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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled 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.6144OnlinePT60M
'I love Teepa Snows approach and will take any course about Gems'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/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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled 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.6145OnlinePT60M
'Enjoyed clear information and easily understood'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.
3https://www.occupationaltherapy.com/ot-ceus/course/occupational-therapy-interventions-for-adults-6658Occupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comOccupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.6658OnlinePT60M
'Increased knowledge of the total number of people w/ the two different diagnoses'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 11378; CE Broker/1.0 CE Broker #20-1287356; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
An in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.
4https://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, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled 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.6148OnlinePT60M
'Very informative and the images really helped visualize positioning'Read Reviews
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.
5https://www.occupationaltherapy.com/ot-ceus/course/time-blindness-critical-executive-function-6660Time Blindness: A Critical Executive Function In Adults With ADHDThe current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comTime Blindness: A Critical Executive Function In Adults With ADHDThe current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."6660OnlinePT60M
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 11375; CE Broker/1.0 CE Broker #20-1285973; IACET/0.1; IBCCES/1.0; NBCOT PDUs/1.25 Intermediate, Rehabilitation
The current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."
