Dementia is a broad term for a decline in mental ability that is significant enough to interfere with a person's daily life. Over 5 million Americans are living with dementia; someone in the United States develops Alzheimer's disease every 65 seconds. This number is expected to double by 2030, and triple by 2050. Since there is no cure for dementia, this disease results in a progressive decline of cognitive and functional skills. Many individuals with dementia also experience behavioral changes, decreased safety awareness, difficulty eating/swallowing, and decreased independence completing ADLs. These courses are designed for therapists and healthcare professionals so that they may improve outcomes, safety, and quality of life for individuals and their caregivers living with dementia.
What this certification series will address:
This certification series will facilitate learning about functional and evidence-based techniques, interventions, and education/training strategies. Participants will learn about assessments and screening tools which may be used at all stages of progressive cognitive decline, and how to use those tools to develop individualized treatment plans. Emphasis will be placed on interdisciplinary treatment, documentation challenges, improving patient safety, and caregiver education. Participants will feel confident approaching dementia care from multiple angles, facilitating a thorough understanding of team approaches and patient needs. Immediately implement what you learn and feel confident treating your patients going forward. By placing yourself in your patient's shoes you will be able to feel the impacts on their quality of life and potential success as you apply topics covered in the series.
What courses are included
"Therapists Rehabilitation Strategies for Dementia Patients"
Taught by Anysia Ensslen-Boggs, Ed.D., M.S., CCC-SLP
This course will facilitate learning about functional and evidence-based techniques, interventions, and education/training strategies. Participants will learn about assessments and screening tools which may be used at all stages of progressive cognitive decline, and how to usethose tools to develop individualized treatment plans. Emphasis will be placed on interdisciplinary treatment,documentation challenges, improving patient safety, andcaregiver education.
6-Hour Online Video
6-Hour Live Session
- Types of dementia and the neuroscience behind them
- Confidently examine physical and cognitive implications of dementia in order to more effectively implement evidence-based treatment approaches
- Develop functional treatment plans for those with dementia that will address fall prevention, mobility, feeding/swallowing, challenging behaviors and home safety
- Evidence-based treatment approaches to increase participation in daily routines and therapyactivities to improve patient safety and prevent functional decline
- Discover practical ways to provide training and education to family and caregivers
Anysia Ensslen-Boggs, Ed.D., M.S., CCC-SLP, is a licensed Speech-Language Pathologist with extensive experience in a variety of clinical settings, including acute care, outpatient, inpatient rehab, home care, skilled nursing, and the public-school setting. In all these settings she has had the opportunity to serve as a graduate student supervisor, and a clinical fellowship year supervisor. In addition, she has significant experience working with adults with strokes in an outpatient work and community re-entry program. She is currently employed part-time at a skilled nursing facility in central Pennsylvania. Primarily, she is employed by a public-school system in northern Maryland where she manages a school- age caseload, serves as a graduate student supervisor, and provides continuing education. Dr. Ensslen-Boggs has also served as an adjunct professor for Western Kentucky University, and as an instructor for Project IMPRESS (school- based SLP graduate program) at Bloomsburg University. She earned her doctorate in educational leadership from the University of Kentucky in Lexington. Her dissertation research focused on the clinical training and supervision of speech-language pathology graduate students. Dr. Ensslen-Boggs' SNF caseload consists primarily of geriatric patients with cognitivelinguistic deficits.
FINANCIAL: Anysia Ensslen-Boggs is compensated by Summit as an instructor. She is employed by Luther Acres as a PRN SLP, and by Harford County Public Schools in Maryland where she manages a school-age caseload, serves as a graduate student supervisor, and provides continuing education.
NONFINANCIAL: Anysia Ensslen-Boggs has no nonfinancial relationships to disclose.
