Financial: Becky Khayum is owner of MemoryCare Corporation and a consultant on Communication Bridge research study at the Cognitive Neurology and Alzheimer’s Disease Center at the Northwestern Feinberg School of Medicine.
Emily Rogalski is a salaried Associate Professor with Northwestern University Feinberg School of Medicine and receives grants from NIH, foundations, and other philanthropic sources.
Becky Khayum and Emily Rogalski receive compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-financial: Becky Khayum and Emily Rogalski have no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Becky Khayum, MS, CCC-SLP
Becky Khayum is a speech-language pathologist and co-founder of MemoryCare Corporation, a company that provides therapy, support, and counseling for individuals with neurodegenerative disease in the Chicago and Indianapolis areas. She specializes in the non-pharmacological treatment of dementia syndromes, with a focus on person-centered care. Khayum also participates in research targeting treatment approaches for Primary…Read full bio
Emily Rogalski, PhD
Dr. Emily Rogalski is a neuroscientist and Associate Professor of Psychiatry and Behavioral Sciences at Northwestern University’s Feinberg School of Medicine. She currently serves as Associate Director of the Mesulam Cognitive Neurology and Alzheimer's Disease Center and as Imaging Core Leader of our NIA-funded Alzheimer’s Disease Center. Dr. Rogalski research falls under the broad umbrella…Read full bio
1. Overview of Neurodegenerative Dementias
While there are many types of dementia, this chapter will focus on neurodegenerative dementia syndromes, where individuals experience progressive of loss of memory, language, visuospatial functions, or changes in behavior/comportment. It will describe the clinical and diagnostic features associated with each dementia syndrome as well as the relationship between clinical syndrome and underlying neuropathology. It will also highlight the importance of a team approach to intervention.
2. Evidence-Based Interventions for Amnestic, Aphasic, Behavioral, and Visuospatial Symptoms/Dementia Syndromes
This chapter will highlight evidence-based approaches for dementia care, including strategies for progressive amnestic, aphasic, behavioral, and visuospatial symptoms. It will also review the ways in which technology can be integrated directly and indirectly into care. Practical tips for using technology within treatment sessions while complying with productivity requirements will also be discussed.
3. Practical Treatment Planning Considerations
This chapter will introduce a framework and breakdown of the treatment plan into the given practical steps: 1) Identifying primary concerns of person with dementia, family members, and staff (needs assessment); 2) Determining impairment-based and compensatory strategies to facilitate communication; 3) Assessing appropriate visual and graphic cueing systems (including memory books and wallets to use for reminiscence and to facilitate recall); 4) Assessing how to increase engagement in activities of daily living and household activities, and: 5) Assessing how to increase engagement in personal interests and hobbies. Practical treatment planning grids will be introduced for each step. This chapter will also target how to identify and integrate personally relevant stimuli into treatment planning, including the formulation of a mini-lexicon of personally relevant words.
4. Practical Application of the Treatment Plan for Steps One and Two
This chapter will discuss steps one and two of the Practical Treatment Planning framework: 1) Identifying primary concerns of person with dementia, family members and staff (needs assessment) and 2) Determining impairment-based and compensatory strategies to facilitate communication. For step one, practical examples for conducting motivational interviews for the person with dementia and family members to identify their primary concerns will be discussed, in addition to identifying how each concern impacts life participation in daily activities, and how to integrate technology to support each evidence-based, functional intervention. The second half of the chapter will focus on discussion of step two, and will illustrate the many impairment-based and compensatory interventions that may be beneficial to help facilitate communication in functional contexts.
5. Practical Application of the Treatment Plan: Steps Three through Five
This chapter will discuss steps three, four, and five of the Practical Treatment Planning framework: 3) Assessing appropriate visual and graphic cueing systems (including memory books and wallets to use for reminiscence and to facilitate recall); 4) Assessing how to increase engagement in activities of daily living and household activities, and; 5) Assessing how to increase engagement in personal interests and hobbies. For each step, specific examples will be given to illustrate how to practically integrate the use of evidence-based approaches and technology to support increased participation in meaningful activities while reducing challenging behaviors.