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