Dementia Certification Exam – Medical Speech Pathology – Cognitive Communication and
Clinical Care Review Material
a paradigm shift - correct answer ✔✔a fundamental change in approach or underlying
assumptions.
cognitive disabilities--> cognitive abilities
negative perspective vs. positive perspective of people with dementia - correct answer
✔✔wanderers--> has ability to walk
sad/unengaged--> excited about interests
can't feed themselves--> eats finger foods
rummages--> has ability to use hands
mission - correct answer ✔✔ensure those with alzheimer's disease and related dementias
(ADRD) live to their functional and emotional potential
culture - correct answer ✔✔staff: all staff members play vital roles in successful dementia
treatment programs
residents: enable residents so they can live to their fullest potential using their best abilities
measurable outcomes - correct answer ✔✔safer and healthier residents--> controlled
environment, keep residents simulated, set examples to family/providers, redirect unsafe
behaviors, decrease abuse, increase staff confidence
save money--> reimbursement from insurance, increase independent (less aides), increase staff
(less burnout)
,theoretical framework - correct answer ✔✔1. cognitive disabilities model- claudia allen
2. theory of retrogenesis- barry reisberg
3. person-centered care approach- thomas kitwood
4. ecological model of aging
5. functional skills and procedural learning
cognitive disabilities model - correct answer ✔✔identifies best ability to function (BATF)
includes six allen cognitive levels
each level defines remaining abilities
theory of retrogenesis - correct answer ✔✔-hypothesizes that people reverse develop due to
Alzheimer's
-compared stages of dementia to developmental ages
-functional assessment staging tool and global deterioration scale describe cognitive decline
person-centered care approach - correct answer ✔✔emphasizes placing the person with
dementia as the focal point of caregiving
ecological model of aging - correct answer ✔✔positive change happens when it is a good fit,
negative things happen when its not a good fit
functional skills and procedural learning - correct answer ✔✔change happens with repetition
DEMENTIA - correct answer ✔✔D= drugs
E= emotional issues
M= metabolic problems
E= ears, eyes, sensory problems
, N= nutritional deficits (iron, B12)
T= Tia's, tumors
I= infection
A= anaerobic
S= surgery
Alzheimer's disease is a _______, neurodegenerative disease - correct answer ✔✔progressive
characterized by a __________ and death in several areas of the brain - correct answer ✔✔loss
of function
what is the most common form of dementa - correct answer ✔✔alzheimers
no known cure
Alzheimer's prevalence statistics - correct answer ✔✔-affects 6 million people, by 2050--> over
14 million people
-1/9 over 65 have ADRD
- family caregivers spend over $5000, nation spends over 42 billion
vascular dementia (multi-infarct dementia) - correct answer ✔✔little strokes
often occurs concurrently with alzheimers
more common in men then women
onset is usually more abrupt than alzheimers disease
progression occurs in a stepwise fashion
lewy body dementia - correct answer ✔✔has a fluctuating course
often presents with episodes of hallucinations and signs of parkinsonism
Clinical Care Review Material
a paradigm shift - correct answer ✔✔a fundamental change in approach or underlying
assumptions.
cognitive disabilities--> cognitive abilities
negative perspective vs. positive perspective of people with dementia - correct answer
✔✔wanderers--> has ability to walk
sad/unengaged--> excited about interests
can't feed themselves--> eats finger foods
rummages--> has ability to use hands
mission - correct answer ✔✔ensure those with alzheimer's disease and related dementias
(ADRD) live to their functional and emotional potential
culture - correct answer ✔✔staff: all staff members play vital roles in successful dementia
treatment programs
residents: enable residents so they can live to their fullest potential using their best abilities
measurable outcomes - correct answer ✔✔safer and healthier residents--> controlled
environment, keep residents simulated, set examples to family/providers, redirect unsafe
behaviors, decrease abuse, increase staff confidence
save money--> reimbursement from insurance, increase independent (less aides), increase staff
(less burnout)
,theoretical framework - correct answer ✔✔1. cognitive disabilities model- claudia allen
2. theory of retrogenesis- barry reisberg
3. person-centered care approach- thomas kitwood
4. ecological model of aging
5. functional skills and procedural learning
cognitive disabilities model - correct answer ✔✔identifies best ability to function (BATF)
includes six allen cognitive levels
each level defines remaining abilities
theory of retrogenesis - correct answer ✔✔-hypothesizes that people reverse develop due to
Alzheimer's
-compared stages of dementia to developmental ages
-functional assessment staging tool and global deterioration scale describe cognitive decline
person-centered care approach - correct answer ✔✔emphasizes placing the person with
dementia as the focal point of caregiving
ecological model of aging - correct answer ✔✔positive change happens when it is a good fit,
negative things happen when its not a good fit
functional skills and procedural learning - correct answer ✔✔change happens with repetition
DEMENTIA - correct answer ✔✔D= drugs
E= emotional issues
M= metabolic problems
E= ears, eyes, sensory problems
, N= nutritional deficits (iron, B12)
T= Tia's, tumors
I= infection
A= anaerobic
S= surgery
Alzheimer's disease is a _______, neurodegenerative disease - correct answer ✔✔progressive
characterized by a __________ and death in several areas of the brain - correct answer ✔✔loss
of function
what is the most common form of dementa - correct answer ✔✔alzheimers
no known cure
Alzheimer's prevalence statistics - correct answer ✔✔-affects 6 million people, by 2050--> over
14 million people
-1/9 over 65 have ADRD
- family caregivers spend over $5000, nation spends over 42 billion
vascular dementia (multi-infarct dementia) - correct answer ✔✔little strokes
often occurs concurrently with alzheimers
more common in men then women
onset is usually more abrupt than alzheimers disease
progression occurs in a stepwise fashion
lewy body dementia - correct answer ✔✔has a fluctuating course
often presents with episodes of hallucinations and signs of parkinsonism
