# PWR-062 — Cognitive rehabilitation: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 12 min reading; practical time is provider-set Difficulty: Intermediate Equipment: Common household or practice equipment — A therapy bag plus water bottle, notebook, glasses case and a fictional appointment card; medication, money and real identity details are excluded.; A Goal–Plan–Do–Check sheet with finish line ‘all four objects are in the bag’ and four rows: bottle, notebook, glasses, appointment card.; A labelled CARD tray, thick tick box beside each row and one harmless phone sound scheduled after two placements.; A record for omitted/repeated steps, cues, completion, time and burden. Space: Desk / seated Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G4; Focused research depth Automated method-quality band: Comprehensive Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context This clinician-guided Goal–Plan–Do–Check exercise is a bag-packing procedure. Tariq defines four required objects, gives each object one checklist row, puts the often-missed appointment card on a labelled tray, ticks only after placement, and uses a restart marker after a planned phone sound. Final Check compares bag contents with all four rows. The exercise teaches supported task organisation; it does not test whether reminders can be removed or whether memory recovered everywhere. Target outcome: With a rehabilitation clinician, Tariq packs water bottle, notebook, glasses and appointment card, resumes at the correct unchecked row after a phone interruption, and preserves any omission plus its one checklist correction. ### Authority and setup conditions - The clinician screens cognition, insight, behaviour, fatigue and task hazards. - Choose a task that can pause safely; exclude medication dosing, cooking heat and financial/legal action for first practice. - Keep normal supports and a supervisor present when errors could matter. - Define an immediate halt word for confusion, agitation, unsafe action or fatigue; this differs from the ordinary restart marker after the phone sound. ### Required or supplied materials - A therapy bag plus water bottle, notebook, glasses case and a fictional appointment card; medication, money and real identity details are excluded. - A Goal–Plan–Do–Check sheet with finish line ‘all four objects are in the bag’ and four rows: bottle, notebook, glasses, appointment card. - A labelled CARD tray, thick tick box beside each row and one harmless phone sound scheduled after two placements. - A record for omitted/repeated steps, cues, completion, time and burden. ## 1. Write four-object finish Write ‘bag ready = bottle + notebook + glasses + appointment card’ and place those four harmless objects on the table. Why: A named inventory makes finish visible and countable. Success check: Tariq and clinician can point to four required objects and one empty bag. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Tariq and clinician can point to four required objects and one empty bag.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. Make one placement row per object Write four rows in agreed order. Each reads ‘place [object] in bag; look inside; tick once.’ Do not combine notebook and card on one row. Why: One object per row exposes an omission or duplicate tick. Success check: Sheet has exactly four unticked placement rows matching finish inventory. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Sheet has exactly four unticked placement rows matching finish inventory.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Stage the often-missed card Circle appointment-card row and place its object on the labelled CARD tray beside the sheet; keep other objects in their ordinary start positions. Why: A targeted tray supports the known omission without reorganising every row. Success check: Circled row, CARD tray and appointment card visibly correspond. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Circled row, CARD tray and appointment card visibly correspond.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Rehearse the restart marker Touch the words ‘last tick → next blank row’, point to a sample tick, then say the following object without moving it. Why: Restart comes from visible completion evidence rather than guessing or starting over. Success check: Given a sample tick on row 2, Tariq points to row 3. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Given a sample tick on row 2, Tariq points to row 3.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Place, verify and tick Read one row, place that object, look inside the bag to verify it, then make one tick before reading another row. Why: Ticking after visible placement keeps checklist and bag state aligned. Success check: Every tick has one matching object inside; no unticked object is silently packed. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Every tick has one matching object inside; no unticked object is silently packed.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Restart after the phone sound After two verified placements, clinician plays the harmless phone sound. Tariq pauses, touches ‘last tick → next blank row’, states that row's object and resumes there. Why: A controlled interruption tests checklist restart without using medicine, heat or money. Success check: Third placement follows first blank row; neither packed object is repeated. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Third placement follows first blank row; neither packed object is repeated.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 7. Audit sheet against bag At Check, read all four names and touch each matching object inside. Circle an unticked, missing or duplicate row before correcting anything. Why: Object-by-object audit catches a false sense of completion and preserves its location. Success check: Four row–object pairs match, or a specific bottle/notebook/glasses/card mismatch remains circled. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Four row–object pairs match, or a specific bottle/notebook/glasses/card mismatch remains circled.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 8. Correct one checklist feature Keep original circle and tick pattern. Change only one relevant feature—wider row spacing, stronger CARD label or clearer restart arrow—and schedule a matched bag with a different notebook. Why: One visible edit can be tested against the exact omission or restart error. Success check: Correction points to recorded error while all other rows and supports stay unchanged. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Correction points to recorded error while all other rows and supports stay unchanged.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.