Non-Pharmacological Interventions Flashcards Preview

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Flashcards in Non-Pharmacological Interventions Deck (25):
1

Best practice requires...
In reality however...

-Best practice requires that Non-pharmacological interventions for dementia should be pursued first, with drug treatments used as a secondary approach.
-reality, drug therapy is the first line of defence

2

The NPI approach advocates _____ ________and considers interactions between :
1.
2.
3.
4.

The NPI approach advocates personalized care and considers interactions between
1. individual
2.environment
3.caregivers
4. the system

3

When goals conflict, priority should be given to ...

comfort and positive life experiences

4

Pre-requisites for Non-Pharmacological Intervention:
1. Establishing___________
2._______ ______
3._______ ______ Style.
4. _____________

Pre-requisites for Non-Pharmacological Intervention:
1.Establishing Caregiver knowledge of AD.
2.Communication Training.
3.Positive Practice Style.
4.Initial Assessment

5

Purposes for Non-Pharmacological Intervention:
1) management of...
2) treatment of...
3) increased independence ...
4) improvement of...

Purposes for Non-Pharmacological Intervention:
1) management of behavior problems
2) treatment of depression/improvement of affect
3) increased independence in the performance of ADLs.
4) improvement of cognitive function

6

Three sub-types of agitated behaviour
1.
2.
3.
Example of physically non-aggressive behaviour

1.aggressive behaviours
2.physically non-aggressive behaviours. EX: WANDERING
3. verbal and vocal agitated behaviors

7

Most agitated behaviors are ...
-especially needs for...

...manifestations of unmet needs
...social and physical stimulation, and relief from discomfort/pain

8

Goal of treatment for agitated behaviors

Identify and meet unmet needs

9

Examples of therapies targeting behaviour problems through addressing unmet needs :
(IAM A BLA) when my needs are unmet I HAVE BLAH BEHAVIOUR.

1. Intergenerational Programs
2. Art Therapy
3. Music Therapy
soundscapemusictherapy
4.Aromatherapy
5.Behaviour Therapy
6. Light Therapy
7. Animal Assisted Therapy

10

Depressed affect reflects:.
lack _________, a sense of _________, insufficient _________ ________, & loneliness

... lack of control, a sense of helplessness, insufficient reinforcing activities, loneliness

11

Examples of Interventions Targeting Affect (BRVSC)
"Blake Richard Vickery Is So Cool" it AFFECTS me.

Behaviour therapy (positive reinforcement)
Reminiscience Therapy
Validation Therapy
Simulated presence therapy
Cognitive Therapy

12

1. Intergenerational Programs
2. Art Therapy
3. Animal Assisted Therapy
4. Music Therapy
soundscapemusictherapy
5.Aromatherapy
6. Light Therapy
7. Behaviour Therapy

All target what kind of AD symptoms

Behaviour Problems

13

Declines in the ________ ___ ___________ ______have a major impact on individuals with AD and caregivers

Declines in the ABILITY TO PERFORM ADL's have a major impact on individuals with AD and caregivers

14

Examples of Interventions Targeting ADLs...
(TEAM BC Tigers)

Task Simplification
Environmental Modification
Aromatherapy
Music Therapy

Behaviour therapy (positive reinforcement)
Caregiver Training

Technological Innovations


15

Behaviour therapy (positive reinforcement)
Reminiscience Therapy
Validation Therapy
Simulated presence therapy
Cognitive Therapy

ARE INTERVENTIONS AIMED AT TREATING

AFFECT

16

Examples of Cognitive Interventions:
CRIME M

Cogntive Stimulation Tasks (e.g., Bingo, Brain Age)
Reality Orientation
Intergenerational Programs
Memory Training
Environmental Cues
Memory Books

17

The 2 main problems with non-pharmacological interventions are...

-methodological flaws
-lack of conclusive evidence

18

Barriers to NonPharmacological Interventions:
5 barriers related to LACK of...

1. Lack of _________for both research and practice
2. Lack of _______ ______ knowledge, ________ staffing levels, _____ ______r, Caregiver __________
3. Lacking a ______ ________ with good _________ ________, compassion and empathy
4. Lack of __________ of direct care staff and the larger organization.
5. Lack of ...

1. Lack of funding for both research and practice
2. Lack of staff member knowledge, insufficient staffing levels, high turnover, Caregiver stress
3. Lacking a practice style with good communication skills, compassion and empathy
4. Lack of Flexibility of direct care staff and the larger organization.
5. Lack of public awareness of NPIs.

19

Review barriers to NPI's one at a time : )
1. Lack of funding for...

research and practice

20

Review barriers to NPI's one at a time : )
3. Lack of practice stye with..

good communication style, compassion and empathy

21

Review barriers to NPI's one at a time : )
2. lack of staff member_______, insufficient _________, high turnover and _________ ______.

Lack of staff member knowledge, insufficient staffing levels, high turnover, Caregiver stress

22

Review barriers to NPI's one at a time : )
Lack of Flexibility of

... direct care staff and the larger organization

23

Review barriers to NPI's one at a time : )
Lack of public

awareness of NPI's

24

Key Questions about NPI's PART 1:
Which interventions...
Which aspects of an intervention are necessary...

Which interventions are efficacious for which individuals?
Which aspects of an intervention are necessary for it to be efficacious?

25

Key Questions about NPI's PART 2:
What are the ______ or _____ in different interventions?
Which personal characteristics...
What is the impact of the ______ ______ _____ ______
and the manner in which it is delivered?

What are the ACTIVE INGREDIENTS OR PRINCIPLES AT WORK, in different interventions?

Which personal characteristics SHOULD BE CONSIDERED IN MATCHING AN INTERVENTION WITH AN INDIVIDUAL?

What is the impact of the PERSON DELIVERING THE INTERVENTION
and the manner in which it is delivered?