Cognitive Stimulation Therapy (CST) Intervention in the Community
|
|
- Archibald Cannon
- 5 years ago
- Views:
Transcription
1 Cognitive Stimulation Therapy (CST) Intervention in the Community Janice Lundy, BSW, MA, MHA Debbie Hayden, RN BSN, OTR-L Disclosures We have no relevant financial relationships to disclose CST Intervention in the Community Background What is Cognitive Stimulation Therapy How was CST developed Evidence-base CST in practice Our results Why CST works an OT perspective Questions 1
2 Background Initial interest in CST Research (financial reimbursement) Establishing OT support Funding Medical Community Education and referral Fall 2014 attended training and interview with Dr. Spector (UCL) London What is Cognitive Stimulation Therapy? An evidence based Psychosocial treatment for individuals with mild to moderate dementia Focuses on the improvement and strengthening of cognitive functions Maintenance of social and interaction skills Potential to improve mood and quality of life Development of CST CST developed by Dr. Aimee Spector under the direction of Dr. Martin Orrell and his team at UCL. 2
3 How was the CST Program Developed? Systematic review of the literature on the main nonpharmacological therapies. Reality Orientation Reminiscence Therapy Validation Therapy Multisensory Stimulation Spector et al (2000); Spector et al (2001); Woods et al (2005) Evidence Based CST Program For People With Dementia Spector et al 2003, Br Jr Psychiatry UK Randomized Control Trial (n=201) 14 sessions program ran twice a week for 45mins Sessions in residential homes & day centers Study measured group intervention program against usual activities which was described as usually nothing CST Study (Spector et al 2003) Found that ADAS cog scores, MMSE scores and QOL improved following CST CST results showed CST improved cognition, to those reported with effects similar to the currently available anti-dementia drugs 3
4 Additional Benefits of CST Significant impact on language skills including: Naming Word finding Comprehension (Spector et al. 20) No reported side-effects Has been determined to be cost-effective (Knapp et al. 2005) CST: Expanded Maintenance Cognitive Stimulation Therapy (MCST) Single-blind RCT Longer-term MCST (24 wks) Led to continuous benefits in quality of life (Orrell, Aquirre, Spector et al (2014) Individual Cognitive Stimulation Therapy (icst) Taught to caregivers by trained CST providers The UK Government NICE Guidelines on Dementia The only government recognized nonpharmacological treatment for dementia Government NICE guidelines recommend the use of group Cognitive Stimulation Therapy for people with mild to moderate dementia, irrespective of drug treatments received National Institute for Health and Clinical Excellence (2006) 4
5 World Alzheimer s Report (2012) The World Alzheimer s Report (Alzheimer s Disease International), stated that CST should routinely be given to people with early stage dementia. sreport2011.pdf Key Features of CST Program 14 CST sessions, usually twice a week 45 minutes to an hour Ideally 5-8 participants in a group, run by two therapists/facilitators Each session has a choice of activities, to cater for interests and abilities of group Group members should ideally be at similar stages of dementia, so activities can be pitched accordingly Attention should be paid to gender mix Who is appropriate for CST? Meet criteria for dementia, SLUMS greater than? N O YES Can s/he have a meaningful conversation? N O YES Can s/he hear well enough to participate in a small group discussion N O YES Is her/his vision good enough to see most pictures? N O THIS PERSON SHOULD NOT BE INCLUDED IN THE GROUP YES Is s/he likely to remain in a group for 45 minutes? N Y O E THIS S PERSON MIGHT BE INCLUDED IN THE GROUP 5
6 Key Principles of CST 1. Mental stimulation 2. New ideas, thoughts and associations 3. Using orientation, both sensitively and implicitly 4. Opinions rather than facts 5. Using reminiscence as an aid to the here-and-now 6. Providing triggers to aid recall 7. Continuity and consistency between sessions 8. Implicit (rather than explicit) learning 9. Stimulating language. Stimulating executive functioning 11. Person-centeredness 12. Respect 13. Involvement 14. Inclusion 15. Choice 16. Fun 17. Maximizing potential 18. Building / strengthening relationships Session Structure Introduction Welcome every member individually Group name Soft ball toss ( warm up and orientation of members) Reference to day, weather, season (always on board as cue). Any discussion of important events in their lives since last session Theme Group Song Current Affairs (Local and national). Main Activity Suggested activities for home (may include in take home handout). Closure (discuss time, day, and activity for next session-get opinions) CST SCREENINGS SLUMS Self DP CG DP Self QOL AD CG QOL AD Pre Post 6
