Which Stage of Alzheimer's?
Challenging Behaviors
Reducing Challenging Behaviors
Alzheimer's Disease
100

Needs maximum assistance with ADLs and mobility, abnormal reflexes and rigid muscles, swallowing difficulties

Stage 7

100

Behavioral changes that occur in the evening with improvement or disappearance during the day

Sundowning

100

Technique that helps to reorient the resident by interjecting time, place, and person into the conversation at every opportunity

Reality orientation

100

What is the most common cause of dementia?

Alzheimer's disease

200

Tends to wander and get lost, dresses inappropriate, incontinent

Stage 6

200

Walking back and forth in the same area

Pacing

200

Changing the resident's focus in a calm, gentle manner

Redirection

200

Name one possible temporary cause of cognitive impairment

Stress, side effects of medication, depression, vitamin deficiency, thyroid disease, alcohol use, fever, head trauma

300

Friends, family, and co-workers begin to notice difficulties, greater difficulty in performing tasks in social or work settings, trouble with planning and organizing

Stage 3

300

A thought or idea not based in reality

Delusion

300

Form of sensory stimulation enjoyed by almost all residents

Music therapy

300

Name one possible permanent cause of cognitive impairment

Brain damage/disease, end-stage of serious illness, alcoholism, stroke, Alzheimer's disease

400

Forgetful of recent events, unable to perform challenging mental arithmetic, stage in which a careful, medical interview should be able to detect clear-cut symptoms

Stage 4

400

Seeing, hearing, smelling, or feeling something that isn't real

Hallucination

400

Encouraging the resident to talk about pleasant memories of the past

Reminiscence therapy

400

What is the lifespan of most individuals with AD after symptoms begin

2-20 years

500

May feel memory lapses, forgets familiar words or location of everyday objects

Stage 2

500

Overreaction and/or unreasonable response to stimuli

Catastrophic reaction

500

Allowing the resident to live in the past or under imaginary circumstances

Validation therapy

500

Name one risk factor for AD

Age, family history, Down's syndrome

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