Therapy for Dementia

Question 1

Inter-professional team: 3 general principles of intervention

Answer 1

Bourgeois and Hickey (09)
Maintain independent functioning for as long as possible.
Maintain QoL - Supported ppt and engagement
Emphasis on personal relevance and contextual training.
- Working together

Question 2

Drug Treatments

Answer 2

Range of drug treatments to manage and support symtpoms and improve QoL

Question 3

The Role of SLT

Answer 3

Stress and distress Ax
Ax and explanation of communication
Differential Diagnose 
Information and advice for clients and carers 
AAC

Question 4

SONAS

Answer 4

Programme for the team, online training and courees - communication strategies and learn different activities.

Question 5

Memory aids

Answer 5

Aids to help word finding and memory 
Talking Mats/Digital ones 
Training other profressionals 
Diaries, calendars and clocks 
Memory boxes - meaningful 
Communication Profile

Question 6

Advice to Carers/MDT

Answer 6

Give advice to encourage communication
Strategies - use of enactment to faciliate commun
Explore ways to adapt routine and environment to improve commun - noise reduction, pet therapy.
Working with MDT
Referring to other agencies

Question 7

PPA Treatment - Semantic Therapies

Answer 7

Matching
Cueing
Categorisation
Evidence of effectiveness in small studies and relearning context specific

Question 8

Phonological Therapies

Answer 8

Repetition with cues
tapping syllables
segmentation
phoneme discrimination

Question 9

Spaced Retrieval

Answer 9

Recall of info over longer and longer time periods can lead to retention (Brush and Camp)
Errorless earning can be effective
App - individually tailored

Question 10

Team Management - CEASE model

Answer 10

C - Comfort 
E - Environment 
A - Activity 
S - Social contact 
E - Engaging

Question 11

As the disease progresses

Answer 11

Reality orientation vs validation therapy 
Cognitive stimulation 
Reminiscence therapy 
Encourage control and choice 
Convo partner training 
Group Interventions

Question 12

Egan et al (2010) Methods to enhance communication

Answer 12

Two most effective- memory aids and training carers

Question 13

Nice Guidelines (06)

Answer 13

Given opportunity to participate in a structured group of cognitive stimulation programme.

Question 14

Recent developments

Answer 14

Mindmate - keeps informaiton handy