7 CST SLUMS VARIANCE SLUMS SLUMS Self DP Self DP CG DP CG DP Self QOL Self QOL CG QOL CG QOL AD AD AD AD Pre test Post test Pre test Post test Pre test Post test Pre test Post test Pre test Post test SLUM < SLUMS 19 SLUMS Gender: mean Pre SLUMS Post SLUMS Pre Self DP Post Self DP Pre CG DP Post CG DP Pre Self QOL AD Post self QOL AD Pre CG QOL AD Post CG QOL AD Male n =6 Female n=13 CST Success Cognition-SLUMS:75% Depression-Cornell: 80% Quality- QOL-AD: 90% MCST: 70% 7
8 CST PROVISION CST:14 sessions, twice a week Maintenance CST (MCST): weekly Individual CST (icst) An OT Perspective on Participant Goals For CST Initially looked at ADL performance, however, saw limited progress in most clients. (Canadian article) Areas of Progress Identified: 1. Increased presence or engagement in life 2. More aware and interactive in conversations activities in the home. 3. Increased interest in activities (playing cards) 4. Improved mood and behavior (less irritability and anxiety, more cooperative and happier). 5. Improved memory and recall requiring less prompting and cuing. Why Does CST Work : An OT Perspective Short Term Memory- How many pieces of information you can hold onto for short period of time. Information comes in from auditory and visual systems primarily. Long Term Memory- If value is placed on information in short term will move to long term. Intensity about information helps it stick. Working Memory- Taking information from short and long term and assimilating or manipulating it. Basis for higher executive function. CST guides participants through prompting memories and thoughts to stimulate working memory for assimilation and manipulation of thoughts. Turning the lights on. 8
9 Affect of Stress on Memory HPA axis (slide ) Hippocampus along with several other areas of the brain is responsible for telling hypothalamus to turn off the cortisol producing mechanism (feedback system) once levels reach a certain level Hippocampus is structure in brain that helps connect new information with what we already know- basis of learning. Everything we learn, read, do and understand relies on hippocampus. Brains production on new neurons and laying down connections to others takes place in the hippocampus (neurogenesis). Retention of memories relies on neuronal activity. Hippocampus-area susceptible to damage from cortisol levels. High levels of cortisol result in damage to hippocampus and lead to decreased feedback system and more cortisol production. Older persons often have lost 20-25% of cells in their hippocampus which causes even more cortisol production. Degenerative Cascade. (Brain Longevity, Dharma Singh Khalsa, M.D.) Benefit of CST: Low Stress Environment Participants perceive as an enjoyable experience more likely to continue to participate Provides for controlling anxiety and therefore the HPA axis cycle activation by avoiding placing participant in an uncomfortable or anxious position this in turn allows for memory recall and learning to take place Sense of belonging, sense of achievement and getting physiological rib cage expansion with slow release all aide in serotonin release Improves overall self-esteem QUESTIONS? 9
10 References Goosens KA, Sapolsky RM. Stress and Glucocorticoid Contributions to Normal and Pathological Aging. In: Riddle DR, editor. Brain Aging: Models, Methods, and Mechanisms. Boca Raton (FL): CRC Press; Chapter 13. Hall L, Orrell M, Stott J, and Spector A (2013). Cognitive stimulation therapy (CST): neuropsychological mechanisms of change. International Psychogeriatrics, 25, pp National Institute for Health and Clinical Excellence (2006). Dementia: supporting people with dementia and their carers in health and social care. NICE clinical guideline 42, November Orrell et al.: Individual Cognitive Stimulation Therapy for dementia (icst): study protocol for a randomized controlled trial. Trials :172. References Orrell M, Aguirre E, Spector A, Hoare Z, Woods RT, Streater A, Donovan H, Hoe J, Knapp M, Whitaker C, Russell I (2014) Maintenance cognitive stimulation therapy for dementia: single-blind, multicentre,pragmatic randomised controlled trial. Br J Psychiatry Jun;204(6): Spector A, Orrell M. (20). Using a biopsychosocial model of dementia as a tool to guide clinical practice. International Psychogeriatrics 22(6): Spector A, Orrell M, Davies S and Woods B (2000). "Reality Orientation for dementia: A review of the evidence of effectiveness from randomised controlled trails." The Gerontologist, 40 (2), Spector A, Thorgrimsen L, Woods B, Royan L, Davies S, Butterworth M and Orrell M (2003). Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: Randomised Controlled Trial. British Journal of Psychiatry, 183: References Woods R, Spector A, Jones C, Orrell M and Davies S (2005). Reminiscence therapy for dementia: A review of the evidence of effectiveness from randomised controlled trails. In The Cochrane Library, 2,
INTRODUCTION Cognitive stimulation is defined as engagement in a range of activities and discussions
Protocol: The effect of individual Cognitive Stimulation Therapy delivered by trained volunteers on cognition and quality of life in people with mild to moderate dementia: A pilot randomized controlled
More informationSetting The setting was institutional and tertiary care in London, Essex and Hertfordshire in the UK.
Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis Knapp M, Thorgrimsen L, Patel A, Spector A, Hallam A, Woods B, Orrell M Record Status This is a critical abstract of
More informationThe benefits of groups that provide cognitive stimulation for people with dementia
The benefits of groups that provide cognitive stimulation for people with dementia Cogs clubs offer mental exercise, music, movement and friendship for their members, and respite for carers. Founder Jackie
More informationCognitive Stimulation Therapy (CST) for people with dementia in practice: A service
Cognitive Stimulation Therapy (CST) for people with dementia in practice: A service evaluation. Keywords: Cognitive Stimulation Therapy (CST), Dementia, Implementation, Evaluation, Outreach support. Word
More informationThe evaluation of individual Cognitive Stimulation Therapy (icst) for dementia. Lauren Yates Research assistant & PhD student
The evaluation of individual Cognitive Stimulation Therapy (icst) for dementia Lauren Yates Research assistant & PhD student What is CST? 7 week group programme of activities Spector et al. (2003): cognitive
More informationCognitive Stimulation Therapy - New Zealand and an International Perspective
Cognitive Stimulation Therapy - New Zealand and an International Perspective Dr Kathy Peri School of Nursing University of Auckland Cognitive Changes over time Non pharmacological approaches in Dementia
More informationCST in practice: service evaluation & observational study_
Cognitive Stimulation Therapy (CST) in practice: A service evaluation and observational study. Amy Jenna Streater (MSc), 1 st Floor Maggie Lilley Suite, Goodmayes Hospital, Ilford, Essex, IG3 8XJ a.streater@ucl.ac.uk
More informationPetra Bevilacqua Psychologist
21 st Alzheimer Europe Conference Warsaw 6-8 October 2011 COGNITIVE STIMULATION THERAPY IN A GROUP OF PEOPLE WITH DEMENTIA Petra Bevilacqua Psychologist A.S.D.A.M. onlus Mirandola Italy petra.bevilacqua@hotmail.it
More informationReview Article The Acceptability and Usefulness of Cognitive Stimulation Therapy for Older Adults with Dementia: A Narrative Review
International Journal of Alzheimer s Disease Volume 2016, Article ID 5131570, 11 pages http://dx.doi.org/10.1155/2016/5131570 Review Article The Acceptability and Usefulness of Cognitive Stimulation Therapy
More informationOutcome measures in dementia care research
Versorgungsforschung für demenziell erkrankte Menschen Health Services Research for People with Dementia Symposium Bonn 11.-12. Dezember 2008 (World Conference Center Bonn) Plenary Lectures: PREVENTION
More informationMaintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial
Streater et al. Trials 2012, 13:91 TRIALS STUDY PROTOCOL Open Access Maintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial Amy Streater 1,6*, Aimee
More informationcogs 10 th International Dementia Conference April 2018 Jackie Tuppen RN, SP, B.Sc Hons Admiral Nurse and Specialist Practitioner
cogs 10 th International Dementia Conference 16 17 April 2018 Jackie Tuppen RN, SP, B.Sc Hons Admiral Nurse and Specialist Practitioner cogs Cogs Club: an innovative model of support in early dementia
More informationJoão Apóstolo
The effectiveness of a cognitive stimulation therapy on elders cognition and depressive symptoms LINKING EVIDENCE TO ACTION João Apóstolo apostolo@esenfc.pt The Portugal Centre for Evidence Based Practice:
More informationHouse, Riding House Street, London, UK. Available online: 04 Jul 2011
This article was downloaded by: [T&F Internal Users], [Emma Rogers] On: 31 August 2011, At: 05:40 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered
More informationCognitive stimulation therapy (CST): neuropsychological mechanisms of change
International Psychogeriatrics (2013), 25:3, 479 489 C International Psychogeriatric Association 2012 doi:10.1017/s1041610212001822 Cognitive stimulation therapy (CST): neuropsychological mechanisms of
More informationEvaluating reminiscence work. Bob Woods Bangor University Wales, UK
Evaluating reminiscence work Bob Woods Bangor University Wales, UK b.woods@bangor.ac.uk Reminiscence Therapy for people with dementia Strong tradition of use of RT for people with dementia (e.g. pioneering
More informationSHIELD Research Programme Newsletter
Produced and edited by Cathy Forbes, Office Manager Dementia Research Centre and Juanita Hoe, SHIELD Research Programme Coordinator 1. Programme Details The Support at Home - Interventions to Enhance Life
More informationTherapeutic Benefits of Caregiver Interventions
