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How should we assess dementia?
task analysis with allen levels
global deterioration stages of alzheimers
Teepa Snow gems
What is the global deterioration stages of alzheimers?
stage 1-7 no cog decline to severe
What are Teepa Snow gems brain change model?
sapphire to pearl no cog decline to severe
What do assessment crosswalks compare the allen levels to?
assist level, ranchos level, GDS, FIM, Age
What do we do with patients in the dementia model?
train caregivers to adapt enviornment to compensate
assess cognitive function by observing motor actions
target tasks the client can, will, and may do
What are adaptive behaviors in the dementia model?
use cognition to make judgements guiding motor behavior
What are maladaptive behaviors in the dementia model?
restriction in voluntary motor or speech action
What can parkinsons meds support dementia with?
slow deterioration
What can alzheimers meds support dementia with?
treating symptoms (restlesness)
What can we use for vascular dementia?
control conditions
What can we use for frontotemporal dementia?
antidepressants
What can we use for lewy body dementia?
antipsychotics, antidepressants
What should OT focus on environmentally for early stage dementia?
using memory aids, low tech adaptations
What should OT focus on environmentally for middle stage dementia?
adaptations for safety
What should OT focus on environmentally for late stage dementia?
positioning, equipment
What should OT focus on behaviorally for early stage dementia?
preventing getting lost, address driving
What should OT focus on behaviorally for middle stage dementia?
structured activity programs for exercise, cognitive simulation, and social activities
What should OT focus on behaviorally for late stage dementia?
environmental managment, sensory stimulation
What should caregiver education focus on with dementia?
about disorder
strategies to adapt/compensate
how to facilitate interactions
how to promote participation
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