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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
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Supporting communication in semantic dementia: clinical consensus from expert practitioners.

Jacqueline Kindell1, Karen Sage2, Madeline Cruice3

  • 1School of Nursing, Social Work and Midwifery, University of Manchester, Manchester, UK.

Quality in Ageing and Older Adults
|March 14, 2017
PubMed
Summary

Speech and language therapists (SLTs) identified broader clinical priorities for supporting communication in semantic dementia. Their practice includes addressing psychosocial needs and communication environments for individuals and families.

Keywords:
Clinical practiceDelphiFrontotemporal dementiaNominal group techniquePrimary progressive aphasiaSemantic dementia

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Area of Science:

  • Neuroscience
  • Clinical Psychology
  • Speech and Language Therapy

Background:

  • Semantic dementia is a rare neurodegenerative condition affecting language and communication.
  • Effective communication support is crucial for the well-being of individuals with semantic dementia and their families.
  • Existing research literature may not fully capture the scope of clinical practice in this area.

Purpose of the Study:

  • To achieve consensus on clinical priorities and tasks for supporting communication in semantic dementia.
  • To identify the roles of specialist speech and language therapists (SLTs) in UK dementia care settings.
  • To understand the needs of individuals with semantic dementia and their families.

Main Methods:

  • A nominal group technique was employed for initial data collection.
  • A modified Delphi technique was used for further refinement of identified issues.
  • The study involved six specialist SLTs with expertise in dementia care and semantic dementia.

Main Results:

  • Clinical practice extends beyond current research findings for this client group.
  • SLTs identified a wide range of psychosocial issues impacting individuals with semantic dementia.
  • Focus areas include supporting conversational participation and analyzing communication environment barriers/facilitators.

Conclusions:

  • This study is the first to investigate everyday clinical practice for semantic dementia.
  • Findings offer valuable insights for health and social care professionals.
  • The research provides a foundation for improved support strategies for those with semantic dementia and their families.