PT approaches to working with people iwth alzheimers disease and other forms of dementia

Question 1

what are common screens for dementia

Answer 1

 Mini-Mental Status Exam
 Montreal Cognitive Assessment

Question 2

whaat are the benefits for screening for dementia

Answer 2

 Assists us in need for cueing, instructions, type of education
 Objective documentation

Question 3

What are the limitations of screening for dementia

Answer 3

 Can be demeaning for person
 Screen is a screen and not full assessment of person’s issues.

Question 4

What test can be used for mobility/balance fall risk for patients with dementia

Answer 4

• Tug - - berg balance scale 6 meter walk test - mini best test - Groningen meander walking test

Question 5

What strength test are reliable and valid for people u/ dementia

Answer 5

5xSTS or 30 sec STS

Question 6

What should you consider when selecting a test for people with dementia

Answer 6

 Short instructions  Short test duration  Minimize number of tests

Question 7

What is the importance of aerobic ex for people with dementia

Answer 7

 Lessens cog impairment and decreases dementia risk

 Reduces agitation
 Decreases fall risk
 Improves mood
 Improves fitness levels

Question 8

Ex volume moderates brain atrophy of what parts of the brain

Answer 8

medial temporal lobe and hippocampus

Question 9

Risk of dementia and AD lowest in those with what

Answer 9

highest level of physical activity

Question 10

Does high intensity exactly in frail older adults causes better improvements than low/mod intensity ex

Answer 10

Yes

Question 11

What is the strength training recommendation for people with dementia

Answer 11

 At least 2x/wk to major muscle groups  Mod to high intensity )
 Good form/technique

Question 12

What is the Balance training recommendation for people with dementia

Answer 12

 At least 3x/wk
 Essential to fall prevention

Question 13

What exercise program us evidence base

Answer 13

Otago Exercise Program

Question 14

what is “errorless learning”

Answer 14

an environment where the patient will have less errors

Question 15

what is vital to successful intervention are maintain personhood

Answer 15

person centered care

Question 16

Bypass traditional mechanisms for learning, storing, retrieving information by capitalizing on remaining …

Answer 16

long term memory , language , skills and reading

Question 17

what does LEAD stand for

Answer 17

Leveraging Existing Abilities in Dementia Rehabilitation Framework

Question 18

what are the 3 best practices and evidence based strategies

Answer 18

Communication, cognition, coping

Question 19

what are 5 communication strategies

Answer 19

patience and acceptance

K.I.S.S (keep it short and simple)

rephrasing questions

multi modal cueing

narrowing the choices

Question 20

how many solutions for each problem should you give

Answer 20

1

Question 21

what kind of learning is Learning that occurs by utilizing procedural memory or nondeclarative long
term memory

Answer 21

learning by modeling

Question 22

learning by modeling is great for use with people with what

Answer 22

receptive/comprehension language deficits

Question 23

what Builds upon maintenance of implicit or procedural memory vs using
explicit memory processing

Answer 23

spaced retrieval

Question 24

what is a Method of retaining information by recalling that information over increasingly longer periods of time

Answer 24

spaced retrieval

Question 25

what are the 5 external memory aids

Answer 25

accessible
bright
legible
explicit
done

Question 26

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

Answer 26

external memory aids

Question 27

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

Answer 27

cognitive task analysis

Question 28

what is Helpful when situation cannot be changed or fixed

Answer 28

reframing

Question 29

what are some coping tools

Answer 29

re- evaluating expectation
substituting behaviors
adjusting the environment
reframing

Question 30

what is is lack of knowledge regarding strengths/abilities of person with dementia and their potential for improvement.

Answer 30

primary barrier