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Dementia Management: Techniques for Staging and Intervention

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1.  When working with patients with loss of cognitive function secondary to dementia, appropriate treatment strategies might include: Tapping into over learned skills Decreasing distractions during treatment sessions Give the patient ample time to process information All of the above

2.  Skilled treatment interventions for the patient with dementia include all but which of the following: Practicing skills Task segmentation Environmental adaptation Education

3.  Possible reasons a person with dementia might be referred to physical therapy may include which of the following? Caregiver does not understand how to cue a patient Need to establish safe mobility strategies Positioning or restraint concerns All of the above

4.  Which of these is not an appropriate reason to use a dementia staging tool? To identify a patient's baseline function To develop appropriate intervention strategies To conduct research in the facility To train caregivers

5.  Which of these is not a characteristic of the middle stage of dementia? Become vulnerable to infections, especially pneumonia Changes in sleep patterns, such as sleeping during the day and becoming restless at night An increased risk of wandering and becoming lost Personality and behavioral changes, including suspiciousness and delusions or compulsive, repetitive behavior like hand-wringing or tissue shredding

6.  Which of these is not an evidence-based intervention for falls related to dementia? Unrestricted daytime access to the wander gardens decreased falls Use restraints to keep the person safe Embed physical training focused on improving gait, strength, balance, and flexibility in functionally based activities Close supervision and participation in activity-based intervention

7.  Which of the following is an appropriate strategies to manage agitation in individuals with dementia? If possible leave the room Reason with the individual Keep your hands in your pockets so not to appear threatening Confront the individual if necessary

8.  Which of these is an appropriate intervention for pain management in individuals with dementia? Ensure all comfort needs are met Look for treatable conditions Look for other potential sources of the unusual behavior All of the above

9.  Which of these would not be incorporated into physical therapy treatment related to mobility for a person with middle stage dementia? Compensating by allowing additional time to perform task (2-3 times longer) Using a consistent routine and sequence and incorporating counting when Introducing new assistive devices and equipment Using demonstration, striking visual cues and verbal cues

10.  For bed mobility and transfers, which of these represent skilled interventions physical therapy may utilize for a person with dementia? Providing multi-modal cues including visual cues Adapting the environment for safety Utilizing appropriate equipment and training others to use it for safe transfers All of the above