Treatment FAQ

what are new types of treatment through ot for people with dementia

by Lawson Effertz Published 2 years ago Updated 2 years ago
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What can ot do for dementia patients?

They work to keep their patients safe, especially from falls or physical injuries; they create strategies to prevent patients from wandering, maintain strong emotional connections, identify patient's non-verbal cues for caregivers, and create opportunities for patients to engage in occupational tasks to feel productive ...Jun 20, 2021

What kind of therapy is good for dementia?

Supportive therapies for dementiaCognitive rehabilitation. ... Physical activity. ... Occupational therapy helps seniors with mild to moderate dementia by teaching coping behaviors and strategies to compensate for memory loss and cognitive decline. ... Music therapy.More items...•Jul 23, 2021

What is occupational therapy for Alzheimer's patients?

Occupational therapy is, thus, a great way to help people with Alzheimer's disease. The occupational therapist will evaluate the daily difficulties to propose real solutions to his patient. The tailored solutions will allow him to work regularly to maintain his abilities and autonomy on a daily basis.Jan 14, 2020

What are cognitive enhancers for dementia?

Donepezil (also known as Aricept), rivastigmine (Exelon) and galantamine (Reminyl) are used to treat the symptoms of mild to moderate Alzheimer's disease.

What is cognitive rehabilitation for dementia?

Cognitive rehabilitation is a behaviour change intervention, based on an understanding of the cognitive changes seen in mild to moderate dementia, which builds on relatively better preserved cognitive abilities to address and overcome the impact of cognitive impairment.Aug 5, 2019

What are the primary goals of care for a client with dementia?

Some of the goals identified are generally applicable for dementia patients and their caregivers: low caregiver strain, management of behavioral symptoms, avoidance of pain and depression, as much functional independence as possible, and eventually dying with dignity.Dec 20, 2016

Whats an OT do?

Occupational therapists treat injured, ill, or disabled patients through the therapeutic use of everyday activities. They help these patients develop, recover, improve, as well as maintain the skills needed for daily living and working.

Is dementia a disease?

Dementia is not a specific disease but is rather a general term for the impaired ability to remember, think, or make decisions that interferes with doing everyday activities. Alzheimer's disease is the most common type of dementia. Though dementia mostly affects older adults, it is not a part of normal aging.

What is the best medication for dementia?

There are several classes of medications proven to work at treating symptoms and reducing the effects of dementia, which include: Cholinesterase inhibitors: Aricept (donepezil), Razadyne (galantamine) and Exelon (rivastigmine).

Why are antidepressants used for dementia?

A high percentage of dementia sufferers are afflicted by depression, so antidepressants are used to increase wellbeing and quality of life.

What is the effect of cholinesterase inhibitors on Alzheimer's?

Cholinesterase inhibitors alleviate symptoms of Lewy-body dementia and Alzheimer's disease by slowing the breakdown of Acetylcholinesterase, which plays a role in learning, memory, and cognitive skills.

What are the side effects of dementia medication?

Side effects of medications used to alleviate dementia symptoms include nausea, dizziness, vomiting, slowed heart rate and diarrhea. A doctor or healthcare professional can prescribe the medication that best fits an individual's condition and situation.

How does behavioral therapy help dementia?

Behavioral therapy involves tackling the triggers or causes of unwanted behaviors like aggression or wandering in order to alleviate and provide outlets for these behaviors without medication. For example, a trained caregiver may find that feelings of restlessness or stress cause their patient to wander away from home, and can implement an exercise regimen to manage this restlessness.

How to manage dementia?

Dementia hugely affects everyday functioning both for sufferers and for their loved ones, and coping with dementia can require major lifestyle and environmental changes. A comprehensive management system includes therapy and counseling to manage possible stress, anxiety, and depression.

What are the best supplements for reversible dementia?

Medication and supplements that can completely cure reversible dementias include: Vitamin B12 supplements for pernicious anemia. Hormonal supplements for hyperthyroidism, hypothyroidism, or other imbalances. SSRIs or other antidepressants for depression symptoms which may mimic dementia.

How does occupational therapy help with dementia?

Occupational therapy can improve daily functioning, social participation and wellbeing in people with dementia. It also has been shown to improve the sense of competence and wellbeing of primary caregivers. People with dementia often experience forgetfulness, wandering, problems with planning, personal care and mobility.

What is occupational therapy?

Occupational therapy is the use of assessment and intervention to support someone with everyday tasks. Often, it’s used as part of rehabilitation after an illness of injury.

Who is the founder of Hometouch?

Founder and Chief Medical Officer at Hometouch. Dr Jamie Wilson is hometouch’s founder and Chief Medical Officer. Jamie’s creation of hometouch was inspired by his work as a dementia psychiatrist in the NHS, and he has written about healthcare issues in The Times and the Evening Standard.

