Monday, January 24, 2011

Free Lecture Series: "Understanding Alzheimer's and Other Dementias"

Thursday · January 27th · 7:00 - 9:00pm
 
New Adventures Group
St. Thomas More Catholic Church
Room 105 in the Religious Education Building.  
10205 RR 620N
Austin, TX 78726
 
 
 
 Jackie Verdoorn (RN, MSN, BSN, CMC) of Hill Country Care Providers will be a guest speaker at St. Thomas More Catholic Church. Her presentation is entitled "Understanding Alzheimer's and Other Dementias." 

One (1) CEU awarded to nurses, social workers, and home health administrators who attend! 

Free--no RSVP required.  Bring a friend!

Thursday, January 20, 2011

The Seven Levels of Dementia


EARLY STAGES

Level 1 - No Cognitive Decline
Clinical characteristics:
  • No demonstrated memory deficits
  • No subjective cases of memory deficits
  • Functions independently

Level 2 - Very Mild Cognitive Decline (Forgetfulness)
Clinical characteristics:
  • Subjective cases of memory deficits (misplacement of objects, forgetting familiar names)
  • No problems at social functions or completing tasks

MIDDLE STAGES

Level 3 - Mild Cognitive Decline (Early Confusional)
Clinical characteristics:
  • Memory deficit evident on intensive interview
  • Attempts to conceal deficits
  • Expresses concern regarding deficits (mild/moderate anxiety)
  • Problems performing in demanding situations (work or social)

Level 4 - Moderate Cognitive Decline (Late Confusional)
Clinical characteristics:
  • Decreased knowledge of current and recent events
  • Memory deficits regarding personal history
  • Decreased ability to concentrate on serial subtractions
  • Difficulty with complex tasks
  • Denial of deficits
  • Withdrawal from challenging situations



LATE STAGES

Level 5 - Moderately Severe Cognitive Decline (Early Dementia)
Clinical characteristics:
  • Disorientation to time (date, day of week, season, etc.) or place
  • Immediate memory relatively intact
  • Needs assistance choosing clothing
  • Wears clothing appropriately (hearing aid, glasses, carries purse)
  • Feeds self (may need meal set-up)
  • Sleep disturbances
  • Wanders, looking for a way out (purposeful wandering)
  • Tearfulness
  • Catastrophic reactions
  • Some resistance to care giving
  • Needs verbal cues for ADL’s – follows simple instructions

Level 6 - Severe Cognitive Decline (Middle Dementia)
Clinical characteristics:
  • Unable to recall most recent events
  • Repetitiveness
  • Removes/won’t wear clothing appropriately (glasses, hearing aid)
  • Refuses to change clothing
  • Bathing results in challenging behavior
  • Feeds self with set-up; cues; assist
  • Sleep disturbances
  • Catastrophic reactions
  • Great resistance to care giving
  • Purposeless wandering (Wandering without an agenda)
  • Cannot complete a two-stage command

Level 7 – Very Severe Cognitive Decline (Late Dementia)
Clinical characteristics:
  • Frequently no speech at all – mostly grunting
  • Cannot feed self
  • Cannot complete even simple meaningful tasks
  • Unable to sit up independently
  • Loss of basic psychomotor skills (unable to walk w/o assistance)
  • Unable to hold head up
  • Hyper oral (may put everything in mouth)
  • Long term memory severely affected

Wednesday, January 5, 2011

Free Lecture Series: "Introduction to Dementia"

Wednesday · January 12th, 2011 · 10:30am
 
(Resort Lifestyle Communities)
 
1905 S. Lakeline Blvd.
Cedar Park, Texas 78613
512-331-4100
 
 
 
Jackie Verdoorn (RN, MSN, BSN, CMC) of Hill Country Care Providers will be a guest speaker at Lakeline Oaks. Her presentation is entitled "Introduction to Dementia."

Free--no RSVP required.