Evaluation and Treatment of Cognitive-Linguistic Deficits in Liver Disease Patients in the Acute Rehabilitative Phase

Liver disease, which can range from mild liver dysfunction to End-Stage Liver Disease (ESLD), is a condition that may have potentially significant implications for cognitive-linguistic function and an individual's ability to participate in activities of daily living (ADLs). This article will outline the multiple, complex, and often interrelated factors that are present in this patient population and contributors to cognitive dysfunction. Pharmacological regimens specific to management of liver disease and their potential to cause cognitive-linguistic dysfunction are discussed. Case examples are included to highlight how the severity of liver disease, medication protocols, and the resulting cognitive impairment may impact an individual's disposition at the time of discharge from the acute rehabilitation setting. Therapy techniques, approaches, and compensatory strategies addressed in the acute rehabilitation environment identified and explained.