- Interpreting the Latest Neuroscience and Neuroanatomy
- Review of typical cognitive functions
- The aging brain, MCI, and dementia
- Types of dementia
- Neuroplasticity and other current research
- Accompanying behaviors
- Functional Screening and Assessment Tools
- Screening tools/functional assessments
- Cognitive assessments
- Global Deterioration Scale
- Considering pharmacology
- Environmental assessments/caregiver assessments
- Setting functional treatment objectives
- Maximizing Physical and Cognitive Strengths to Develop
- Treatment techniques for improving/maintaining functional cognition
- Utilizing neuroplasticity to achieve functional treatment objectives
- Application of the Global Deterioration Scale
- Examples of cognitive interventions
- Improving Safety and Completion of ADLs Through Effective Treatment Plans
- Fall prevention and increased mobility
- Activities of daily living
- Management of challenging behaviors
- Management of decreased safety awareness
- Promoting functional communication
- Promoting Long-Term Safety and Quality of Life
- Targeting cognitive goals in PT and OT
- Co-treating/interdisciplinary treatment plans
- Family/caregiver/staff education
- Discharge plans: How will they be safest at home?
- Documentation Tips and Tricks
- Patient outcomes
- Justifying medical necessity
- ICD-10 and Medicare guidelines
- Case Studies
- Review of case studies in small interdisciplinary groups
- Application of knowledge
- Additional resources
- Describe neuroanatomy and neuroscience involved with various types of dementia and other cognitive changes.
- Determine appropriate screening and assessment tools to assess levels of cognitive functioning; more accurately determine the difference between MCI and dementia.
- Choose appropriate evidence-based interventions to design functional treatment plans that improve patient participation and increase overall safety.
- Compose measurable goals that allow for documentation of patient outcomes.
- Apply knowledge of the functional and cognitive effects of dementia to design interdisciplinary treatment approaches.
- Provide effective and functional training to families and caregivers.
"Holistic Treatment of the Dementia Population"
Taught by Cristina Klymasz, MS, OTR/L, CBIS, RYT, CLT, MSCS
All rehabilitation settings treat patients with a diagnosis ofdementia. In all settings, treating a patient with dementia can be difficult. Research confirms that people with dementia demonstrate less goal attainment in therapy due to not only their cognitive deficits, but their limited ability to fully engage in sessions (Zarit, et al., 2020). Recent research has addressed how to improve engagement and, in turn, goal attainment in therapy sessions with the dementia patient. This course will provide evidence-based and best practice interventions to effectively address engagement during therapy sessions with the dementia patient. Easyto use interventions will be provided to assist with improving safety. Effective community referral information will be provided todecrease caregiver burden. Course participants will be provided with a toolkit of new and effective interventions to use with their dementia patients the next day.
2-Hour Online Video
- Next day incorporation of evidence-based techniques to improve safety of the dementia patient
- Immediately build a toolkit of effective best practices for therapy engagement of the dementia patient
- Effective referrals for decreasing caregiver burden
Cristina Klymasz is a clinical specialist at Kessler Rehabilitation Center in Ocean Township, New Jersey. Klymasz has spent her career working at the Kessler Institute for Rehabilitation in West Orange, New Jersey. Her experience has spanned all aspects of the Kessler system: inpatient, outpatient, and Kessler specialty programs such as the Cognitive Rehabilitation Program. As a registered yoga teacher (RYT), she incorporates holistic treatments to manage the sequelae of her neurological patients. Klymasz specializes in cognition, vision, and neurological rehabilitation. Klymasz is also a certified brain injury specialist (CBIS) and assessment of motor and process skills calibrated (AMPS).
FINANCIAL: Cristina Klymasz is compensated by Kessler Rehabilitation Center as a clinical specialist and by Summit as an instructor.
NONFINANCIAL: Cristina Klymasz has been published in OT Practice magazine and has been highlighted in numerous Advance Magazine articles.
- Types of Dementia and Assessment
- Types of dementia
- Typical behaviors associated with each
- Limitations in therapy/limited engagement
- Outcome to gauge engagement
- Participation Tools
- Pool Activity Level (PAL)
- Motivational interviewing/observations
- Leisure inventory checklist
- Interventions for Engagement
- Validation technique
- IN2L technology
- Collaboration with all disciplines and recreationaltherapy
- Group sessions/cognitive stimulation therapy
- Pet therapy/robocat
- Safety Interventions
- Step 1: ID what tasks/ADLs/enjoyed activities the patient can do with set-up and safely with oversight
- Step 2: Develop schedules or open-ended list of activities for caregiver(s) to use to keep patient busy throughout the day
- Caregiver Burden
- Zarit burden scale outcome measure
- Gerontologist recommendation
- Validation technique
- Support group
- Analyze several types of dementia and the associated behaviors.
