Dementia From Diagnosis to Management - A Functional Approach

ISBN-10: 0805856064
ISBN-13: 9780805856064
Edition: 2009
List price: $90.00
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Book details

List price: $90.00
Copyright year: 2009
Publisher: Taylor & Francis Group
Publication date: 2/17/2009
Binding: Hardcover
Pages: 432
Size: 6.00" wide x 9.00" long x 1.00" tall
Weight: 1.914
Language: English

Foreword
Acknowledgments
Introduction
Diagnosis of Dementia
The Clinical Presentation
Community Memory Screenings
Medical Assessment
Neuropsychological Assessment
The Pathophysiology and Genetics of Dementia
Differential Diagnosis
Reversible Conditions
Age-Related Memory Decline
Mild Cognitive Impairment (MCI)
Dementias
Pseudodementia
Conclusion
Cognitive, Language, and Behavioral Characteristics Across the Stages of Dementia
Cognitive Skills and Deficits
Memory
Executive Function
Attention and Concentration
Perception and Visuospatial Functions
Language Skills and Deficits
Spoken Language Production
Written Language Production
Auditory Comprehension
Reading Comprehension
Summary
Behavior Problems
Characteristics of Behavior Problems
Relationships Among Language, Memory, and Behavior in Dementia
Assessment
Factors to Consider in Planning for Assessment
Types of Assessment
Assessment Procedures
Assessment of Body Structures and Functions (Impairment)
Sensory Screening
Global Dementia Rating Scales
Comprehensive Dementia Assessment Batteries
Domain-Specific Assessment Tools
Assessment of Activities and Participation
Dementia-Specific Measures
General Measures
Rating Scales
Discourse Assessment
Problem Behavior Assessment
Assessment of Treatment Potential
Assessment of Functional Outcomes
Treatment
Some Guiding Principles for Functional Intervention
Maintain Independent Functioning as Long as Possible
Maintain Quality of Life via Supported Participation and Engagement
Emphasize Personal Relevance and Contextual Training
Cognitive and Communicative Intervention: Pharmacological Versus Nonpharmacological Approaches
Pharmacological Approaches
Nonpharmacological Behavioral Treatment Approaches
Memory and Cognitive Stimulation Approaches
External Memory Aids and Graphic Cueing Strategies
Training Considerations
Spaced Retrieval
Vanishing Cues
Cueing Hierarchies
Prospective Memory Training
Critical Variables
Conclusion
Management
The Interdisciplinary Team
Barriers to Activities, Participation, and Engagement
Environmental Interventions
Building Designs and Structure
Visual Barriers and Cues
Object Arrangement
Outdoor Environments and Therapeutic Gardens
Sensory-Enhancing Adaptations
Problems and Future Research Needs
Individualized and Group Activities Interventions
Importance of Pleasurable Activities and Engagement
Social and Participation Barriers
Maintaining Self-Identity Through Social Roles and Adapted Work
Maintaining Participation in Social Groups
Maintaining Lifelong Interests Through Modified Activities
Maintaining Connections and Interactions
Maintaining Spirituality and Religious Practices
Intergenerational Programming
Combined Activity-Based and Environmental Interventions
Music Therapy
Pet Therapy
Cotreatment and Consultation: "Playing Well With Others"
What if I Do Not Get Referrals for Clients With Dementia?
Management of Eating and Swallowing Challenges
Description of Eating and Swallowing Challenges
Appetite Regulation
Weight Loss
Types of Eating Challenges
Types of Swallowing Challenges
Assessment of Eating and Swallowing Challenges
Chart Review and Case History
Positioning
Structural-Functional Examination of the Swallowing Mechanism
Clinical ("Bedside") Evaluation of Eating and Swallowing Behaviors
Instrumental Assessments
Treatment of Eating and Swallowing Challenges
Food Selection and Environmental Factors
Caregiver Interventions
Multicomponent Interventions
Eating Issues in End-Stage Dementia
Quality of Life Issues
Assessing Quality of Life in Persons With Dementia
Defining Quality of Life
Measurement Issues
QoL Instruments for Persons With Dementia
Interventions Designed to Improve Quality of Life
Policy and Staff Approaches
Sensory Stimulation Approaches
Caregiver and Family Issues
Caregiver Characteristics
Factors Related to the Caregiving Experience
Risks and Benefits of Caregiving
Barriers to Obtaining Assistance With Caregiving
Interventions for Family Caregivers
Communications-Focused Dementia Caregiver Interventions
Impact on Staff
Staff Characteristics
Staff Training Needs and Models
Communication-Based Models
Behavior Management and Skills Training Approaches
Person-Centered Staff Training Approaches
Technology-Delivered Training Programs: Video Versus CD Versus Internet
Post training: The Challenge of Supervision
The Role of the SLP in Training Nursing Home Staff
Treatment Settings, Goals, and Documentation Issues
Treatment Considerations in a Variety of Settings
Implementing Memory and Communication Supports Across Settings
Pain Management
Advance Directives
Obtaining Referrals
Reimbursement and Documentation Issues
Navigating the Maze of Third-Party Payers
Goal Writing for Reimbursement
Reasonable Expectation for Progress
Coding for Documentation and Billing
Documenting Progress
Functional Maintenance Programs
The Appeals Process
Reporting Results to Family Caregivers
Resources for Family Caregivers and Clinicians
Resources for Advance Directives
General Information on Medicare, Regulations and Plans
Information on Best Practices, Treatment Efficacy, and Reimbursement Issues
Information on Coding Systems
Subject Index
Author Index

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