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Early Stage Dementia

Perfect For:

Topic Area:

Therapists

Evaluation

Introduction

Mild cognitive impairment (MCI) is a condition in which people have more memory or thinking problems than other people their age. The symptoms of MCI are not as severe as those of Alzheimer’s disease or a related dementia. People with MCI can usually take care of themselves and carry out their normal daily activities but can often be frustrated because of frequent mistakes or be at risk especially if they live alone.

Strategies for Success

The activities that are here are suggestions and are loosely categorized into areas. We, as occupational therapists (OT/COTA) know that there is overlap between these areas. Baking cookies can be a cognitive task while working on hand strength, standing endurance and functional mobility. Know the needs of the person and be creative... it is what we do best.


Sample Treatment Goals

  • Improve/maintain ADL performance through the use of errorless learning and prompting strategies combined with activity and task modification.

  • Improve short-term memory recall through the use of planners, prompts, and multisensory interventions.

  • Maintain and improve functional mobility and sleep through the development of exercise-based/physical activity interventions.

  • Provide recommendations to improve safety within the home and reduce fall risk through home modifications and alert devices

  • Communication skills training for the care providers to improve quality of life and well-being.

  • Provide multicomponent psychoeducational interventions including education, skill training, and coping strategies to reduce burden of care.


Therapy Ideas:

Functional Mobility

  • Exercise (traditional, yoga, TaiChi)

  • Dance (seated or standing). Add scarves, music instruments, etc.

  • Garden

  • Work with tools to create something

  • Wax the car

  • Clean the windows

  • Sweep

Cognitive/Expressive

  • Letter/card writing to family and friends

  • Puzzles and games

  • Create reminder system that works for the patient

  • Implement medication schedule

  • Introduce relaxation strategies and techniques

  • Play music, sing to music, dance to music

  • Create a scrapbook

  • Set up phone/table with reminders, calendar and contacts.

  • Create an emergency plan

Environment

  • Reduce glare

  • Add night lights

  • Assess for fall hazards and remove

  • Organize closet and kitchen

  • Set up alarms on exterior doors

  • Increase contrast between materials (placemat/plate, etc.)





More Info

Fax: 866-718-5759

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LifeCare Therapy Services

7777 North University Drive, Tamarac FL 33321

 

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