1/20/2016 1 Dementia Therapy Essentials for the Speech Pathologist Speaker: Peggy Watson M.S., CCC-SLP www.consultantsindementiatherapy.com JOIN THE CONVERSATION on facebook.com/consultantsindementiatherapy Disclosure Relevant financial relationship I have relevant relationships in the products or services described, reviewed, evaluated or compared in this presentation. Presentation based on book titled Dementia Therapy & Program Development Owned by Consultants in Dementia Therapy PLLC (CDT) CDT is co-owned by Peggy Watson M.S., CCC-SLP Owners receive royalties from sale of said book. Dementia diagnosis requirements: - Impairment of memory and at least one other cognitive domain - Represent a decline from previous level of functioning INTRODUCTION Types and Causes of Dementia
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1/20/2016
1
Dementia Therapy Essentials for the Speech Pathologist
Speaker: Peggy Watson M.S., CCC-SLP
www.consultantsindementiatherapy.com
JOIN THE CONVERSATION onfacebook.com/consultantsindementiatherapy
DisclosureRelevant financial relationship
I have relevant relationships in the products or services described, reviewed, evaluated or compared in this
presentation.
Presentation based on book titledDementia Therapy & Program Development
Owned by Consultants in Dementia Therapy PLLC (CDT)CDT is co-owned by
Peggy Watson M.S., CCC-SLP Owners receive royalties from sale of said book.
Dementia diagnosis requirements:
- Impairment of memory and at least one other cognitive domain
- Represent a decline from previous level of functioning
Represents a change in the person’s ability to perform an ADL.
ST examples of functional change
-Increasingly confused, disoriented
-Change in memory-Impaired safety and judgment-Change in swallowing safety-Difficulty chewing-Change in orientation-Increased confusion-New or increased wandering without purpose
*Chart notes reflect
functional change in status.
*Chart notes reflect an ‘event’.
*Functional change should be accompanied by an ‘event’.
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Potential Events:
-Illnesses
-Exacerbation of chronic conditions
-Other
Developing Goals
Always relate goals to functional outcomes
All goals should be:
a) functional for the patient’s capabilities according to staging
b) Skilled, Measurable, Attainable, Reasonable and Necessary. (S M A R N)
• Mobility
• Communication
• Socialization
• Behavior
MobilityLTG: Utilize pts spared skills for ambulation safety, reduced risk of falls and max mobility independence by mastery of the objectives.
STG: Decrease demands on working memory related to ambulation with rolling walker to ensure safety and decrease fall risk over 50 ft using min verbal and 3 visual cues 5/7 sessions.
Daily Note: Intervention/Modality Statement
Utilized procedural memory along with ongoing
development of AAC. SLP provided 2 visual cues along with max verbal instruction to achieve ambulation safety for 10 ft with rollingwalker.
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CommunicationLTG: Pt will utilize a communication system compatible with spared skills to ensure adequate expression of basic & medical needs by mastery of the objectives.
STG: Pt. will participate when episodic memory is cued to increase appropriate communication exchanges 10/10 times in a session and decrease verbal preservations to 2 over 5 sessions.
Daily Note: Intervention/Modality Statement Augmentative alternative communication (AAC)e.g., memory book, was used to increase the patients communication to 5 of 20 opportunities within a session and reduced perseverations to 8.
Socialization
LTG: Pt. will utilize spared skills to decrease isolation through activity attendance and improve quality of life by mastery of objectives.
STG: Pt. will attend 1 meaningful activity with others utilizing mod prompts and cues for 30 minutes to decrease isolation 5 of 5 sessions.
Daily Note: Intervention/Modality Statement Validation and reminisce were evidence-based interventions utilized to increase socialization to 2 activities for 10 mins each.
BehaviorLTG: The patient will decrease affective behaviors for improved quality of life and safety within the environment by mastery of the objectives.
STG: Pt. will participate in 1 activity within a social setting and decrease verbal outbursts to 1 per session, 5/5 sessions for improving behavior and quality of life.
Daily Note: Intervention/Modality Statement Montessori evidence-based intervention along with calm environment, choices and one step commands decreased verbal outbursts to 3 per session.
Montessori for Dementia Montessori Based Programming for Dementia®
Developed by Cameron Camp, PhD
Guided by the principles of Dr. Maria Montessori who claimed that children who were engaged and interested in what they were doing did not exhibit problematic behaviors such as pushing, screaming or acting out in inappropriate ways.
Connecting past interests and skills with the present spared skills and needs of the patient
Montessori
Evidence-Based Interventionvideo
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Examples of
Montessori Treatment Activities
1. Sorting buttons
2. Rolling balls of yarn
3. Sorting sugars
4. Sorting nuts and bolts
5. Sorting fabrics
6. Flower arrangements
7. Sorting socks
8. Clipping coupons
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Validation TherapyNaomi Feil 1980
Communicating with a person with dementia by validating and respecting their feelings.