What are the plaques in Alzheimer's?

Plaques are a characteristic sign of Alzheimer's disease. Strategies aimed at beta-amyloid include: Recruiting the immune system. Several drugs — known as monoclonal antibodies — may prevent beta-amyloid from clumping ...

What is the acronym for the Coalition against Major Diseases?

To help accelerate discovery, the Coalition Against Major Diseases (CAMD), an alliance of pharmaceutical companies, nonprofit foundations and government advisers, has forged a first-of-its-kind partnership to share data from Alzheimer's clinical trials.

What are the strategies under investigation?

Strategies under investigation include: Current drugs for heart disease risk factors. Researchers are investigating whether drugs such as blood pressure medications now used to treat vascular disease may also be beneficial for people with Alzheimer’s or may reduce the risk of developing dementia.

What is the drug used to treat Alzheimer's disease?

Researchers are studying ways to treat inflammatory processes at work in Alzheimer's disease. The drug sargramostim (Leukine) is currently in research. It's thought that the drug may stimulate the immune system to protect the brain from harmful proteins.

What is the best way to reduce beta-amyloid?

Production blockers. These therapies may reduce the amount of beta-amyloid formed in the brain. Research has shown that beta-amyloid is produced from a "parent protein" in two steps performed by different enzymes. Several experimental drugs aim to block the activity of these enzymes.

Is Donanemab a monoclonal antibody?

Donanemab is another monoclonal antibody that showed promise in phase 2 trials and is moving into phase 3. In studies, the monoclonal antibody solanezumab did not demonstrate any benefit for individuals with mild or moderate Alzheimer's disease. It's possible that solanezumab may be more effective when given earlier in the course of the disease. ...

Is lecanemab approved by the FDA?

Experts also need to identify which patients may benefit from the drug. The monoclonal antibody lecanemab shows promise in removing amyloid and has moved into phase 3 clinical trials.

What is occupational therapy?

Occupational therapy has a great deal of skill to offer persons living with impaired cognition and their care partners. This requires specialized training in the area of dementia therapy and an understanding of functional cognition. Having the passion to work with people living with ADRD and being an advocate for them is a necessity.

Is dementia progressive or reversible?

Think of the term “dementia” as an overarching description of a group of symptoms associated with certain diseases. Dementia can be categorized as reversible or irreversible. The irreversible types of dementia are progressive in nature. According to AOTA's Occupational Therapy Practice Guidelines for Adults With Alzheimer’s Disease and Related Disorders (page 5), dementia affects attention, memory, speech, object recognition, object use, and coordination.

When we understand someone's cognitive level, we understand how to treat them.?

When we understand someone’s cognitive level, we understand how to treat them. It’s essential to understand that cognition is at the very foundation of function. When we understand where a person is performing in their functional cognition, we then know how to approach treatment effectively.

Who developed the theory of retrogenesis?

This regression is referred to as Retrogenesis, a theory developed by Dr. Barry Reisberg. This knowledge is vital to understanding how we adapt our expectations and key care approaches to promote the success of the individual living with dementia.

When is Alzheimer's Awareness Month?

June is Alzheimer’s & Brain Awareness Month — the perfect time to join the fight to end Alzheimer’s. Help us provide compassionate care and support and advance critical research with a generous gift today.

Is there a cure for Alzheimer's?

There's no cure for Alzheimer’s, but one treatment may potentially delay decline from the disease, and there are drug and non-drug options that may help treat symptoms. Understanding available options can help individuals living with the disease and their caregivers to cope with symptoms and improve quality of life.

How many people in Europe are affected by dementia?

About 6 million people are currently affected by dementia in Europe [ 1 ]. The majority of people with dementia live at home. Living in their own familiar environment may enable people with dementia to maintain their social networks and enjoy a better quality of life [ 2 ].

How long is the Matheoalz trial?

The MatheoAlz trial (Maintenance of Occupational Therapy in Alzheimer’s disease) is a multi-center, pragmatic randomized controlled trial testing maintenance of OT over 4 supplementary months compared to routine OT delivered as recommended. This paper describes the study protocol. MatheoAlz plans to enroll 240 dyads, i.e. dementia patients and caregivers, whose main inclusion criteria are: prescription for routine OT, patients with mild or moderate dementia, living at home, receiving support from an informal caregiver. The study will compare a control group of patients benefiting from 12 to 15 initial sessions of OT over 3/4 months and an intervention group of patients benefiting from these initial sessions plus 8 extra home sessions over 4 supplementary months. The main outcome is the patient’s neuropsychiatric symptoms assessed by the Neuropsychiatric Inventory at 8 months. Several clinical outcomes and economic consequences are measured at 4, 8 and 12 months.