- Examine best practice recommendations for improvingmotivation and engagement in therapy sessions with a dementia patient.
- Apply best practice recommendations to improve safety during activities of daily living when working with patientswho have dementia.
- Educate dementia caregivers on community referrals to decrease caregiver burden.
"Achieving Functional Progression in Dementia Care"
Taught by Catherine Valentino, OTR/L, OTD, MHSc, MAAL, BS
This one-day innovative workshop will bridge the medical complexities facing this multifaceted diagnosis and thenecessary functional applications to allow your patients to thrive in their symptom management. Participants will feel confident approaching dementia care from multiple angles, facilitating a thorough understanding of team approaches and patient needs. Immediately implement what you learn in the workshop and feel confident treating your patients going forward. By placing yourself in your patient's shoes you will be able to feel the impacts on their quality of life and potential success as you apply immediately topics covered in the course.
6-Hour Live Session
6-Hour Online Video
- Learn the neuroplasticity components of a patient with dementia
- Evidence-based care approaches specific to the differenttypes of dementia
- Current evaluation methods that help identify cognitive stages and how to apply findings to treatments and care of patients
- Regain functional abilities that improve the patients qualityof life and potential success
- Tools to help caregivers and family members successfullycarry over treatment progress
- Hands-on labs simulating the different symptoms and challenges of treating the patient with dementia
- Holistic treatment techniques applicable to each stage of cognitive decline
Catherine Valentino OTR/L OTD, MHSc, MAAL, BS is an experienced occupational therapist who has been working in clinical education for almost a decade. She focuses on a transdisciplinary approach to care in every setting to provide the best outcomes for patients and advancement of the health professions. She continues focusing on patient care maintaining a presence in various therapy settings to apply current trends in healthcare to practice. Catherine has a background as a dementia specialist as well as taping and orthotic certifications. With her background in administrative leadership she provides a conscientious approach to healthcare focusing on ethics and organizational culture. Catherine pursued her doctoral degree in Occupational Therapy at University of Saint Augustine following her master's which was earned from the University of Florida. She also has a bachelor's degree in Kinesiology from the University of Minnesota and a master's degree in Administrative Leadership from the University of Oklahoma.
FINANCIAL: Catherine Valentino is compensated by Summit as an instructor.
NONFINANCIAL: Catherine Valentino has no nonfinancial relationships to disclose.
- Dementia and Neuroplasticity
- Stepping into a patient's shoes
- Positive approaches to care and communication for the healthcare practitioner and caregiver
- Latest Research
- How Dementia Presents Clinically
- Types of dementia
- Specialty considerations based upon diagnosis
- Multidisciplinary treatment techniques and approaches based upon differing diagnoses
- Evaluating Patients with Dementia
- What do we need to evaluate and why
- Exploring current evaluation options
- How to look at Dementia evaluations from a multidisciplinary model
- Behavior and depression
- Pharmacological implications
- Additional assessments
- Hands-on lab
- Treatment and Care Through the Stages of Dementia
- Identifying each stage and how they impact function
- Making treatments work for any stage based on current research
- How to treat and document a multidisciplinary approach at each stage
- Hands-on lab
- Care Carryover: Passing the Torch
- Getting families involved
- Carryover for healthcare professionals
- Community resources
- Identify the stages of dementia and specialty needs of these unique residents.
- Administer the best standardized tests for cognition andmobility in populations impacted for varying types and stages of dementia.
- Apply current functional evidence-based research toplans of care and treatment approaches.
- Develop a multidisciplinary approach to care while enabling caregivers and families to also participate.
- Implement methods for meaningful and functional therapeutic interactions in order to promote both quality of lifeand functional outcomes for clients with varied dementia symptoms and cognitive abilities.
- Articulate to caregivers and peers what challenges patients face every day due to their dementia diagnosis and how to appropriately accommodate their needs through education and current research.
