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To Use the Available Assistive Technology Effectively, a Knowledge of the Processes involved in Memory is Needed.

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THE MEMORY GURU OF INDIA : THE MEMORY GURU OF INDIA How to Improve your Memory Prof N. L. Shraman 1

Is Seeing Remembering? : 2 Is Seeing Remembering? The Memory Guru of India

Is Memory... : 3 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

Memory is… : 4 Memory is not just the recall of information but, the product of attention, encoding, storage and recall. Memory is…

Memory is… : 5 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

Memory & Assistive Technology : 6 Memory & Assistive Technology To use the available assistive technology effectively, a knowledge of the processes involved in memory is needed.

Statistics : 7 Statistics 20 million people with cognitive impairments in the USA ( 7% of General Population)

Cognitive Disabilities : 8 Cognitive Disabilities Acquired Brain Injury Mental Retardation Autism Degenerative Neuro-Diseases (MS, ALS) Diabetes Cerebral Palsy Mental Illness Drug and Alcohol Abuse Mental Illness

Components of Memory : 9 Components of Memory (Sohlberg, Johansen, Geyer & Hornbeck, 1994)

Attention : 10 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.

Attention : 11 Attention Allows the brain to “in-put” sensory data, and internal thought processes. Distractions such as noise, worry,pain etc. impair encoding and recall

Encoding: : 12 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”

Encoding : 13 Encoding Language and visuoperceptual systems are essential for efficient processing. (Garbage in = Garbage out! )

Slide 14 :

HOW DID YOU ENCODE? : 15 HOW DID YOU ENCODE? Vital organ? Valentine’s Day? Romance? Love?

Slide 16 : 16

Slide 17 :

Storage Hippocampus/ Temporal Lobes : 18 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)

Recall Frontal Lobes : 19 Recall Frontal Lobes Information that is needed is pulled back to conscious thought.

Recall : 20 Recall Free Recall “remembering” without assistance of cues and do not have recall information in a certain order. Cued Recall : cues are used to facilitate the act of recalling information. Example: Thirty days has September, April, June and November.

Components of Memory : 21 Components of Memory Attention Encode Storage Recall

Types of Memory : 22 Types of Memory

Types of Memory : 23 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.

Types of Memory : 24 Types of Memory Working Memory Uses these methods to “hold”, or “encode” information. Rehearsal Visual imagery Verbal elaboration Chunking

Long Term Memory : 25 Long Term Memory Permanent Storage of Information And has no limits in capacity

Types of Long Term Memory : 26 Types of Long Term Memory Declarative Factual knowledge. Explicitly learned and recalled. Includes facts, episodes, lists and routs The knowledge of word meanings

Types of Long Term Memory : 27 Types of Long Term Memory Episodic Memory: Tied to a specific time and place; Dependent on context. Personally experienced events in life are stored and retrieved.

Semantic Memory: : 28 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.

Prospective Memory : 29 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.

MetamemoryMemory : 30 MetamemoryMemory Awareness of your own ability to encode, retain, retrieve and use information from long and short term memory.

Slide 31 : SINS OF OF MEMORY

Six of Seven Memory Sins : 32 Six of Seven Memory Sins FORGETTING Fading over time Transience Aware of problem at time &could remedy it Absent Mindedness Shallow processing Blocking Memories temporally unavailable Aware of problem at time &could remedy it DISTORTION Right memory wrong source (Misattribution) Suggestibility (implanting memory-leading questions) Bias Distortions & unconscious influences

Sin of Fading : 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” : 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 : 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 : Sin of …Distortion The right memory, wrong source

Suggestibility : Suggestibility Implanting a Memory Leading Questions

Bias : Bias Distortions and Unconscious Influences

PersistenceThe inability to forget : PersistenceThe inability to forget

Slide 40 : 40 The Saints of Memory

Saints of Memory : Saints of Memory SENSATI0N Vision Touch Smell Hearing Movement

Saints of Memory : Saints of Memory Environment Repetition

Saints of Memory : Saints of Memory Repetition

Saints of Memory : Saints of Memory Medication Mnemonics

Saints of Memory : Saints of Memory Repetition Repetition Repetition

Saints of Memory : Saints of Memory Assistive Technology

“Low Tech” : 47 “Low Tech” Memory Books Day Planners Sticky Notes Wall Signs Mnemonics

: 48 Electronic “High Tech” Memory Aids Are “Cognitive Prosthetics’’

Electronic “High Tech” : 49 Electronic “High Tech” Reminder Alarms (timers) Schedules Calendars To do lists Money management Maps (G.P.S) Vocal Prompts

Cognitive Prosthetics : 50 Cognitive Prosthetics Can be covered by Medicaid if prescribed by a physician with documented justification.

