In this recording, you'll learn the effect of aging on memory and cognition to provide the most effective therapy intervention possible. You will learn how to prioritize treatment sessions to focus on functional deficits caused by memory/cognitive changes. The content you will learn covers the spectrum of age related memory/cognitive decline from normal memory loss to Mild Cognitive Impairment (MCI) to end state Alzheimer’s and the behavioral characteristics of each. The effects of memory/cognitive decline on executive function will also be explored. You will leave the day with interventions to manage memory and cognitive decline which you can immediately implement, such as:
- Tools to differentiate between normal vs. abnormal memory/cognitive loss that occurs because of the aging process
- Assessments for self-medication management, fall risk, driving ability, executive function and safety
- Compensatory strategies, environmental considerations and caregiver training ideas
- Brain stimulation activities, exercise programs and non-medication therapy for depression, sleep issues and mental inactivity
- Recommendations for appropriate discharge planning
The most up to date information on brain plasticity, cognitive reserve and intervention strategies will be presented. In addition, you will be able to effectively communicate your concerns to physicians and other team members.
Maxwell Perkins, MS, OTR/L, is an occupational therapist with extensive experience with interdisciplinary clinical management focusing on the geriatric population. His clinical focus is on effective assessment and intervention for older adults experiencing memory/cognition issues in a variety of clinical settings including, acute inpatient/outpatient and skilled nursing facilities. Maxwell is an independent consultant/educator and previously served as the rehab education director for two large health care organizations. He presents continuing education workshops nationally and locally and is an adjunct professor in the Pacific University Occupational Therapy program in Forrest Grove, Oregon. He also is a member of the State of Oregon Occupational Therapy Licensure Board.
Financial: Maxwell Perkins is an adjunct professor at Pacific University. He receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Maxwell Perkins serves on the Oregon Occupational Therapy Licensing Board.
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- Assess the advantages/disadvantages of the three most commonly used cognitive assessments.
- Implement effective evaluation/treatment interventions in the management of memory/cognition decline.
- Implement assessment tools that quickly determine a patient’s ability to retain new information.
- Characterize at least six conditions/co-morbidities that impact cognitive/memory function.
- Categorize normal vs. abnormal cognitive/memory deficits through the aging process and implement appropriate interventions for each stage.
- Implement the evaluation tools related to cognitive/memory deficits that are best for determining driving ability and driving skills assessment.
- Communicate the most up-to-date evidence based resource information for patient/family education.
Spectrum of Cognitive/Memory Decline: Latest Research
Memory Loss and Cognitive Impact: Clinical Examples
- Reversible causes
- Effect on Executive Function (EF)
- Cannabis use
Cognitive Assessments: Hands on Activities
- Normal memory/cognitive decline
- Mild Cognitive Impairment (MCI)
- Mild Alzheimer’s Disease (AD)
- Moderate AD
- Severe AD
- Relationship to EF
Interventions for Contributing Factors
- Trail Making
- Stroop Color
Interventions for Independence and Safety Issues
- Depression and suicide: Assessments, referral needs, non-medication therapy
- Sleep issues: Sleep log, sleep hygiene program, environmental strategies
- Mental and physical inactivity: Brain stimulation activities, exercise programs/guidelines
- Vision and hearing loss: Sharpen your observational skills, referral needs, lighting strategies
Interventions for Managing Memory/Cognitive Decline
- Falls: Computer-based training, decrease risk, increase reaction time, home safety checklist
- Driving: Assessment tools, strategies for cessation of driving, state requirements
- Medication: Self-medication management assessment tool, self-strategies for adherence, caregiver training
- Home Management: Adaptive equipment, strategies for home safety, appropriate discharge environment
- Communication: Strategies for working with caregivers and physicians
Education and Resources
- Physical Exercise: Best type, program implementation, shoes
- Communication: Creating stage appropriate handouts
- Computer-based Cognitive Training: Use and evidence-based outcomes
- Spaced Retrieval: Incorporating into treatment, baseline for patient education
- Compensatory Strategies: Lists, calendars, skill set money management
- Caregiver: Burnout, support systems, community services
- Medicare Guidelines: Documentation requirements, assessment facts
- Web resources: Support groups
- Occupational Therapists
- Occupational Therapy Assistants
- Speech-Language Pathologists
- Physical Therapists
- Physical Therapists Assistants
- Social Workers
- Nursing Home Administrators
- Assisted Living Administrators
- Long Term/Acute Care Professionals
- Case Managers
- Activity Directors
- Recreational Therapists