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Lewy Body Dementia: The Role Of The PT, OT, And SLP In Person-Centered Care

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1.  How does LBD differ from Parkinson’s Disease? LBD always affects cognition LBD always affects movement LBD shows obvious parkinsonism in the early stage A & B

2.  Diagnosing LBD is challenging because: The clinical picture can vary There can be clinician-related challenges (e.g., no referral to a specialist) There is a lack of widely available biological testing All of the above

3.  Which of the following is TRUE regarding appropriate motor learning strategies? Allow more time for response (verbal and physical) Caregivers and home assistants need to be trained in cueing and assistance, so everyone is using the same technique. Simplify instructions and tasks. As a therapist you may need to break down instructions into more manageable sub-tasks. All of the above

4.  Which of the following was discussed as initial freezing of gait management strategies after identifying the cause and educating the patient and caregiver why it is occurring? Begin treatment by gait training in a small crowded area. Trial large amplitude gait training. May also trial visual, verbal or auditory cues. Distract patient with environmental hazards. Encourage the patient to “fight the freeze.”

5.  A therapy approach that promotes engagement in activities to stimulate general cognitive and social functioning is known as: DICE Cognitive Stimulation Task Oriented Training Executive Function Performance Test

6.  Which of the following is a TRUE statement about swallowing dysfunction in those with LBD? It is not important to address swallowing in those with LBD. Carbonated liquids decreased swallowing ability. Carbonated liquids improved swallowing ability. Thin liquids with no carbonation were best.

7.  What features of LBD can affect swallowing? Bradykinesia Sensory deficits Muscle weakness/rigidity All of the above

8.  Why is an interprofessional approach to LBD crucial? Symptoms increase in number and severity More team players are needed to engage over time Need treatment from diagnosis to late stage All of the above

9.  In a team approach, which of the following is NOT TRUE? All disciplines can have a shared plan of care. Each discipline must have its own plan of care. When more than one discipline is treating a patient, each must establish a diagnosis, goals, etc., independently. Both may be treating the patient for the same condition at different times in the same day for goals consistent with their own scope of practice.

10.  What is a challenge to interprofessional care? Insufficient experience or training Poor collaboration Lack of communication All of the above