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Related Concept Videos

Dementia01:30

Dementia

141
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.
The progression of dementia is generally gradual....
141
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
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Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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Cognitive Therapy01:25

Cognitive Therapy

181
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Cognitive Development During Adulthood01:30

Cognitive Development During Adulthood

160
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
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Role of Cerebellum and Prefrontal Cortex in Memory01:14

Role of Cerebellum and Prefrontal Cortex in Memory

495
The cerebellum, while traditionally associated with motor control, also plays a crucial role in memory, particularly in procedural memory, which involves learning motor tasks that become automatic through repetition. For example, studies have shown that when the cerebellum is damaged, individuals or animals lose the ability to learn conditioned motor responses, such as the conditioned eye-blink response in classical conditioning experiments with rabbits. This study demonstrates the...
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Updated: Jul 23, 2025

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
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Preliminary Evidence for Dementia Collaborative Coaching.

Natalie F Douglas1, Susan Browning2, Kathy Claypool3

  • 1Department of Communication Sciences and Disorders, Central Michigan University, Mount Pleasant.

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Summary

Dementia Collaborative Coaching improved communication skills for nursing assistants and reduced agitation in people with dementia. This intervention is acceptable, appropriate, and feasible for routine care providers.

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Area of Science:

  • Gerontology
  • Communication Sciences
  • Clinical Psychology

Background:

  • Effective communication strategies are crucial for managing challenging behaviors in individuals with dementia.
  • Existing interventions often lack comprehensive approaches that involve both care providers and individuals with dementia.
  • There is a need for evidence-based communication coaching programs tailored to the skilled nursing facility setting.

Purpose of the Study:

  • To provide preliminary evidence for the efficacy of a novel communication coaching intervention, Dementia Collaborative Coaching.
  • To assess the acceptability, appropriateness, and feasibility of Dementia Collaborative Coaching among routine care providers, including certified nursing assistants (CNAs) and speech-language pathologists (SLPs).

Main Methods:

  • A pre-/posttest design was employed over a 6-week period in six skilled nursing facilities.
  • Speech-language pathologists delivered Dementia Collaborative Coaching to CNAs and people living with dementia (PLWD).
  • Measures included self-perceived knowledge and efficacy for CNAs/SLPs, the Cohen-Mansfield Agitation Inventory for PLWD, and intervention acceptability, appropriateness, and feasibility scales.

Main Results:

  • CNAs reported increased self-perceived knowledge and efficacy in using memory aids for communication with PLWD (p=.037).
  • PLWD demonstrated significant reductions in agitation scores on the Cohen-Mansfield Agitation Inventory (p=.01).
  • Both CNAs and SLPs rated the intervention as highly acceptable, appropriate, and feasible.

Conclusions:

  • Dementia Collaborative Coaching demonstrates preliminary positive outcomes in improving communication support and reducing agitation in skilled nursing facilities.
  • The intervention is well-received and practical for implementation by routine care providers.
  • Further research is warranted to explore the long-term effects and broader applicability of Dementia Collaborative Coaching.