chapter  11
14 Pages

The Cognitive Domain

Where a person has relatively intact cognitive functions, this will contribute to their ability to make their own decisions and implement them. But where there are cognitive impairments, agency is also likely to be impaired, and this will be expressed in difficulties with everyday living, emotional distress and challenging behaviour. Understanding of deficits will enable us to scaffold the person’s performance in order to support their access to physical and social wellbeing. For example, if we know they have difficulty with sequencing, planning and remembering, then we can arrange for carers to spend time with them each morning going through the planned events of the day, and entering this on a visual timetable.