Therapeutic Benefits of Caregiver Interventions Laura N. Gitlin, Ph.D. Professor, Department Community Public Health, School of Nursing Director, Center for Innovative Care in Aging Johns Hopkins University
More informationPresent by Dr Phuong Leung Dr Vasiliki Orgeta Professor Martin Orrell. Division of Psychiatry University College London
The effects of carer involvement in cognitionbased interventions (CBIs) for people with dementia on carer wellbeing: a systematic review and meta-analysis Present by Dr Phuong Leung Dr Vasiliki Orgeta
More informationTRIALS. Open Access STUDY PROTOCOL. Study protocol. BioMed Central
TRIALS STUDY PROTOCOL Open Access Study protocol Maintenance Cognitive Stimulation Therapy (CST) for dementia: A single-blind, multi-centre, randomized controlled trial of Maintenance CST vs. CST for dementia
More informationDementia: Rethinking our approach to behaviour
Dementia: Rethinking our approach to behaviour Dr Kathryn Lord Research Fellow 1 A bit about me: The 3 P s! Psychology Psychiatry Person centredcare 2 Challenging behaviours in Challenging behaviours dementia
More informationEvidence profile: cognitive impairment
Integrated care for older people (ICOPE) Guidelines on community-level interventions to manage declines in intrinsic capacity Evidence profile: cognitive impairment Scoping question: Does cognitive stimulation,
More informationHsiu-Ching Lin Postdoctoral Fellow Department of Nursing, College of Medicine, National Cheng Kung University Date: 2017/04/27
Distinctive effects between cognitive stimulation and reminiscence therapy on cognitive function and quality of life for different types of behavioral problems in dementia Hsiu-Ching Lin Postdoctoral Fellow
More informationFrom ideas to evidence: developing cognitive rehabilitation interventions for people with early-stage dementia
From ideas to evidence: developing cognitive rehabilitation interventions for people with early-stage dementia Linda Clare PhD ScD CPsychol Professor of Clinical Psychology of Ageing and Dementia Centre
More informationFit Minds Interact Individual Program and TBI Using Cognitive Coaching for Impact
Fit Minds Interact Individual Program and TBI Using Cognitive Coaching for Impact Caring. Connected. Inspired. Presentation Overview Brain Science Primer Cognitive Stimulation Therapy Review Coach Approach
More informationAfter the Diagnosis: Rehabilitation & Support Options for Mild Dementia
After the Diagnosis: Rehabilitation & Support Options for Mild Dementia Dr. Toni Nicholls, Clinical Neuropsychologist Peronne Village, cottage #20, Worthing, Christ Church 621-2022 Say these aloud Dog
More informationPsychosocial Intervention: Memory Clinics and Evidence Based Practice
Psychosocial Intervention: Memory Clinics and Evidence Based Practice Esme Moniz Cook Hull York Medical School: Hull Memory Clinic 25 March 2011 Overview Psychosocial Intervention Definition Early versus
More informationCritical Review: Does reminiscence therapy including life story work improve the quality of life of people with dementia?
Critical Review: Does reminiscence therapy including life story work improve the quality of life of people with dementia? Tiffany Ashford M.Cl.Sc (SLP) Candidate University of Western Ontario: School of
More informationJung Wan Kim* Department of Speech Pathology of Daegu University, Gyeongsan, South Korea
J. Ecophysiol. Occup. Hlth. 16(1&2), 2016, 32 36 2016 The Academy of Environmental Biology, India DOI : 10.15512/joeoh/2016/v16i1&2/15795 The Efficiency and Efficacy of On-Line Vs. Off-Line Cognitive Rehabilitation
More informationAims for todays session
Aims for todays session To provide a brief overview of psychological interventions with carers of people with Dementia and to consider the existing evidence base. To explore the theoretical basis for the
More informationPathways is a comprehensive singing program for use in memory care Comprised of a video series, activity booklets, online training, and audio CDs
Pathways is a comprehensive singing program for use in memory care Comprised of a video series, activity booklets, online training, and audio CDs Resource: Pathways Why? AD - Vulnerable population Literature
More informationResearch into practice - practice into research: outreach work with people with dementia at Tyne & Wear Archives and Museums
Research into practice - practice into research: outreach work with people with dementia at Tyne & Wear Archives and Museums Zoë Brown Outreach Officer (TWAM) Bruce Davenport Associate Staff (ICCHS) &
More informationUsing economic evidence to model an improved dementia care pathway
Using economic evidence to model an improved dementia care pathway IV Workshop on the evaluation of public policies for sustainable Long-Term Care in Spain ILPN Albacete, June 2017 What is Dementia? A
