About The Book

Covering assessment to plan of care and discharge, Here’s How to Treat Dementia is the only comprehensive field manual speech-language pathologists need while working with individuals with dementia. With this timely resource, therapists can readily access the information needed to assess, treat, and document care. Far from a cookbook approach to dementia care, this manual offers valuable information on staging of dementia, goal setting (including documentation), and treatment trends. The authors provide functional tips and intervention strategies that encourage clinicians to utilize critical thinking to formulate personalized care plans specific to a patient’s strengths and weaknesses. This user-friendly manual also includes reproducible forms and handouts for patient/family education, documentation, and data collection.

About The Authors

Jennifer L. Loehr, MA, CCC-SLP, a graduate of Humboldt State University, has been practicing speech pathology since 1989. The focus of her career has always been on geriatrics and she has spent the past ten years working with the dementia population. Ms. Loehr has served as a corporate consultant for several large health care agencies offering advisement and staff training in dementia care. She has presented regularly at the national American Speech-Language-Hearing conferences, as well as various state and local conferences and workshops. She specializes in developing dementia programs that focus on functional goals that will enhance the quality of life for patients, caregivers, and family members. Ms. Loehr currently oversees the rehabilitation department for a large senior living community in Austin, Texas, offering inpatient, outpatient, and home health rehabilitation services.

Megan L. Malone, MA CCC-SLP, is a speech-language pathologist and works in home health care, private practice, and also as a clinical instructor at Kent State University. Her areas of expertise include developing functional intervention strategies for both patients living with cognitive impairments and the patients’ families, as well as training faculty staff and caregivers in effectively understanding and working with the dementia population. Ms. Malone previously worked for nine years as a senior research associate and lead trainer at Myers Research Institute, in Cleveland, Ohio, where she oversaw federally and privately funded grants focused on implementing nonpharmacologic interventions with older adults with dementia. She has spoken numerous times at the annual conventions for the American Speech-Language-Hearing Association, Gerontological Society of America, American Society on Aging, and the Alzheimer’s Association, along with several state speech and hearing conventions. Ms. Malone has published articles in the Journal of Communication Disorders, Alzheimer’s Care Quarterly, The Gerontologist, and Dementia.

Table Of Contents


Part I: Understanding Dementia

  • Chapter 1. How Memory Works
    • Memory Systems
    • Declarative Memory
    • Nondeclarative Memory
    • Applying Knowledge of Memory Systems to Treatment
    • Summary
    • References
  • Chapter 2. What Causes Dementia
    • How Is Dementia Diagnosed?
    • Classifications
    • Common Diagnoses
    • What Is Not Dementia?
    • Conclusion
    • References
  • Chapter 3. Demographics of Dementia
    • Why Do We Need to Understand the Demographics of Dementia?
    • What Does the Face of Dementia Look Like?
    • What About the Caregivers?
    • Summary
    • References
  • Chapter 4. Common Symptoms of Dementia
    • Introduction
    • Most Common Symptoms
    • Symptoms Related to Specific Diagnosis
    • Summary
    • References
  • Chapter 5. Physical Considerations: Look Beyond the Diagnosis
    • Dysphagia
    • Malnutrition
    • Dehydration
    • Gum/Dental Disease
    • Infection
    • Gait Dysfunction
    • Heart Disease
    • Sleep Disturbance
    • Depression
    • Summary
    • Reference

Part II: Effective Therapeutic Interventions

  • Chapter 6. Dementia Staging
    • Early Stage
    • Middle Stage
    • Late Stage
    • Staging Tools
    • Summary
    • References
  • Chapter 7. Evaluation Tools and Techniques
    • Referrals
    • Screening
    • Evaluation Considerations
    • Chart Review and Case History
    • Selected Formal Tests for Evaluating Dementia
    • Functional Evaluation
    • Summary
    • References
  • Chapter 8. Goal Setting and Writing 101
    • Goal Writing Step One: Prioritize!
    • Anatomy of a Goal
    • Additional Elements of a Strong Goal
    • Additional Elements of a Strong Goal
    • Short-Term and Long-Term Goals
    • Goal Examples
    • Case Study
    • Summary
    • References
  • Chapter 9. Treatment Trends
    • The Spaced Retrieval Technique
    • Montessori-Based Dementia Programming
    • Validation Therapy
    • Reminiscence Therapy
    • Use of Visual/Graphic Cues and Memory Books
    • Compensatory Strategies and Communication/Controversial Approaches
    • Choosing Treatment Strategies
    • Summary
    • References

Part III: Additional Considerations in Treatment of Dementia

  • Chapter 10. Counseling, Teaching, and Supporting
    • Introduction
    • Understanding Grief
    • The Approach
    • Counseling
    • Take Care of Yourself
    • Summary
    • References
  • Chapter 11. Documentation: Connecting the Dots
    • Introduction
    • Why Do We Have to Document?
    • The Who, What, When, Where, Why, and How of Dementia Documentation
    • A Quick Word About Denials
    • Show Me the Data!
    • Get Out of Your Rut
    • Conclusion
    • References
  • Chapter 12. Behavioral Issues
    • Common Behavioral Symptoms Associated with Dementia
    • Understanding Behavioral Symptoms
    • Analyzing Behavioral Symptoms
    • Developing Treatment Solutions for Behavioral Challenges
    • Summary
    • References
    • Appendixes
  • Chapter 13. Drugs and Supplements
    • Pharmacological Intervention
    • Non-Pharmacological Intervention
    • Be Cautiously Supportive
    • Clinical Trials
    • References
  • Chapter 14. The Holistic Approach
    • Dementia Care Team Members
    • Collaboration and Co-Treatment
    • Collaborative Treatment Guide
    • Summary
    • References
  • Chapter 15. Special Considerations for the Home Health Therapist
    • What Is Home Health Care?
    • The OASIS and Reassessment Requirements
    • Plan of Care and Goal Considerations
    • Challenges of Home Care Environment
    • Noncompliance and Family Considerations
    • Carryover
    • Summary
    • References



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