Cognitive Prosthetics : 51 Cognitive Prosthetics Can be provided by Vocational Rehabilitation if needed for employment

Cognitive Prosthetics : 52 Cognitive Prosthetics Can be provided by IDEA if needed for educational goals

Scripts & AT : 53 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.

Scripts & Prompting : 54 Scripts & Prompting As technology advances with artificial Intelligence (AI) scripts will get more detailed.

AT=Assistive TechnologyAI=Artificial Intelligence : 55 AT=Assistive TechnologyAI=Artificial Intelligence

Scripts & Prompting : 56 Scripts & Prompting Script: Mop the floor. The mop can not be found. Prompt: Look in closet The mop can not be found. Prompt: Call Lee-Ann. Ask for instructions.

Cognitive Prosthetics : 57 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.

POCKET SUPERVISOR : 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 : 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 : 60 FONIX fonix.com Add-on software to pocket PC’s for auditory prompts Alarms Reads Calendar

Consumer Based Technology : 61 Consumer Based Technology “OFF THE SHELF” TECHNOLOGY

Personal Data Assistant : 62 Personal Data Assistant Or PDA’s

Palm Zire palmpilot.com : Palm Zire palmpilot.com Pictures Music Alarms Calendar Organizer Down load upgrades

IPOD / Mp3 Players : IPOD / Mp3 Players Video Pictures Recording Music

Timex Data Link Watch : Timex Data Link Watch Alarms Down load from personal computer Interfaces with Outlook Memos Address/Telephones

Pagers : 66 Pagers Wireless Programmable Monthly Fee Alarm System

Medication Reminders : Medication Reminders E-Pill www.epill.com

Step Pad : Step Pad B INDEPENDENT INC. BINDEPENDENT.COM

AUDIO RECORDERS : 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 Multi-function Phones

PHOTO PHONE : PHOTO PHONE

E.A.D.L. (Electronic Aids for Daily Living) : 72 E.A.D.L. (Electronic Aids for Daily Living) Controls light, heat, etc. Locks appliances Automate bill paying, safety (fire, ambulance), e-mail family

TROUBLE : TROUBLE

Device Abandonment : 74 Device Abandonment 72% of memory of assisted technology for memory devices are abandon. (Reimer-Reiss 2000)

DEVICE ABANDONMENT : 75 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

SOLUTIONS : SOLUTIONS

A.T. Questions : 77 A.T. Questions What kind of technology is used now? Telephone? CD player? Game Boy? Mom-Dad?

A.T. Questions : 78 A.T. Questions What are the sensory skills? Hearing Vision Touch Pain

A.T. Questions : 79 A.T. Questions What are the physical abilities? What is the dexterity? What is the strength? What is the coordination?

A.T. Questions : 80 A.T. Questions What is the cognitive function ? What is the frustration tolerance ? What is the intelligence ?

A.T. Questions : 81 A.T. Questions Can the user… Respond to a prompt? Complete a prompted task? Follow iconic commands?

A. T. Questions : 82 A. T. Questions Interest? Awareness? (Does the user believe they need it?) Commitment? Fear?

A.T. Questions : 83 A.T. Questions Who will do the programming? Who will do the training? How hard is it to program?

AT Questions : 84 AT Questions How long is the battery life? How often does it need charging? What happens when the battery loses charge?

Summary : Summary

Summary : 86 Memory is not just seeing, or the recall of information but, the product of attention, encoding, storage and recall. Summary

Summary : 87 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.

Summary : 88 Summary New AT solutions will bring increased ability. Increased ability may bring a need for more AT solutions, so….

LET’S GET BUSY! : LET’S GET BUSY! Valued Customer: Valued Customer:

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