More informationManaging Challenging Behaviour in Dementia Care
Quality Improvement project: Managing Challenging Behaviour in Dementia Care 9 th February 2017 Dr Mareike Suesse, Clinical Psychologist Dr Deirdre Bonner, Consultant Psychiatrist K&C Older Adults Community
More informationwork of Khululeka Grief Support
EXECUTIVE SUMMARY Khululeka Grief Support Report on an evaluation of the work of Khululeka Grief Support 1 CONTENTS Report on an evaluation of the work of Khululeka Grief Support A. Introduction.... 2
More informationGREAT. Goal-oriented Cognitive Rehabilitation in Early-stage Alzheimer s and Related Dementias: Multi-centre Single-blind Randomised Controlled Trial
GREAT Goal-oriented Cognitive Rehabilitation in Early-stage Alzheimer s and Related Dementias: Multi-centre Single-blind Randomised Controlled Trial HTA reference 11/15/04 GREAT Study Protocol Version
More informationSOCIABLE - NEXT GENERATION COGNITIVE TRAINING USING MULTI-TOUCH SURFACE COMPUTERS
SOCIABLE - NEXT GENERATION COGNITIVE TRAINING USING MULTI-TOUCH SURFACE COMPUTERS Dr Paraskevi Sakka Neurologist - Psychiatrist Athens Association of Alzheimer s Disease and Related Disorders Neurodegenerative
More informationThis is the authors accepted manuscript of an article that has been published in its final definitive form by Cambridge University Press, 2017
Dickinson C, Gibson G, Gotts Z, Stobbart L, Robinson L. Cognitive stimulation therapy in dementia care: exploring the views and experiences of service providers on the barriers and facilitators to implementation
More informationService users involvement in the development of individual Cognitive Stimulation Therapy (icst) for dementia: a qualitative study
Yates et al. BMC Geriatrics (2015) 15:4 DOI 10.1186/s12877-015-0004-5 RESEARCH ARTICLE Open Access Service users involvement in the development of individual Cognitive Stimulation Therapy (icst) for dementia:
More informationUC Office of the President Recent Work
UC Office of the President Recent Work Title Different Pattern of Emotional Benefits Induced by Regular Singing and Music Listening in Dementia Permalink https://escholarship.org/uc/item/29r147dh Authors
More informationImproving clinical management and quality of life in mid to late stage Huntington s disease How research can inform clinical practice and vice versa
Improving clinical management and quality of life in mid to late stage Huntington s disease How research can inform clinical practice and vice versa Caroline Fisher, Anahita Brown, Katherine Sewell, Bronwyn
More informationDementia: modelling interventions, costs and outcomes
Dementia: modelling interventions, costs and outcomes Evaluation of public policies for sustainable Long-Term Care in Spain Workshop Barcelona, 3 rd July 2014 Adelina Comas-Herrera PSSRU London School
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION What is the effect of community occupational therapy on mood, quality of life, and health status of dementia patients and their informal caregivers, as
More informationKimberley Indigenous Cognitive Assessment (KICA) Instruction booklet
Kimberley Indigenous Cognitive Assessment (KICA) Instruction booklet Background The Kimberley Indigenous Cognitive Assessment (KICA) is the only valid dementia assessment tool for older Indigenous Australians.
More informationHEALTH TECHNOLOGY ASSESSMENT
HEALTH TECHNOLOGY ASSESSMENT VOLUME 19 ISSUE 64 AUGUST 2015 ISSN 1366-5278 Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre,
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Friedmann, E., Galik, E., Thomas, S. A, Hall, P. S, Chung, S. Y., & McCune, S. (2015). Evaluation of a pet-assisted living intervention for improving functional status
More informationRecognizing Signs and Symptoms of Alzheimer's Disease in Earlier Stages Can Lead to Diagnosis
A joint publication of the Illinois Health Care Association and CE Solutions November 2015 Recognizing Signs and Symptoms of Alzheimer's Disease in Earlier Stages Can Lead to Diagnosis Early diagnosis
More informationActive Minds. 01
Active Minds 2015 01 www.active-minds.co.uk Background Ben Atkinson-Willes was a design student at Kingston University, when his grandfather developed Alzheimer s disease. In caring for him he found there
More informationNEUROPSYCHOMETRIC TESTS
NEUROPSYCHOMETRIC TESTS CAMCOG It is the Cognitive section of Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) The measure assesses orientation, language, memory, praxis, attention, abstract
More informationThe detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol.
The detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol. Aims and Objectives of the overall study The aim of this study
More informationCaregiving for an Individual with Dementia: Beginning the Journey
Caregiving for an Individual with Dementia: Beginning the Journey Kirsten W. Schwehm, PhD, ABN Institute for Dementia Research and Prevention Getting the Diagnosis Physician Assessment Cognitive Assessment
More informationPsychological therapies for people with dementia who have associated depression [New 2015].
Psychological therapies for people with dementia who have associated depression [New 2015]. SCOPING QUESTION: For people with dementia and comorbid depression, do psychological interventions (including
More informationArt Lift, Gloucestershire. Evaluation Report: Executive Summary
Art Lift, Gloucestershire Evaluation Report: Executive Summary University of Gloucestershire September 2011 Evaluation Team: Dr Diane Crone (Lead), Elaine O Connell (Research Student), Professor David
More informationPaper Title: Cultural Adaptation of Cognitive Stimulation Therapy (CST) for Chinese
Paper Title: Cultural Adaptation of Cognitive Stimulation Therapy (CST) for Chinese People with Dementia: Multicentre Pilot Study Running Head: Cultural Adaptation of Cognitive Stimulation Therapy (CST)
More informationScottish Pilot of the Tailored Activity Programme Progress to date. Jenny Reid AHP Dementia Consultant NHS
Scottish Pilot of the Tailored Activity Programme Progress to date Jenny Reid AHP Dementia Consultant NHS Lothian @JennyAHPDem Overview of seminar Setting the scene What is TAP? The National TAP pilot
More informationEvaluation of the Veder Method; Theatre as a method of contact in psycho geriatric care
Evaluation of the Veder Method; Theatre as a method of contact in psycho geriatric care A.M. van Dijk, J.C.M. van Weert, R.M. Dröes (Red.) Laag licht er is weleens zo n avond dat over het gras in de tuin
More informationDementia and Imagination Research Methods
Dementia and Imagination Research Methods Dr. Gill Windle, Dementia Services Development Centre Dr Carys Jones, Centre for Health Economics and Medicines Evaluation School of Healthcare Sciences Bangor
More informationEffectiveness of START psychological intervention in reducing abuse by dementia family carers: randomized controlled trial
Effectiveness of START psychological intervention in reducing abuse by dementia family carers: randomized controlled trial Corresponding author: Dr Claudia Cooper. Tel: 020 7679 9248. Email: c.cooper@ucl.ac.uk
More informationCity, University of London Institutional Repository
City Research Online City, University of London Institutional Repository Citation: Hurt, C. S., Banerjee, S., Tunnard, C., Whitehead, D. L., Tsolaki, M., Mecocci, P., Kloszewska, I., Soininen, H., Vellas,
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION In persons with chronic obstructive pulmonary disease (COPD), is a combination of exercise and activity-based breathing training more effective than a
More informationAGED SPECIFIC ASSESSMENT TOOLS. Anna Ciotta Senior Clinical Neuropsychologist Peninsula Mental Health Services
AGED SPECIFIC ASSESSMENT TOOLS Anna Ciotta Senior Clinical Neuropsychologist Peninsula Mental Health Services Issues in assessing the Elderly Association between biological, psychological, social and cultural
More informationDeveloping Psychological Interventions for adults with high functioning autism spectrum disorders. Dr Neil Hammond Consultant Clinical Psychologist
Developing Psychological Interventions for adults with high functioning autism spectrum disorders Dr Neil Hammond Consultant Clinical Psychologist Outline Current research psychological therapy Autism
More informationMontreal Cognitive Assessment (MoCA) Overview for Best Practice in Stroke and Complex Neurological Conditions March 2013
Montreal Cognitive Assessment (MoCA) Overview for Best Practice in Stroke and Complex Neurological Conditions March 2013 1 MoCA 2 Overview of the MoCA Takes approximately 15 minutes to administer Requires
More informationCaring Sheet #23: Questions about Caregiving:
: Questions about Caregiving: An Assessment Checklist By Shelly E. Weaverdyck, PhD Introduction This caring sheet lists questions a caregiver can ask to discover how well the caregiver s interactions with
More informationCaring Sheet #21: Questions about a Person s
: Questions about a Person s Cognition: An Assessment Checklist By Shelly E. Weaverdyck, PhD Introduction This caring sheet lists questions a caregiver can ask to discover what a person with cognitive
More informationCBT to Augment Psychopharmacology
CBT to Augment Psychopharmacology Michael W. Otto, PhD Department of Psychological and Brain Sciences Boston University Disclosures I have the following relevant financial relationship with a commercial
More informationStress: The Good, Bad, and the Ugly Part One. Catherine Nelson, Ph.D. University of Utah
Stress: The Good, Bad, and the Ugly Part One Catherine Nelson, Ph.D. University of Utah Cathy.nelson@utah.edu Course Overview: Stress Session One Definitions Physiology Toxic Stress Risk factors for experiencing
More informationDementia Carer s factsheet
Dementia Carer s factsheet Who is this factsheet for? This factsheet is for people caring for someone who may be experiencing memory problems or who has a diagnosis of dementia. Contents Page What is dementia?...
