Dementia

Dementia def (1)

• Umbrella term for degenerative neurological conditions that result in progressive cognitive decline

Examples of types + their sequelae (3)

• Alzheimer’s + vascular → memory impairments

• Fronto-temporal → behaviour changes

• Semantic → language impairments

Fundamental philosophy in dementia rehab (1)

• Enablement philosophy

Enablement philosophy def (1)

• Recognises individuals’ functional capacity to remain independent + socially engaged

Key principles to dementia rehab

• Individualised

• Goal-oriented

2 evidence-based programs in dementia rehab (maybe just learn first if short on time)

• GREAT program

• Word retraining in semantic dementia

GREAT program scope

• Home-based, individualised goals to improve functional living + independence

GREAT program techniques

• Action-based procedural learning (learning through practice/repetition)

• Environmental restructuring

GREAT program clinical outcomes

• Improvement in targets

• Also broader psychosocial benefits

Word retraining in semantic dementia: scope

• Address severe naming + comprehension deficits for everyday objects

Word retraining in semantic dementia: techniques

• Pair photos labels using computer-based, errorless learning

Word retraining in semantic dementia: clinical outcomes

• Improvements in word production/naming