Swedish Clinical Professionals' Perspectives on Evaluating Cognitive and Communicative Function in Dementia.

Conclusions: Published clinical guidelines notwithstanding, there is in practice no "gold standard" regarding diagnostic processes. Reorganization of services that impact feasibility of cross-disciplinary contact may negatively impact diagnostics.Clinical implications: Interprofessional collaboration is impacted by many factors, e.g. physical proximity and availability of specific professions. In order to optimize collaboration in dementia diagnosis, communication channels between professions need to be optimized. Additionally, making clinical impressions and "gut-feelings" explicit could contribute valuable information to the diagnostic process. PMID: 31829846 [PubMed - as supplied by publisher]
Source: Clinical Gerontologist - Category: Geriatrics Tags: Clin Gerontol Source Type: research

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“Are you on your lunch break from work?” I didn’t want to hear this unrelated question in response to calling my grandmother from Italy to tell her I just got engaged. But my grandmother has Alzheimer’s disease so that’s what happened. My grandmother—affectionately referred to as “Grammy” by our family—used to serve as my extended family’s matriarch. An independent woman much of her life, Grammy lived with my aunt to help her raise my cousins. While I was in college, however, my family started noticing little moments of forgetfulness or confusion. She would occasi...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Private Practice Slider Speech-Language Pathology Cognitive Rehabilitation dementia Source Type: blogs
Conclusions Findings indicated that visual aids (a) improved the decision-making capacity of individuals with dementia in comprehending medical information, employing supportive reasons, and relating this information to his or her own situation and (b) contain the potential for judges who majored or are majoring in speech-language pathology to reach a stronger consensus when determining the decision-making capacity of individuals with dementia. PMID: 31869247 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Tags: Am J Speech Lang Pathol Source Type: research
When changes in how Medicare reimburses for services took effect in skilled nursing facilities in October, we heard stories of speech-language pathologists who experienced job loss and changes in their pay or status. What will happen when similar changes hit the home health industry on Jan. 1? Listen in as we discuss how to show your value under the Patient-Driven Grouping Model, or PDGM. The new Medicare reimbursement model taking effect in home health might seem complicated and confusing. But in this week’s episode, we have two experts break it down for you. Find out what you need to know about as we parse the PDG...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Podcast Private Practice Slider Speech-Language Pathology Cognitive Rehabilitation dementia Dysphagia Swallowing Disorders Source Type: blogs
Publication date: 2019Source: International Review of Neurobiology, Volume 149Author(s): Nikolaos Giagkou, Günter U. Höglinger, Maria StamelouAbstractProgressive supranuclear palsy (PSP) is a neurodegenerative disease characterized pathologically by 4 repeat tau deposition in various cell types and anatomical regions. Richardson’s syndrome (RS) is the initially described and one of the clinical phenotypes associated with PSP pathology, characterized by vertical supranuclear gaze paly in particular downwards, postural instability with early falls and subcortical frontal dementia. PSP can manifest as sev...
Source: International Review of Neurobiology - Category: Neuroscience Source Type: research
Abstract Due to their high prevalence, Parkinson's syndromes are exemplary geriatric syndromes. In addition to idiopathic Parkinson's disease, drug-induced and vascular Parkinson's syndromes are especially relevant in older age. A comprehensive anamnesis, thorough clinical neurological examination and rational additional diagnostics ensure the correct differential diagnostic classification. The multidimensional geriatric assessment is used to quantify the syndrome-specific ability impairments. The primary therapeutic objective in old age is the preservation of everyday competences. Drug treatment is centered aroun...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research
Publication date: Available online 21 November 2019Source: International Review of NeurobiologyAuthor(s): Nikolaos Giagkou, Günter U. Höglinger, Maria StamelouAbstractProgressive supranuclear palsy (PSP) is a neurodegenerative disease characterized pathologically by 4 repeat tau deposition in various cell types and anatomical regions. Richardson’s syndrome (RS) is the initially described and one of the clinical phenotypes associated with PSP pathology, characterized by vertical supranuclear gaze paly in particular downwards, postural instability with early falls and subcortical frontal dementia. PSP can man...
Source: International Review of Neurobiology - Category: Neuroscience Source Type: research
What happens when we flip the dementia intervention model from what’s wrong to what can be better? This week on the podcast, we talk about the difference a strengths-based, person-centered approach can make to patients with dementia and their families. We also consider how a voluntary stuttering approach can help children with fluency issues. Want to hear more from this episode’s guests? If you are at the 2019 ASHA Convention in Orlando, Florida, you can see two of them: Natalie Douglas and Joe Donaher. Dementia. The word alone can evoke anxiety, given the toll it can take on families. Because of that, it&rsq...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Podcast Private Practice Schools Slider Speech-Language Pathology Source Type: blogs
Conclusions In the current study, AQ underestimated the presence of PPA and WAB-R classification did not distinguish among PPA classification determined by consensus. Performance on individual subtests and relative performance across subtests demonstrated inconsistent alignment with PPA classification. We conclude the WAB-R in isolation is inadequate to detect or characterize PPA. We instead suggest utilizing the WAB-R as 1 component of a comprehensive language and motor speech assessment when PPA is suspected. PMID: 31639312 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Tags: Am J Speech Lang Pathol Source Type: research
CONCLUSION: With regard to demographic changes and the well-known bias between hearing and cognition, screening of neurocognitive functions should be implemented in basic otorhinolaryngologic diagnostics. More comprehensive test batteries might be useful for research purposes or speech therapy. PMID: 31628531 [PubMed - as supplied by publisher]
Source: HNO - Category: ENT & OMF Tags: HNO Source Type: research
ConclusionSLTs fulfil an integral role in supporting both the diagnostic and post-diagnostic care pathways of people living with dementia and cognitive impairment attending memory services. SLTs have a unique role and skillset in identifying the specific nature of language difficulties for a person with dementia or cognitive impairment and in reducing the impact of the communication difficulties for the person and for their family members.
Source: Age and Ageing - Category: Geriatrics Source Type: research
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