DCC Training Overview - Synergy Care, Inc. - Overviews.pdfPromote max ability to perform ADLs, mobility and communication Examples: teaching caregiver, break activities into single
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ACL 1 End Stage: Most likely bed bound, mute and requires total care.
Treatment Plan:
1. Prevent contractures
2. Prevent skin breakdown
3. Prevent aspiration pneumonia
4. Prevent Loss of quality of life
5. Prevent weight loss
6. Prevent unmanaged pain
Examples: diet change, sensory stimulation (smells, sound etc), AAROM, activities to increase interaction, teaching care giver.
ACL 2
Late Stage: Mostly focused on postural ability to overcome gravity, self feeding, and limited mobility
Treatment Plan:
1. Prevent of falls with ambulation
2. Compensate self-feeding (finger foods and safe swallowing)
3. Maximize receptive and expressive communication
4. Promote gross motor aspects of activities
Examples: only use passive adaptive equipment, modify environment, move slowly allowing patient to process, use music to promote movement, teach care giver not the patient
ACL 3
Middle Stage: Mostly manual actions such as grasping an object, some self feeding, ambulation in highly familiar areas Treatment Plan:
1. Prevent falls
2. Prevent contractures
3. Prevent weight loss
4. Prevent elopement
5. Promote max ability to perform ADLs, mobility and communication
Examples: teaching caregiver, break activities into single steps, use of familiar objects, wait for response, reduce distractions, use functional activities, exercise with cues, sensory and music
Early Stage: Minimal cognitive assistance for all ADLs except self feeding, has trouble with change or complex tasks, poor judgment Treatment Plan:
1. Prevent falls or other accidents
2. Prevent UTI's
3. Prevent depression/anxiety
4. Prevent elopement
5. Maximize ADL performance, mobility and communication
6. Modify environment
7. Train caregivers
Examples: teach caregivers, maintain familiar routines, minimize change, enhance recall and memory ex: turn at end of hall where the clock is
ACL 5
Mild Cognitive Impairment: Stand by cognitive assist, may require supervision depending on familiarity or complexity of task, learn through trial and error Treatment Plan:
1. Focus on promoting IADL's and work situations
2. Promote ADLs
3. Promote mobility
4. Promote training and use of equipment
Examples: provide situation specific training, provide strategies for organization and planning, practice socially acceptable behaviors
ACL 6
Normal
Reference: Basis of Knowledge from Dementia Capable Care Foundations Course