Podcast
Questions and Answers
Which of the following is a preserved ability in dementia related to memory?
Which of the following is a preserved ability in dementia related to memory?
What is one primary loss associated with impulse control in individuals with dementia?
What is one primary loss associated with impulse control in individuals with dementia?
In the context of dealing with distress in dementia communication, what is a crucial aspect of the positive physical approach?
In the context of dealing with distress in dementia communication, what is a crucial aspect of the positive physical approach?
Which of the following best describes the communication strategy of 'using body movements' in socializing with individuals with dementia?
Which of the following best describes the communication strategy of 'using body movements' in socializing with individuals with dementia?
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During the positive physical approach, what is the recommended position to maintain comfort and safety?
During the positive physical approach, what is the recommended position to maintain comfort and safety?
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What does the strategy of breaking down activities into steps help achieve during communication with dementia patients?
What does the strategy of breaking down activities into steps help achieve during communication with dementia patients?
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What should be done if a communication attempt is not working effectively with a person who has dementia?
What should be done if a communication attempt is not working effectively with a person who has dementia?
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Which of the following is a common loss associated with language production in dementia?
Which of the following is a common loss associated with language production in dementia?
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Study Notes
Brain Changes in Dementia
- Brain mass decreases
- Cells appear darker
- Communication fluctuates, patterns may be present
Memory Changes in Dementia
- Short-term memory loss
- Immediate recall difficulty
- Situational memory loss
- Motor memory loss
- Long-term memories often remain
- Emotional memories are often preserved
Language Understanding in Dementia
- Difficulty with formal language
- Difficulty understanding explanations
- Difficulty following instructions
- Understanding of simple conversation may remain
- Understanding of simple gestures often remains
- Person may appear to understand, but does not
Language Production in Dementia
- Difficulty with formal language
- Inability to find correct words
- Inability to communicate needs
- Inability to explain situations
- Automatic, social chit-chat may persist
- Rhythmic language like music, singing, prayer, and certain words are often retained
Impulse Control in Dementia
- Loss of social graces
- Difficulty controlling impulses
- Individuals may act on thoughts and desires
- Taking items they see
- Individuals maintain the desire to be respected and in control
- Individuals still feel emotions and have a startle reflex
Positive Physical Approach for Dementia
- Approach from the front
- Move slowly
- Offer your hand
- Use a hand-under-hand position
- Get to the side of the individual, on their level
- Introduce yourself by name and wait for a response
Hand-Under-Hand Position
- Remains connected
- Safe and comfortable for both people
- Allows for guidance of the person’s movements
Communication Strategies for Doing Things Together
- Use a positive physical approach
- Provide simple information
- Ask the person for assistance
- Provide simple choices
- Encourage the person to try completing a task
- Break down activities into steps
- Give one instruction at a time
- Use your body to demonstrate movements
- Show any objects needed for completion
- If unsuccessful, back off, give them time, and try a different approach
- Be prepared to make multiple attempts
Communication Strategies for Socializing
- Use a positive physical approach
- Take your time during visits
- Go with the flow
- Realize facts may not be 100% accurate
- People may invent details
- People do have emotional memories
- People may remember old stories well
- Show objects you are talking about
- Use body language to demonstrate
Communication Strategies for Dealing with Distress
- Use a positive physical approach
- Connect emotionally
- Show emotions on your face
- Show that you are listening
- Communicate empathetically ("It looks like," "It sounds like," "It seems like")
- Use their words
- After gaining attention, use redirection by changing the subject slightly
- Use distractions by changing the topic, location, or activity
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Description
Explore the various changes in the brain and memory associated with dementia. This quiz covers brain mass alterations, language understanding, and impulse control challenges. Test your knowledge about how dementia impacts cognitive functions.
