At what stage of dementia would you want to begin to speak with caregivers about safety with IADL performance (i.e. driving and money management)?
Answer
The answer would be as soon as possible. If you notice that somebody is having difficulty even at stage 2, you would want to begin to engage them and their caregivers in conversation about the problems that they have been having. For example, I might say, "I am starting to notice that you are having some trouble with this. Would you like to bring in your family in so we can talk about some of the things we are doing to make you as independent as possible?" Unfortunately, at the earlier stages, they may still be living independently and making their own decisions so you cannot go over their head and talk to their family. You have to walk a fine line because they are worried about losing control and that they are losing their independence. Again, the earlier you can begin to engage in this process the better as it can be a difficult topic for the patient to discuss.
Michelle Hediger, M.S., OTR/L
Michelle is an Occupational Therapist who currently is responsible for clinical program development and special projects for a large contract rehab provider. Prior to this role, she has held regional operations positions providing management oversight for post-acute rehab and assisted living settings. She has nearly 15 years experience as an Occupational Therapist across a variety of settings including skilled nursing, assisted and independent living, mental health and school based therapy. Her clinical areas of expertise include management and leadership, long term care programming and wellness program design and implementation. She spent four years as an Assistant Professor and Academic Fieldwork Coordinator at Suffolk County Community College, New York. She is an experienced program developer who has produced and presented training courses for healthcare professionals with a variety of backgrounds, including therapists, nurses, social work and long term care administrators. Her expertise in Geriatric management and education has led her to expand rehab teams and build innovative therapy programs across the geriatric care continuum.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-facility-interventions-introduction-6144Skilled Nursing Facility Interventions: An Introduction to Teepa Snow and Positive Approach to Care®There is so much more to supporting a person living with dementia than just knowing they have the diagnosis. This presentation will introduce you to Teepa Snow, the Positive Approach to Care, and skills to support someone living with dementia to promote quality of care and improved outcomes.auditory, textual, visual
'Very informative and easy to understand'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1127690; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
There is so much more to supporting a person living with dementia than just knowing they have the diagnosis. This presentation will introduce you to Teepa Snow, the Positive Approach to Care, and skills to support someone living with dementia to promote quality of care and improved outcomes.
2https://www.occupationaltherapy.com/ot-ceus/course/lymphatic-system-and-yoga-integrating-4353The Lymphatic System and Yoga: Integrating Holistic Strategies into TherapyThe Lymphatic System, an important part of the Vascular and Immune System, relies on movements of the muscles and other vibrations within the body to transport and remove cellular matter for internal balance of fluid. Yoga supports decongestion through practice of whole body movements, breathing, and alignment techniques to support healthy circulation and waste removal.auditory, textual, visual
'Good information about the lymphatic system and alternative treatment options'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-738074; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
The Lymphatic System, an important part of the Vascular and Immune System, relies on movements of the muscles and other vibrations within the body to transport and remove cellular matter for internal balance of fluid. Yoga supports decongestion through practice of whole body movements, breathing, and alignment techniques to support healthy circulation and waste removal.
3https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-facility-interventions-interdisciplinary-6145Skilled Nursing Facility Interventions: Interdisciplinary Collaboration Between Therapists And Certified Nursing AssistantsInterdisciplinary collaboration between therapy and certified nursing assistants in the skilled nursing setting will be discussed in this course. Perceived barriers and ideas for successful implementation will be explored alongside case studies demonstrating outcomes associated with effective collaboration.auditory, textual, visual
'The emphasis on collaboration and the case studies proving the importance of collaboration'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1130332; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
Interdisciplinary collaboration between therapy and certified nursing assistants in the skilled nursing setting will be discussed in this course. Perceived barriers and ideas for successful implementation will be explored alongside case studies demonstrating outcomes associated with effective collaboration.
4https://www.occupationaltherapy.com/ot-ceus/course/aging-skin-three-extrinsic-factors-4611The Aging Skin: Three Extrinsic Factors of Wound Development, in Partnership with The Permobil AcademyTake a deeper look into the three extrinsic factors of wound development to gain a richer understanding of what they are, how they are created, and how they contribute to the development of a pressure injury. Learn methods to fight against pressure, shear and microclimate to protect the compromised skin of your elderly client.auditory, textual, visual
'I love this presenter! I’ve taken several of her courses'Read Reviews
AOTA/0.1 Introductory, OT Service Delivery, Foundational Knowledge; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-696615; IACET/0.1; NBCOT PDUs/1.25 Beginner, Geriatrics; RESNA/0.1 Introductory
Take a deeper look into the three extrinsic factors of wound development to gain a richer understanding of what they are, how they are created, and how they contribute to the development of a pressure injury. Learn methods to fight against pressure, shear and microclimate to protect the compromised skin of your elderly client.
5https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-interventions-positioning-around-6148Skilled Nursing Facility Interventions: Positioning Around The Clock MattersTherapeutic positioning for residents of skilled nursing facilities can lead to better sleep quality and daytime alertness, with reduced pain and agitation when provided skillfully throughout the day and night. This course provides 24-7 posture care management theory and benefits for this population while addressing facility challenges and the importance of a team approach.auditory, textual, visual
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1129410; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
Therapeutic positioning for residents of skilled nursing facilities can lead to better sleep quality and daytime alertness, with reduced pain and agitation when provided skillfully throughout the day and night. This course provides 24-7 posture care management theory and benefits for this population while addressing facility challenges and the importance of a team approach.
