7.2 - Direct Interventions for Dementia Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are 7 Direct Interventions that can be used to manage Dementia?

A

Reality Orientation

Validation Therapy

Reminiscence Therapy

Spaced-Retrieval Training

Montessori-Based Activities

Simulated Presence Therapy

Memory Wallets/Books

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2
Q

What does Reality Orientation stress?

A

The importance of bringing the disoriented person to “the present”

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3
Q

What are 2 Approaches to Reality Orientation?

A

One-on-one

Group

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4
Q

Can Reality Orientation be adapted to many settings?

A

Yes

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5
Q

What is Validation Therapy?

A

Validates (confirms) the individuals current emotional state and helps to resolve past conflicts

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6
Q

What should clinicians listen to in Validation Therapy?

A

Clinician should listen carefully to patient to understand what “they mean”

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7
Q

What is Reminiscence Therapy?

A

Review of life events

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8
Q

How are targets introduced in Reminiscence Therapy?

A

Informally through requesting advice, reviewing photo’s &
magazines, discussions of foods

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9
Q

What does Reminiscence Therapy encourage?

3

A

Group relationships

Facilitates entertainment

Participation

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10
Q

What should we focus on when writing goals facilitated by Reminiscence Therapy?

A

Pt. function

Pt. cannot have been previously described as cognitively poor

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11
Q

What can Spaced-Retrieval Training be use to teach?

A

Strategies to assist new learning and retention over increasingly longer intervals

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12
Q

What are Spaced-Retrieval Training training sessions designed around?

A

Daily living tasks

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13
Q

What happens in Spaced-Retrieval Training if patient responds incorrectly?

A

Patient provided correct answer

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14
Q

What happens in Spaced-Retrieval Training if patient responds correctly?

A

The interval before the next recall test is increased

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15
Q

Spaced-Retrieval Training requires patient to ___________ during each retrieval task and actively engaged in learning.

A

Generate a response

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16
Q

Spaced-Retrieval Training provides patient __________ to recall information and bring into consciousness.

A

Repeated opportunities

17
Q

What do Montessori-Based Activities provide?

3

A

Predictability

Familiarity

Structure

18
Q

What can Montessori-Based Activities be beneficial for?

A

Improving mood

Improving socialization skills

19
Q

What are the Key Principles of Montessori-Based Activities?

A

(1) Breaking down complex tasks into a hierarchy of steps (simple => complex)
(2) Providing extensive cuing and guidance => to facilitate successful outcomes
(3) Giving feedback about accuracy + appropriateness of responses => to reduce frustration from failure
(4) Using materials to provide cognitive + sensory stimulation

20
Q

What is Simulated Presence Therapy?

2

A

Family member/established caregiver, makes an audiotape about the positive events in the life of the individual with dementia

Tape is played to simulate their presence.

21
Q

What are the benefits of Simulated Presence Therapy?

2

A

Audio-recording helps create and environment that may provide comfort and reduce problem behaviors

It stimulates preserved memories + positive emotions associated with those memories

22
Q

What are Memory Wallets/Books?

A

Stimulus materials with photographs of past events + family members

23
Q

What are the benefits of Memory Wallets/Books?

A

Patients make more factual statements when conversing with family members when wallets/books present

24
Q

Are Memory Wallets/Books usually made on paper these days?

A

No - they are usually on phones, computers, and tablets