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GERIATRICS - Dementia: Implications for Physical Therapy

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While patients living with dementia pose unique challenges to rehabilitation professionals, the potential benefits from quality therapy is astounding. Having a strong foundational understanding of the available strengths of these patients is crucial in developing a solid treatment plan. Patients living with dementia present with deficits in attention, judgment, memory, communication, and language but also, have several functions that remain intact through the disease. It is commonly thought that patients living with dementia cannot benefit from rehabilitation services because of behaviors, lack of communication, or difficulties in learning. However, the current literature demonstrates that this is not the case. Skilled rehabilitation is an integral part of an older adult’s return to the optimal functional level of independence following an injury or illness. Patients living with dementia benefit as much from rehabilitation as individuals without dementia, but it is up to us as the rehabilitation professionals to understand how to exploit the strengths and abilities of these individuals to help meet their goals. 

This monograph will provide a better understanding of cognitive aging through discussion on which parts of cognition are the strongest throughout the progression of dementia and how to use these abilities to promote a successful episode of care. Barriers to treatment will be discussed along with best practice and evidence-based approaches to overcome these challenges to improve functional outcomes for these patients. The different types of dementia will be discussed, highlighting effective strategies to maximize patient outcomes. Evidence based approaches will be emphasized to help physical therapists and physical therapist assistants better treat this growing group of challenging patients.

Learning Objectives:

Upon completion of this monograph, the course participant will be able to:

1. Define and differentiate cognitive health and cognitive illnesses

2. Describe successful aging and the biopsychosocial approach for examining and managing cognitive illness

3. Distinguish the different types of dementia and their symptomology.

4. Describe the progression of dementia and appropriate treatment goals for each stage.

5. Contrast differences between strength based approach and traditional medical model for the treatment of older adults with cognitive impairment.

6. Implement current evidenced-based interventions and best practices in literature for patients living with dementia.

7. Explain effective communication strategies and person-centered care to maximize outcomes for persons living with dementia.

8. Identify best tools for screening and evaluation of persons living with dementia.

Nicole Dawson

PT, PhD, Board-Certified Clinical Specialist in Geriatric Physical Therapy

Dr. Dawson is an Associate Professor in the Division of Physical Therapy at the University of Central Florida and Co-Director of the Innovative Mobility Innovative (IMOVE™) Lab. She  graduated from Ohio University with a Masters’ degree in Physical Therapy in 2002. Dr. Dawson is a Board Certified Geriatric Physical Therapist with over 19 years of clinical experience along with a PhD in Adult Development & Aging Psychology from Cleveland State University. She has been recognized for excellence in teaching by the Academy of Geriatric Physical Therapy through receipt of the Distinguished Educator Award and the American Physical Therapy Association being awarded the Margaret L. Moore Outstanding New Academic Faculty Award. Her current area of research includes developing non-pharmacological interventions to improve functional and psychosocial outcomes in older adults with chronic disease including those with dementia, identifying predictors of falls and gait disorders in older adults, as well as gaining a better understanding of the disability experience. Dr. Dawson has been published in peer-reviewed journals including The Gerontologist and the Journal of Geriatric Physical Therapy. She has presented at numerous international and national conferences on the subject of geriatric rehabilitation. She is passionate about the bettering the treatment and care of older adults and is dedicated to assisting students and clinicians in gaining skills and knowledge to better help their patients maximize their potential.

Morris "Rick" Beato

PT, DPT, GCS, NCS

Morris “Rick” Beato, PT, DPT, GCS, NCS, is an Assistant Professor in the Doctor of Physical Therapy program at the University of Central Florida in Orlando. He is the Director of the UCF and Orlando Health Neurologic Residency Program. He earned his bachelor’s degree in physical therapy from the University of Perpetual Help and received his post-professional clinical doctorate from the University of South Dakota. He has a dual Board Certification in Geriatric and Neurologic Physical Therapy with 19 years of clinical experience. Dr. Beato is a Certified Exercise Expert for the Aging Adult. Rick is a past Chair of the Geriatric Specialty Council and is the current Item Review Coordinator of the Neurologic Specialty Council of the American Board of Physical Therapy Specialties; Dr. Beato was a recipient of the Federation of State Boards of Physical Therapy’s Outstanding Service Award. Rick has been published in peer-reviewed journals including the Journal of Geriatric Physical Therapy and Journal of Stroke and Cerebrovascular Diseases. His clinical expertise is in geriatric neurology and he has presented nationally and internationally in the topics of neurologic rehabilitation of the older adult. Dr. Beato is passionate in treating older adults and he maintains clinical practice in the skilled nursing facility and home health care settings.

Lise McCarthy

PT, DPT, GCS

Lise McCarthy, PT, DPT, GCS, is a board-certified clinical specialist in geriatrics through the American Board of Physical Therapy Specialties since 2003. She is an Assistant Clinical Professor, Volunteer Faculty member at the University of California at San Francisco, Department of Physical Therapy and Rehabilitation Science. From 2014 to 2019 McCarthy served as the Founding Chair of the Cognitive and Mental Health Special Interest Group where she focused her efforts on collaborating with other similarly minded physical therapists and physical therapist assistants in publishing multi-media materials (e.g. peer-reviewed and clinical articles, assistant editor and guest editor of GeriNotes, national lectures, PTNow Test and Measures, poster presentations.) For her exceptional service and commitment to the Academy of Geriatric Physical Therapy, she received the 2018 Presidents award. She has also delivered multiple local, state, and national talks, in addition to workshops and videos on topics related to cognitive and mental health, fall risk, and pain.

Course Instructions

  1. Click on the Contents tab to watch the course recording.
  2. Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
  3. Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page. 


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    Open to download resource.
    Open to download resource. Please read the monograph (pdf) by clicking the link.
    Assessment
    15 Questions  |  3 attempts  |  11/15 points to pass
    15 Questions  |  3 attempts  |  11/15 points to pass Please complete the post-course assessment with a score of 70% or better. You have three attempts to obtain a passing score.
    CEU Certificate
    Up to 0.20 contact hours available  |  Certificate available
    Up to 0.20 contact hours available  |  Certificate available Please download and save certificate for future use.