LECTURE 2: APPROACH TO WORKING W PEOPLE WITH ALZHEIMERS

Question 1

common cognitive screens

Answer 1

Mini Mental Status Exam
Montreal Cog Assessment

Question 2

physical performance measures for dementia
functional outcome

Answer 2

TUG, 5xSTS, etc

Question 3

Appropriate participation measures for QoL

Answer 3

Qualidem
depression
anxiety

Question 4

Mobility/balance/fall risk Outcome measures

Answer 4

TUG cog (counting, etc)
TUG manual (holding something)
6meter walk tast
BBS
miniBEST
groningen meander walking test
strength: 5xSTS, 30 sec STS

Question 5

specific dementia test for walking

Answer 5

groningen meander walking test

Question 6

aerobic exercise does what to the brain?

Answer 6

decrease cog impairment
decrease dementia risk
neuroprotective effects
improved cerebrovascular health
-moderates brain atrophy of medial temporal lobe and hippocampus

Question 7

STRENGTH exercise recommendations for dementia patients

Answer 7

at least 2x/week to major mm groups
mod to high intensity

Question 8

balance training recommendations for dementia patients

Answer 8

at least 3x/week

Question 9

errorless learning

Answer 9

trying to have less errors
-not problem solve for exercise
-HEP: simple, clear, big letters, USE FACILITATORS

Question 10

keys to success in exercise for dementia

Answer 10

-work in their reality
-notice pain behaviors (wincing, other cues?)
-vary experiences but also use high reps/practice
-incorporate likes/avoid dislikes (make it fun!)
-blend social interactions and PA

Question 11

what is a strength-based approach for bypassing traditional mechanisms for learning/storing/retrieving information?

Answer 11

capitalizing on remaining long term mem, language skills, reading

Question 12

what are remaining cognitive strengths?

Answer 12

Reading of simple sentences/words
 Emotional memory – favorable/unfavorable
 Procedural memory – well-practiced skills, habits, motor memory
 Long-term memory
 Focused attention for simple noncompeting tasks
 Production and comprehension of language until late in disease (depending on lesion sites)
 L/R orientation

Question 13

LEVERAGING EXISTING ABILITIES IN DEMENTIA REHAB FRAMEWORK

Answer 13

 Developing an underlying knowledge base of disease and its progression
 Encourage use of strength-based inventory to identify current strengths and abilities across key areas into plan of care
 Integrate use of best practices and evidence-based strategies
-Communication, cognition, coping

Question 14

Communication Strategies

Answer 14

-approach from the front
-get at their physical level
-remove background noise/distractions
-make eye contact
-smile
-introduce yourself
-explain what you are doing/why you are there
-invite to participate

Question 15

communication strategies

Answer 15

-patient & acceptance
-Keep it short and simple
-rephrasing questions

Question 16

multimodal cuing is what?

Answer 16

repeated info
using physical cues to direct attention

Question 17

narrowing the choices for communication strategies

Answer 17

Used when you want the person to provide a specific answer or
response for facilitation of decision making
 Ensure that the choices you provide are acceptable to you

Question 18

EXTERNAL MEMORY AIDS SHOULD BE….

Answer 18

ABLED
accessible
bright
legible
explicit
done (list to cross off, check boxes)