"Best Practice in Managing Patients with Dementia"
Taught by Nicki Dawson, PT, PhD, GCS
It is commonly thought that patients with dementia cannotbenefit from rehabilitation services because of behaviors, lack of communication, or difficulties in learning. However,current literature indicates IWDs can benefit fromrehabilitation as much as adults without dementia. With the proper knowledge and training, rehabilitation clinicians areable to provide dementia-specific, person-centered care, which can maximize rehabilitation outcomes by maintaining oreven improving physical performance and function and thereby reduce healthcare costs. This course will provide you with best practice and evidence-based approaches to overcome these challenges to improve functional outcomes for these patients.
2-Hour Online Video
- Immediately improve your client's functional participation and outcomes using practical treatment techniques
- Effective, evidence-based interventions for patients with dementia
Nicole Dawson, PT, PhD, GCS is an Assistant Professor in the Division of Physical Therapy at the University of Central Florida and Co-Director of the Innovative Mobility Innovative (IMOVET) Lab. She graduated from Ohio University with a Master's degree in Physical Therapy in 2002. Dr. Dawson is a Board Certified Geriatric Physical Therapist with over 17 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 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.
FINANCIAL: Nicole Dawson is compensated by Summit as an instructor.
NONFINANCIAL: Nicole Dawson has been published in numerous peer-reviewed journals on the topic of Geriatric Physical Therapy.
- Dementia Overview
- Symptoms of dementia
- Causes and types of dementia
- Differential diagnosis
- Dementia and Rehabilitation
- Role of therapy services in dementia care
- Strength-based approach versus medical model
- Best practices and evidence-based intervention
- Identify treatment goals for each stage of dementia.
- Describe differences between strength-based dementia approach and the traditional medical model.
- Assess remaining strengths and domains requiring compensation in patients with dementia.
- Implement current evidenced-based interventions and best practices in literature.
"Assessment and Treatment Strategies for Dementia, Delirium, and Depression"
Taught by Toni Patt, PT, DPT, GCS, NCS
One in four patients admitted to an acute care hospital have dementia. Delirium superimposed on those patients accounts for 65% of cases diagnosed with delirium. Thirty percent of all older adults have a diagnosis of depression at any given time. These diagnoses frequently occur together and often are mistaken for one another. Therapists working with older adults will treat patients with these diagnoses moreoften than one would think, so it is important they be prepared to properly assess patients with one or more of these issues to optimize treatment planning. This course will examine each diagnosis, discuss the similarities and differences of the three, and provide guidelines for treatments.
2-Hour Online Video
- Distinguish between dementia, delirium and depression when occur simultaneously in patients
- Treatment plans that incorporate the components of each process to improve outcomes
- Communication strategies for patientswith impaired cognition
Toni Patt, PT, DPT, GCS, NCS has been practicing physical therapy for more than 30 years. She has worked in almost every setting and now divides her time between a skilled nursing facility and home health. Dr. Patt has devoted her extensive career to focus on geriatric patients. Her current practice is nearly 100% geriatric. She has earned APTA specialist certifications in geriatrics and neurology. She is a member of the APTA and is a member of the geriatric, neurologic and home health sections. Dr. Patt earned her Bachelor of Science in Physical Therapy from St. Louis University and her Doctorate in Physical Therapy from A.T. Still University. She spends her spare time working with her three horses: Noah, Flame and Jimmy.
FINANCIAL: Toni Patt is compensated by Summit as an instructor and works as a Physical Therapist for Park Manor South Belt (Rehabcare) and Supplemental Healthcare.
NONFINANCIAL: Toni Patt is a member of the APTA's Geriatric, Neurologic and Home Health Sections.
- Presentation and Treatment for Dementia, Delirium, andDepression
- Course and treatment
- Course and treatment
- Course and treatment
- Similarities and Differences of Dementia, Delirium, and Depression
- Comparing the three
- Communication Strategies
- Behavior in the moment
- C.A.L.M.E.R approach
- Gentle persuasive approach
- Distinguish the difference in presentation between dementia, delirium, and depression.
- Demonstrate one treatment each for dementia, delirium,and depression.
- Examine how the presence of delirium increases the likelihood of a poor treatment outcome.
- Characterize the relationship between dementia, delirium, depression, and hospitalization.