How many home sessions are there in the intervention group?

As for the control group, the intervention group will have a first period of 3/4 months consisting of 12 to 15 home sessions; after this period the intervention group will have a maintenance of OT over 4 supplementary months with 8 extra sessions.

What is NPI in psychiatry?

a) Behavior symptoms are measured with the Neuropsychiatric Inventory (NPI), that assesses the frequency and the severity of the symptoms as well as the caregiver distress in 12 behavioral domains (delusions, hallucinations, depression/dysphoria, anxiety, agitation/aggression, elation/euphoria, disinhibition, irritability/lability, apathy/indifference, aberrant motor activity, sleep/night time behavior, and appetite/eating). NPI is given as an interview questionnaire [ 17 ]. Each domain is rated by the caregiver in terms of both frequency (1–4) and severity (1–3), yielding a composite symptom domain score (frequency×severity). The total composite score is obtained by summing up the single item scores, which may range from 0 to 144, with higher scores indicating more behavioral problems.

What is relay therapy after OT?

Moreover, planning and implementation of relays (such as speech therapists, physiotherapists or personal care assistant) after OT are crucial to maintain therapeutic approaches according to patients’ care needs. Nevertheless, these tasks are time consuming and complex to accomplish in the devoted period.

Where is the ESA study being conducted?

The study is being conducted in the South West of France; it began in 2018 and will run until 2019. Recruitment takes place through ESA (French acronym for “Equipe Spécialisée Alzheimer”) that are specialized teams of health professionals intervening at home for dementia patients. Patients are referred to ESA under medical prescription. We selected 10 ESA that were already involved in the pilot study (described elsewhere) and showed a high recruitment capacity [ 15 ]. Moreover, patients cared by these settings have been shown to be representative of the patients care by ESA at the national level [ 16 ]. All ESA staff met University research team for research compliance and human subject data collection. Eligibility criteria were pragmatically chosen to be representative of situations encountered by therapists in their routine care practice. Patients’ inclusion criteria include having a dementia diagnosis, being referred to an ESA for the first time, a MMSE score over 15, living in the community or in residential care setting and having a non-professional caregiver. Exclusion criteria are listed as follow: institutionalized patients or patients with a short-term project of institutionalization, patients with reported behavior of care refusal, patients already included in a non-pharmacological trial, patients under legal protective measures or not able to provide their written consent for participation in the study, patients or caregivers with characteristic that could affect participation (e.g.: major physical illness; sensory impairment; disability). People with dementia meeting the inclusion criteria will be recruited over an inclusion period of 10 months, this timeframe was estimated based on ESA’s inclusion capacity.

What is validation therapy?

Validation therapy encourages caregivers and loved ones of people with Alzheimer’s and dementia to focus on the “here and now” and to try not to ask themselves why their loved one is acting a certain way. Validation therapy wants cognitive diseases to be accepted through empathy.

How does art therapy help with dementia?

Art therapy is being used as a way of helping Alzheimer’s and dementia patients communicate their emotions and thoughts, which in turn, helps to calm them and make them feel more connected to others. It is also used as a way to help individuals focus so that they can improve their attention and concentration skills. Through creating art, individuals are able to express themselves nonverbally.

How does light therapy help dementia patients?

One group found that this type of light therapy helps people with dementia to sleep better through the night.

Why is music therapy important for Alzheimer's patients?

Musical understanding and a love of music are often two of the last abilities that people with Alzheimer’s or dementia still have, which is why music therapy is so important. How we respond to rhythms and our ability to understand them is found in the motor center of the brain, so our response to music does not require a lot of mental processing , the way that other activities do, like speaking or working through a puzzle. Music is a great way to communicate with people in the late stages of Alzheimer’s or dementia.

What are the different types of therapy?

Here are just a few of the different types of therapies that currently exist. 1. Animal Therapy. Also called pet therapy, animal therapy is when trained dogs, cats, and sometimes other animals are used as companions for people who have Alzheimer’s or dementia. Many people who have diseases that cause them to be cognitively impaired see animals as ...

What is the role of a therapist in a patient's emotional state?

Encourages positive changes in moods and in emotional states. Creates a sense of control over life. Promotes interest in once-loved hobbies. Encourages vocal fluency and speech. Helps manage pain without the use of medications. Provides the opportunity to interact socially with others.

What are the benefits of art therapy?

Benefits of Art Therapy: Decreases levels of anxiety, agitation, and anger. Provides a way of expressing positive emotions. Supplies social recognition in relation to other people. Gives validation of one’s own personal experience. Improves general mood and overall well-being. 3. Light Therapy.

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