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presented by Carol O. Long, PhD, RN, FPCN, FAAN
Financial— Carol Long receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Carol O. Long, PhD, RN, FPCN, FAAN
Dr. Long is a known expert in geriatric palliative and community-based health care, nationally and internationally. She has been a registered nurse for over 40 years holding various staff, management, education, and consultant positions. She has authored numerous articles, book chapters, abstracts, and monographs related to home health care, end-of-life, pain management, and palliative care…
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1. Moderate/Mid-Stage Dementia: Progressive Decline - Part One
Patients with moderate dementia at home face increasing challenges related to functional ability, communication, and daily stressors. In this chapter, characteristics of decline in moderate/mid-stage Alzheimer’s Disease will be compared to other stages. Cognitive staging exams and staging tools for expected decline in Alzheimer’s Disease will be discussed. Evolving changes in memory, language, mood, and functional loss will be reviewed.
2. Moderate/Mid-Stage Dementia: Progressive Decline - Part Two
This chapter will present the common symptoms moderate/mid-stage dementia. Preventative care techniques and ways to manage comorbidities will be discussed. Additionally, expected outcomes and setting realistic expectations for treatment plans will be reviewed.
3. Managing Functional Challenges
This chapter will discuss ways to manage behavioral and functional challenges. The concept of ‘excess disability’ will be presented in regards to behavioral strategies. Functional change and support areas will be examined, including fatigue, minimizing change, reducing distressing sensory input, and monitoring for delirium.
4. Education and Planning
In this chapter, education and support methods will be identified. Long-term planning for patients, including legal and financial concerns, healthcare decisions, and utilizing resources for help, will be discussed. In addition, lifestyle and pleasant events, as well as loss and grief interventions, will be presented.
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