Marguerite Mullaney – Providing Individualized Dementia Treatment: Putting Evidence into Action

Marguerite Mullaney – Providing Individualized Dementia Treatment: Putting Evidence into Action

Working with patients with dementia can be like talking on the phone with a bad connection – maybe some words get through, but maybe they don’t. For patients, it’s a call that never ends, and over time, behaviors such as wandering, aggression, and social withdrawal can take root with the decline of communication abilities. Where one-size-fits-all treatment protocols fail, individualized care can help patients communicate their wants and needs, as well as function in daily situations.

This seminar offers an exploration of the latest evidence-based treatments. Explore effective strategies for restoring impaired function and compensating for deficits that are not amenable to retraining. Learn cognition-focused interventions that have been shown to improve cognitive skills, functional abilities, and performance-based activities of daily living with lasting outcomes. See how to select assistive technologies and external memory aids based on your patients’ needs, and discover which options on the market work best.

Finally, this course will show you how to think “outside the box” and design custom therapies using what you have on hand, offering effective take-home solutions for clinicians who are working on a tight budget, or are frustrated with the limitations of generalizing products and techniques.

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1. Describe theories of neuroplasticity
2. Identify patient strengths that can be used to develop a plan of care
3. Evaluate deficits areas which require increased management to ensure safety
4. Choose and customize assessment tools based on individual patient needs
5. Develop an outline for treatment sessions using information from case studies
6. Review commercially available products that can be used in your treatment approaches to enhance neuroplasticity concepts

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INTRODUCTION: GETTING ON THE SAME PAGE

• Neurological changes
• Behavioral changes
• Theories for intervention
• Staging a hypothetical patient
  • Physical changes
  • Cognitive changes

ASSESSMENT

• Logemann approach
• Standardized testing
• Informal assessment
• Measuring the patient’s perspective
• Measuring the caregiver’s perspective
• Sorting the strengths from the weaknesses

TREATMENT: PART 1

• Deciding what to work on
• Application of neuroplasticity concepts
• Hildred Schuell’s hierarchy
• Commercially available products
• Thinking outside the box
• Participant hypothetical examples

TREATMENT: PART 2

• Interactive case studies
  • Interventions: compensatory vs. restorative strategies
  • Cognition-focused interventions
  • Limitations of generalization and long-term maintenance
  • Assistive technology
  • Cognitive stimulation therapy
  • External memory aids
  • Memory-training programs
    • Spaced retrieval
    • Errorless learning
    • Procedural memory stimulation
    • Vanishing cues
    • Didactic approaches
  • Reality orientation
  • Reminiscence therapy
  • Simulated presence therapy
• Develop a POC to address the above examples
• Participant hypothetical examples

DESIGNING TREATMENT

• Case study: complete a comprehensive cognitive/communication exam
• Create an individual treatment approach
  • Case study: patient with SLUMS score of 21/30; Global Deterioration Scale of 3

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