More informationCurrent Treatments for Dementia and Future Prospects. James Warner St Charles Hospital, London
Current Treatments for Dementia and Future Prospects James Warner St Charles Hospital, London Dementia Cognitive Non-cognitive (BPSD) Memory orientation language other cognitive abilities praxis planning
More informationMEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION. POLICY NUMBER: CATEGORY: Therapy/Rehabilitation
MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including
More informationNot skilled at all Beginning skill Moderate skill Advanced skill Expert skill
Geriatric Social Work Competency Scale II with Life-long Learning in Relationship to Leadership s: Social Work Practice Behaviors in the Field of Aging The following is a listing of skills recognized by
More informationThe Mind Your Memory Group: A supported self management group for individuals with dementia
The Mind Your Memory Group: A supported self management group for individuals with dementia January 0 Angela Smith, Specialist Occupational Therapist, Old Age Psychiatry, Royal Cornhill Hospital, Aberdeen
More informationSouth Tees Hospitals NHS Foundation Trust. Excellence in dementia care across general hospital and community settings. Competency framework
South Tees Hospitals NHS Foundation Trust Excellence in dementia care across general hospital and community settings. Competency framework 2013-2018 Written and compiled by Helen Robinson-Clinical Educator
More informationConsultation response form: Together for a Dementia Friendly Wales ( ) Proposed Together for a Dementia Friendly Wales ( )
Consultation response form: Together for a Dementia Friendly Wales (2017-22) Overview Proposed Together for a Dementia Friendly Wales (2017-22) How to respond Responses should be submitted by 3 April 2017
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Does the Tailored Activity Program (TAP) for dementia patients reduce caregiver burden and neuropsychiatric behavior compared to a wait-list control group
More informationReminiscence therapy for dementia(review)
Cochrane Database of Systematic Reviews Reminiscence therapy for dementia(review) WoodsB,SpectorAE,JonesCA,OrrellM,DaviesSP WoodsB,SpectorAE,JonesCA,OrrellM,DaviesSP. Reminiscence therapy for dementia.
More informationConducting Groups. March 2015
Conducting Groups March 2015 Agenda Advantages of groups Members of the group Group leader Role of the leader, maximize participation, & use effective communication skills Group participants The forceful,
More informationBehaviour that Challenges in dementia care: an update of psychological approaches for home and care home settings 1
Behaviour that Challenges in dementia care: an update of psychological approaches for home and care home settings 1 Authors: Esme Moniz-Cook & Ian A James Introduction Over and above the personal and financial
More informationMeasuring health-related quality of life in persons with dementia DOMS results & recommendations
Measuring health-related quality of life in persons with dementia DOMS results & recommendations Madeleine King, Siggi Zapart, Jan Sansoni, Nick Marosszeky On behalf of the Dementia Outcomes Measurement
More informationCritically Appraised Paper for Efficacy of occupational therapy for patients with Parkinson's disease: A randomized controlled trial
Dominican University of California Dominican Scholar Occupational Therapy Critically Appraised Papers Series Occupational Therapy 2017 Critically Appraised Paper for Efficacy of occupational therapy for
More informationManaging agitation in dementia using non-pharmacological therapies
Managing agitation in dementia using non-pharmacological therapies Gill Livingston Lynsey Kelly, Elanor Lewis-Holmes, Gianluca Baio, Rumana Omar, Stephen Morris, Nishma Patel, Cornelius Katona, Claudia
More informationD.Clin.Psy. Thesis (Volume 1), 2013 University College London
Effectiveness of Weekly Cognitive Stimulation Therapy (CST) for People with Dementia and the Additional Impact of Enhancing CST with a Carer Training Programme Jenny Cove D.Clin.Psy. Thesis (Volume 1),
More informationCambridgeshire Training, Education and Development Older People (CAMTED-OP)
Cambridgeshire and Peterborough NHS Foundation Trust n Cambridgeshire Training, Education and Development Older People (CAMTED-OP) Dementia training for care homes 2017-18 Our approach CAMTED-OP aims to
More informationMeasuring health related quality of life in persons with dementia
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 2008 Measuring health related quality of life in persons with dementia Madeleine King University
