PT approaches to working with people iwth alzheimers disease and other forms of dementia Flashcards
what are common screens for dementia
Mini-Mental Status Exam
Montreal Cognitive Assessment
whaat are the benefits for screening for dementia
Assists us in need for cueing, instructions, type of education
Objective documentation
What are the limitations of screening for dementia
Can be demeaning for person
Screen is a screen and not full assessment of person’s issues.
What test can be used for mobility/balance fall risk for patients with dementia
- Tug - - berg balance scale 6 meter walk test - mini best test - Groningen meander walking test
What strength test are reliable and valid for people u/ dementia
5xSTS or 30 sec STS
What should you consider when selecting a test for people with dementia
Short instructions Short test duration Minimize number of tests
What is the importance of aerobic ex for people with dementia
Lessens cog impairment and decreases dementia risk
Reduces agitation
Decreases fall risk
Improves mood
Improves fitness levels
Ex volume moderates brain atrophy of what parts of the brain
medial temporal lobe and hippocampus
Risk of dementia and AD lowest in those with what
highest level of physical activity
Does high intensity exactly in frail older adults causes better improvements than low/mod intensity ex
Yes
What is the strength training recommendation for people with dementia
At least 2x/wk to major muscle groups Mod to high intensity )
Good form/technique
What is the Balance training recommendation for people with dementia
At least 3x/wk
Essential to fall prevention
What exercise program us evidence base
Otago Exercise Program
what is “errorless learning”
an environment where the patient will have less errors
what is vital to successful intervention are maintain personhood
person centered care
Bypass traditional mechanisms for learning, storing, retrieving information by capitalizing on remaining …
long term memory , language , skills and reading
what does LEAD stand for
Leveraging Existing Abilities in Dementia Rehabilitation Framework
what are the 3 best practices and evidence based strategies
Communication, cognition, coping
what are 5 communication strategies
patience and acceptance
K.I.S.S (keep it short and simple)
rephrasing questions
multi modal cueing
narrowing the choices
how many solutions for each problem should you give
1
what kind of learning is Learning that occurs by utilizing procedural memory or nondeclarative long
term memory
learning by modeling
learning by modeling is great for use with people with what
receptive/comprehension language deficits
what Builds upon maintenance of implicit or procedural memory vs using
explicit memory processing
spaced retrieval
what is a Method of retaining information by recalling that information over increasingly longer periods of time
spaced retrieval
what are the 5 external memory aids
accessible
bright
legible
explicit
done
Memory books
Biography
Family
Hobbies
Daily schedule
Use more to facilitate conversation rather than to quiz person
Ensure all photos are labeled with person’s/people’s names and how known to person
these are all examples of what
external memory aids
what is Breaking down a task into simplest cognitive components so that each step can be completed more easily to decrease the person’s cognitive load
cognitive task analysis
what is Helpful when situation cannot be changed or fixed
reframing
what are some coping tools
re- evaluating expectation
substituting behaviors
adjusting the environment
reframing
what is is lack of knowledge regarding strengths/abilities of person with dementia and their potential for improvement.
primary barrier
