  • A sense of time and spatial organization revealed
The Hidden Processors-Thalamic Influences
  • Auditory pathways and neuroanatomy
  • Thalamic engagement on sensory information
  • Modulation of sleep and vigilance
Case Study

Memory: How The Hippocampus And The Amygdala Partner
  • Memory processes
  • Memory types: Right vs left hippocampal functions
  • Hypoxia and anoxia upon memory function
  • Sleep and memory consolidation, effect of exercise on memory structures
  • Amygdala’s influence upon fear-based learning and hijacking executive control
  • Case study 3: Nile’s hypoxia and long term rehab outcomes
Recovery From Acceleration/Deceleration Injuries: Diffuse Axonal Injury (DAI)
  • Microanatomical features of DAI
  • CTE: Chronic Traumatic Encephalopathy
  • Where medications have failed
Agitation Management Strategies
  • Review how working knowledge of the Rancho Los Amigos levels and practitioner tips can avoid confrontation
  • Learn trick of the trade for avoiding escalation
  • Confabulation and denial – addressing the elephant in the room
Enriching Patient And Clinician Relationships
  • The science behind mediations and mindfulness
  • Reigning in the runaway situation
Targeted Audience
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Certified Brain Injury Specialists
  • Recreational Therapists
  • Nurses
  • Nurse Practitioners
  • Social Workers


Stephanie Henigin, MA, CCC-SLP, Specializes in diagnosis and treatment of cognitive-linguistic deficits, neurodegenerative diseases, dysphagia, motor speech disorders, and brain injury. An experienced instructor with a dynamic, hands-on teaching style, she is highly regarded for her lectures and presentations at universities and professional associations.

Ms. Henigin currently works with adult and geriatric populations at a Level 1 Trauma Hospital in Saint Paul, MN. In addition, she serves as a community support group facilitator for individuals with aphasia and traumatic brain injury (TBI), provides clinical supervision to graduate students, and writes health literacy materials. She earned her bachelor’s and master’s degrees in Communication Sciences and Disorders from the University of Minnesota Duluth.

Speaker Disclosures:

Financial: Stephanie Henigin has an employment relationship with Regions Hospital. She receives a consulting fee from Minnesota Connect Aphasia Now; SLP Insights; and Benedictine Health Systems/Cerenity Senior Care. Ms. Henigin receives a speaking honorarium from PESI, Inc.

Non-financial: Stephanie Henigin is a member of the American Speech-Language-Hearing Association; and the Minnesota Speech-Language-Hearing Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.0 contact hours. Partial contact hours will be awarded for partial attendance.

Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Physical Therapists & Physical Therapist Assistants
This activity consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Michigan Physical Therapists & Physical Therapist Assistants: PESI, Inc. is an approval provider by the Michigan Physical Therapy Association. This activity qualifies for 6.0 contact hours.

Speech-Language Pathologists

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.0 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Other Professions
This activity qualifies for 360 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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