More informationAlzheimer s & Dementia Intervention Program A Case Review
Alzheimer s & Dementia Intervention Program A Case Review Alzheimer s Australia 15 th National Conference May 15 th, 2013 Early dementia symptoms, no worries? Patricia and her daughter both knew something
More informationWhy Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills
Why Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills Presented by: Dr. William Mansbach CEO & Founder Mansbach Health Tools, LLC www.thebcat.com Highlights on Prevalence
More informationHow to: Run Acceptance and Commitment Therapy groups for people with psychosis
How to: Run Acceptance and Commitment Therapy groups for people with psychosis Eric Morris Jacinta Clemente John Farhall What is Acceptance and Commitment Therapy? A contextual CBT Process-driven Trans-diagnostic
More informationStaying Active with Dementia
Moving for Health Lesson Series Facilitator s Guide Staying Active with Dementia Objective This lesson will provide information for caregivers of persons with dementia about the importance of activity
More informationJapan Journal of Medicine 2018; 1(1): doi: xxx/jjm.104
Jpn J Med 2018,1:1 114 Japan Journal of Medicine 2018; 1(1): 114-121. doi: xxx/jjm.104 Mini Review Therapeutic Thematic Arts Programming (TTAP Method ) Meditation Mindfulness: How Meditation Can Enhance
More informationProvided by the author(s) and NUI Galway in accordance with publisher policies. Please cite the published version when available. Title MARIO Managing active and healthy ageing with use of caring service
More informationEfficacy of an evidence-based cognitive stimulation therapy programme for people with dementia : Randomised controlled trial
Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia : Randomised controlled trial AIMEE SPECTOR, LENE THORGRIMSEN, BOB WOODS, LINDSAY ROYAN, STEVE DAVIES, MARGARET
More informationCognitive Assessment 4/29/2015. Learning Objectives To be able to:
Supporting the Desire to Age in Place: Important Considerations for the Aging Population AGENDA 8:45 9:00 AM Geriatric Principles Robert L. Kane, MD *9:00 9:55 AM Cognitive Assessments Ed Ratner, MD 10:00
More informationDr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital. November /20/ Safety: Falls/Cooking/Unsafe Behaviour. 2.
How To Decide if an Elderly Person Can Stay at Home: The Interval of Need Concept Dr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital November 2013 3 Factors 1. Safety: Falls/Cooking/Unsafe Behaviour
More information9/23/17 ACTIVITIES IN A PERSON DIRECTED ENVIRONMENT THE WHY AND HOW OF A PERSON CENTERED CULTURE I STOPPED WHEN OTHERS STOPPED LISTENING.
THE WHY AND HOW OF A PERSON CENTERED CULTURE STEPS TO SUCCESS IN LIFE ENRICHMENT NATALIE B. DAVIS ACC/EDU CDP CADDCT ACTIVITIES IN A PERSON DIRECTED ENVIRONMENT PROGRESS ON THE ROAD TO PERSON DIRECTED
More informationABCs of Dementia & Caregiving
ABCs of Dementia & Caregiving Understanding the Symptoms and Behaviors of Dementia & How to Help Teepa Snow, Positive Approach, LLC to be reused only with permission. PET and Aging PET Scan of 20-Year-Old
More informationImproving Social Communication in Persons with Dementia Using Montessori Activities
Improving Social Communication in Persons with Dementia Using Montessori Activities Megan Malone, M.A. CCC-SLP, Jenny Loehr, M.A. CCC-SLP Cameron Camp, Ph.D. Objectives Upon completion of the session,
More informationSOCIABLE DELIVERABLE D7.2a Interim Assessment of the SOCIABLE Platform and Services
SOCIABLE ICT-PSP No. 238891 SOCIABLE DELIVERABLE D7.2a Interim Assessment of the SOCIABLE Platform and Services Project Acronym SOCIABLE Grant Agreement No. 238891 Project Title Motivating platform for
More informationThe Role of Occupational Performance in Prediction of Drug and Alcohol Abstinence in a Substance Abuse Population
The Role of Occupational Performance in Prediction of Drug and Alcohol Abstinence in a Substance Abuse Population 1 Prepared by: Phillip Wendt OTR, BSc (OT), MSc (OT) candidate Date: April 2005 (planned
More informationlearning zone A holistic approach to caring for people with Alzheimer s disease CONTINUING PROFESSIONAL DEVELOPMENT Summary Author Keywords
learning zone CONTINUING PROFESSIONAL DEVELOPMENT Page 58 Alzheimer s disease multiple choice questionnaire Page 59 Nancy Collins s practice profile on chronic obstructive pulmonary disease Page 60 Guidelines
More informationWisconsin Dementia Care Guiding Principles
Page 1 of 8 Draft Dementia Care Guiding Principles There must be a widely shared understanding of appropriate and high quality care for people with dementia in order to have a dementia-capable system of
More information