Catherine Verrier Piersol, Lou Jensen, Deborah Lieberman, Marian Arbesman; Occupational Therapy Interventions for People With Alzheimer’s Disease. Am J Occup Ther 2017;72(1):7201390010. https://doi.org/10.5014/ajot.2018.721001
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© 2019 American Occupational Therapy Association
Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association’s (AOTA’s) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of a person with Alzheimer’s disease. The occupational therapy assessment and intervention process in the home setting is described. Findings from the systematic reviews on this topic were published in the November/December 2017 issue of the American Journal of Occupational Therapy and in AOTA’s Occupational Therapy Practice Guidelines for Adults With Alzheimer’s Disease and Related Major Neurocognitive Disorders. Each article in this series summarizes the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical reasoning.
ADL training or activity modification to improve or maintain ADL performance (McLaren, Lamantia, & Callahan, 2013; Olazarán et al., 2010; Padilla, 2011b)
Errorless learning and prompting strategies to improve ADL performance (Brenske, Rudrud, Schulze, & Rapp, 2008; Dechamps et al., 2011; Lee, Yip, Yu, & Man, 2013; van Tilborg, Kessels, & Hulstijn, 2011)
Ambient music (Hodgkinson, Koch, Nay, & Lewis, 2007; Lancioni et al., 2013; Padilla, 2011a) and multisensory interventions (e.g., Snoezelen®; Fleming & Purandare, 2010; Kim, Yoo, Jung, Park, & Park, 2012; Marques, Cruz, Barbosa, Figueiredo, & Sousa, 2013; Maseda et al., 2014; Padilla, 2011a; Riley-Doucet & Dunn, 2013; Sánchez, Millán-Calenti, Lorenzo-López, & Maseda, 2013; Zimmerman et al., 2013) to improve short-term behavior
Exercise-based interventions to improve or maintain ADL performance, including functional mobility and sleep (Blankevoort et al., 2010; Forbes, Thiessen, Blake, Forbes, & Forbes, 2013; McLaren et al., 2013; Pitkälä et al., 2013; Potter, Ellard, Rees, & Thorogood, 2011; Rao, Chou, Bursley, Smulofsky, & Jezequel, 2014)
Monitoring devices to prevent falls in the home (Rowe et al., 2009; Tchalla et al., 2013)
Communication skills training to promote caregiver quality of life and well-being (Egan, Bérubé, Racine, Leonard, & Rochon, 2010)
Multicomponent psychoeducational interventions (education, skill training, and coping strategies) to improve caregiver well-being and moderate evidence to delay nursing home placement (Corbett et al., 2012; Ducharme et al., 2011; Elliott, Burgio, & DeCoster, 2010; Gitlin, Winter, Dennis, Hodgson, & Hauck, 2010a, 2010b; Kouri, Ducharme, & Giroux, 2011; Kuo et al., 2013; Livingston et al., 2013).
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