For early and middle stages of dementia, what are some steps/helpful guidelines when having patients perform bed mobility and transfers?
Answer
Early Stages
For early stages:
Provide verbal steps in 3-steps maximum to increase ability to understand task.
Order task sequence in a consistent manner across caregivers (CNAs and Nursing Staff)
Verbally review newly learned steps for transfers when added to resident care plan often as reduced short term memory for newly learned tasks will be present
For middle stages:
Reducing noise level in environment during tasks will increase success
Break down steps for tasks into 2 steps max.
Provide written cues of steps (taking into account visual acuity)
Residents may not be able to independently complete task, however they can repeat therefore providing verbal and visual cues along with demonstrating tasks with increase success
Renee Kinder, MS, CCC-SLP, RAC-CT
Renee currently serves as Director of Clinical Education for Encore Rehabilitation where she provides education for interdisciplinary team members related to clinical programming, Medicare regulations, documentation requirements, and evidenced based practice patterns. She maintains certification as a resident assessment coordinator (RAC-CT) from the American Association of Nurse Assessment Coordination (AANAC). She is an active member of the American Speech Language Hearing Association currently serving as Editor of Perspectives on Gerontology and acting as a member of ASHA’s Healthcare and Economics Committee. Additionally, she is a member of community faculty for the University of Kentucky College of Medicine, serves as an Ambassador for the Alzheimer’s Association of America, and acts as Vice President of Healthcare for the Kentucky Speech Language Hearing Association.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/supporting-lgbtq-senior-in-healthcare-4096Supporting the LGBTQ Senior in HealthcareThis training describes the required elements for responding to the emerging needs of long term care communities to provide sensitive and respectful services to LGBT elders. The training reviews definitions related to sexual orientation and gender identity challenges experienced by LGBT older adults, and strategies for communication and policies that honor residents' rights. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comSupporting the LGBTQ Senior in HealthcareThis training describes the required elements for responding to the emerging needs of long term care communities to provide sensitive and respectful services to LGBT elders. The training reviews definitions related to sexual orientation and gender identity challenges experienced by LGBT older adults, and strategies for communication and policies that honor residents' rights. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.4096OnlinePT120M
This training describes the required elements for responding to the emerging needs of long term care communities to provide sensitive and respectful services to LGBT elders. The training reviews definitions related to sexual orientation and gender identity challenges experienced by LGBT older adults, and strategies for communication and policies that honor residents' rights. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.
2https://www.physicaltherapy.com/pt-ceus/course/alzheimer-s-and-other-dementias-4864Alzheimer's and Other Dementias: Overview for Healthcare ProfessionalsAn overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comAlzheimer's and Other Dementias: Overview for Healthcare ProfessionalsAn overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.4864OnlinePT60M
An overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.
3https://www.physicaltherapy.com/pt-ceus/course/hip-arthroscopy-clinician-s-approach-4870Hip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comHip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.4870OnlinePT180M
Uncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.
4https://www.physicaltherapy.com/pt-ceus/course/commercial-and-assistive-cognitive-technologies-4615Technologies for People with Intellectual Disabilities: Preparing for the ATP ExamThis course presents a variety of commercial and assistive cognitive technologies which can be used to remediate and accommodate intellectual disabilities. The information is designed to help prepare the participant for the RESNA ATP examination.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comTechnologies for People with Intellectual Disabilities: Preparing for the ATP ExamThis course presents a variety of commercial and assistive cognitive technologies which can be used to remediate and accommodate intellectual disabilities. The information is designed to help prepare the participant for the RESNA ATP examination.4615OnlinePT60M
This course presents a variety of commercial and assistive cognitive technologies which can be used to remediate and accommodate intellectual disabilities. The information is designed to help prepare the participant for the RESNA ATP examination.
5https://www.physicaltherapy.com/pt-ceus/course/what-doctor-never-told-you-3601What the Doctor Never Told You About Osteoporosis and AquaticsWhile Osteoporosis has been categorized as a predominantly older woman’s condition, the fact that it is the cause of 2 million fractures a year, makes it a serious health concern. Typically, the concept of weight-bearing exercise does not lend itself to aquatic interventions, but the current literature is compelling for the use of water as a beneficial alternative for the osteoporosis individual. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comWhat the Doctor Never Told You About Osteoporosis and AquaticsWhile Osteoporosis has been categorized as a predominantly older woman’s condition, the fact that it is the cause of 2 million fractures a year, makes it a serious health concern. Typically, the concept of weight-bearing exercise does not lend itself to aquatic interventions, but the current literature is compelling for the use of water as a beneficial alternative for the osteoporosis individual. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.3601OnlinePT120M
While Osteoporosis has been categorized as a predominantly older woman’s condition, the fact that it is the cause of 2 million fractures a year, makes it a serious health concern. Typically, the concept of weight-bearing exercise does not lend itself to aquatic interventions, but the current literature is compelling for the use of water as a beneficial alternative for the osteoporosis individual. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
