dementia - ANSWER the mental processing of such severity as to interfere with a person's daily functioning
dementia - ANSWER not a disease itself but a group of symptoms that may accompany certain diseases or conditio
...
dementia - ANSWER the mental processing of such severity as to interfere with a person's daily functioning
dementia - ANSWER not a disease itself but a group of symptoms that may accompany certain diseases or conditions
Emotional
- example: anger, happy, stressed
Sensory
-example: touch, smell, pain, sight
Physical
-example: mobility, health, strength, swallowing, fine motor
Cognitive
-example: memory, attention, sequencing, problem-solving - ANSWER what are the components of the wheel of function
Cognitive - ANSWER Which component of the wheel of function drives function the most
can do
- cognitive (allen cognitive level)
- physical
- dx
- realistic abilities
- BATF - ANSWER describes what a person is capable of doing based on abilities
Will do
- background
- relevant activities
- personally influenced
- influenced by interests & values
- culture - ANSWER describes what a person could do if interested or motivated
May do
- financial
- geographical
- environmental
- possible abilities
- externally influenced
- impacted by caregivers, family, & environment
- what we can draw out of the person - ANSWER describes what a person might be able to do w/ sufficient support
short term memory
- seconds
- minutes
- days
tx:
- avoid quiz life questions
- be able to rephrase questions to yes/no or closed ended - ANSWER holding of info for a short period of time
short term memory
and
working memory - ANSWER WEAK form of memory
long term memory
and
procedural memory - ANSWER STRONG form of memory
Long term memory
- weeks
- months
- years
Tx:
- photos, sounds, smells, reminiscence groups, stories of their mother - ANSWER memories that can last or are held from days to years
procedural memory
tx:
- tactile or cognitive cues
- be careful not to contribute to unnecessary disability (doing components of a task that they are capable of doing)
- establish their own routines - ANSWER long-term memory of skills and procedures
working memory
tx:
- repetition
- demonstrations
- signs
- breaking the task down - ANSWER short-term holding and manipulation of new info
short term memory - ANSWER loss of this type of memory causes individuals not remembering what you were going to get or recent events
long term memory - ANSWER loss of this type of memory causes individuals to get lost, sad, frustrated, a lot of emotional distress
procedural memory - ANSWER loss of this type of memory causes individuals to need a lot of help, perceived disability
working memory - ANSWER loss of this type of memory causes individuals to have difficulty w/ new learning
Level 1: Automatic Actions
Level 2: Postural Actions
Level 3: Manual Actions
Level 4: Goal- Directed Activity
Level 5: Independent Learning Activities
Level 6: Planned Activities - ANSWER List the Allen Cognitive Levels
Dementia Severity: End Stage
ACL: 1 (automatic actions)
Developmental Age: infant (0-12 months)
Level of Assistance Needed for BATF: constant verbal, visual, and tactile cues (86-100% cognitive assist)
MDS Level: Total dependence - ANSWER Dementia Severity: End Stage
ACL:
Developmental Age:
Level of Assistance Needed for BATF:
MDS Level:
- wait for a response
- Provide meaningful sensory promote vocalization, mov't, and interaction
- Provide stimuli directly in front of the person to capture attention
- Gain the person's trust and agreement - ANSWER Care approach for end stage dementia
Dementia Severity: Late Stage
ACL: 2 (postural actions)
Developmental Age: 12 - 18 months
Level of Assistance Needed for BATF: constant verbal, visual, and tactile cues (71-85% cognitive assist)
MDS Level: extensive assist - ANSWER Dementia Severity: Late Stage
ACL:
Developmental Age:
Level of Assistance Needed for BATF:
MDS Level:
- wait for a response (10-20 seconds)
- Provide stimuli directly in front of the person to capture attention
- use verbal, visual, and tactile cue to gain attention and to help process directions
- Gain the person's trust and agreement - ANSWER Care approach for late stage dementia
Dementia Severity: Middle Stage
ACL: 3 (manual actions)
Developmental Age: 18 mos- 3 years
Level of Assistance Needed for BATF: constant to intermittent verbal cues and intermittent visual and/or tactile cues (46 - 70% cognitive assist)
MDS Level: limit assist - ANSWER Dementia Severity: Middle Stage
ACL:
Developmental Age:
Level of Assistance Needed for BATF:
MDS Level:
- verbal, visual, and tactile cues
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