Non-Pharmacological Interventions

Question 1

Best practice requires…

In reality however…

Answer 1

• 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

Question 2

The NPI approach advocates \_\_\_\_\_ \_\_\_\_\_\_\_\_and considers interactions between :
1.
2.
3.
4.

Answer 2

The NPI approach advocates personalized care and considers interactions between

1. individual
2. environment
3. caregivers
4. the system

Question 3

When goals conflict, priority should be given to …

Answer 3

comfort and positive life experiences

Question 4

Pre-requisites for Non-Pharmacological Intervention:

1. Establishing___________
2. _______ ______
3. _______ ______ Style.
4. _____________

Answer 4

Pre-requisites for Non-Pharmacological Intervention:

1. Establishing Caregiver knowledge of AD.
2. Communication Training.
3. Positive Practice Style.
4. Initial Assessment

Question 5

Purposes for Non-Pharmacological Intervention:

1) management of…
2) treatment of…
3) increased independence …
4) improvement of…

Answer 5

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

Question 6

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

Answer 6

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

Question 7

Most agitated behaviors are …

-especially needs for…

Answer 7

…manifestations of unmet needs

…social and physical stimulation, and relief from discomfort/pain

Question 8

Goal of treatment for agitated behaviors

Answer 8

Identify and meet unmet needs

Question 9

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

Answer 9

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

Question 10

Depressed affect reflects:.

lack _________, a sense of _________, insufficient _________ ________, & loneliness

Answer 10

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

Question 11

Examples of Interventions Targeting Affect (BRVSC)

“Blake Richard Vickery Is So Cool” it AFFECTS me.

Answer 11

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

Question 12

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

All target what kind of AD symptoms

Answer 12

Behaviour Problems

Question 13

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

Answer 13

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

Question 14

Examples of Interventions Targeting ADLs…

TEAM BC Tigers

Answer 14

Task Simplification
Environmental Modification
Aromatherapy
Music Therapy

Behaviour therapy (positive reinforcement)
Caregiver Training

Technological Innovations

Question 15

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

ARE INTERVENTIONS AIMED AT TREATING

Answer 15

AFFECT

Question 16

Examples of Cognitive Interventions:

CRIME M

Answer 16

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

Question 17

The 2 main problems with non-pharmacological interventions are…

Answer 17

• methodological flaws

- lack of conclusive evidence

Question 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 …

Answer 18

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.

Question 19

Review barriers to NPI’s one at a time : )

1. Lack of funding for…

Answer 19

research and practice

Question 20

Review barriers to NPI’s one at a time : )

3. Lack of practice stye with..

Answer 20

good communication style, compassion and empathy

Question 21

Review barriers to NPI’s one at a time : )

2. lack of staff member_______, insufficient _________, high turnover and _________ ______.

Answer 21

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

Question 22

Review barriers to NPI’s one at a time : )

Lack of Flexibility of

Answer 22

… direct care staff and the larger organization

Question 23

Review barriers to NPI’s one at a time : )

Lack of public

Answer 23

awareness of NPI’s

Question 24

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

Answer 24

Which interventions are efficacious for which individuals?

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

Question 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?

Answer 25

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?