Communicating with dementia patients of different severity levels
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Communicating with Dementia Patients of Different Severity Levels. Michael Ciulla, Kurt Karis, BS, Tria O’Maille, MA. BC-DMT. Michael’s Science Internship Experience. Euclid Hospital Department of Geriatric Behavioral Medicine, 4 th floor-Upma Dhingra, MD Anxiety, Schizophrenia, Depression

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Communicating with Dementia Patients of Different Severity Levels

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Communicating with dementia patients of different severity levels

Communicating with Dementia Patients of Different Severity Levels

Michael Ciulla, Kurt Karis, BS, Tria O’Maille, MA. BC-DMT

Cleveland Clinic Science Internship Program, OCEI


Michael s science internship experience

Michael’s Science Internship Experience

  • Euclid Hospital

  • Department of Geriatric Behavioral Medicine, 4th floor-Upma Dhingra, MD

  • Anxiety, Schizophrenia, Depression

  • However, Dementia is the most frequent reason for admission

Cleveland Clinic Science Internship Program, OCEI


What is dementia

What is Dementia?

  • Dementia is the loss of cognitive, verbal, and physical functions in the brain

  • Examples include Alzheimer’s Disease, Vascular Dementia, Parkinson’s Disease

  • Latin roots: de mens meaning without the mind

  • Death of neurons in the brain that are never repaired or replaced

Cleveland Clinic Science Internship Program, OCEI


Communicating with dementia patients of different severity levels

Cleveland Clinic Science Internship Program, OCEI


Research question

Research Question

  • According to psychiatrists, communication with patients suffering from dementia must be very personal and direct.

  • Eye contact, slow, clear voice in a low tone, approaching patient from the front, and formulating simple questions which would require an answer of “yes” or “no”

Cleveland Clinic Science Internship Program, OCEI


Research question1

Research Question

  • How effective are these means of communication?

  • In Mild Dementia?

  • In Moderate Dementia?

  • In Severe Dementia?

Cleveland Clinic Science Internship Program, OCEI


Hypothesis

Hypothesis

  • Patients with mild dementia will be able to respond to the method of communication proposed by psychiatrists

  • Patients with moderate dementia and severe dementia will not be able to respond to such communication in the same way in which the mild dementia patients responds

Cleveland Clinic Science Internship Program, OCEI


Methodology

Mini Mental State Exam (MMSE)

Used to evaluate cognitive function

This exam will give a result out of 30 possible points

Methodology

Cleveland Clinic Science Internship Program, OCEI


Methodology1

Methodology

  • MMSE score will be used to determine the loss of cognitive function in each patient

  • After the exam is completed and score is calculated, patients will be observed during a daily behavioral therapy session as well as a dance and movement therapy session.

Cleveland Clinic Science Internship Program, OCEI


Methodology2

Methodology

  • The way in which the patients respond to the therapists in these therapy sessions will show if these types of communication are effective for patients with different progressions of dementia.

Cleveland Clinic Science Internship Program, OCEI


Results

Results

  • Results will be calculated based on the patients’ MMSE scores

  • Patients’ score will be out of a possible 30 points

Cleveland Clinic Science Internship Program, OCEI


Results1

Results

  • MMSE scoring

    • 24-30: normal cognitive functioning

    • 19-32: mild dementia

    • 11-18: moderate dementia

    • <10 severe to end stage dementia

Cleveland Clinic Science Internship Program, OCEI


Conclusions

Conclusions

  • After observation in group therapy sessions, the following results could be expected:

    • The patients with mild dementia would be able to communicate verbally and through creative expression with a wide to moderate range of movement

Cleveland Clinic Science Internship Program, OCEI


Conclusions1

Conclusions

  • The patients with moderate dementia would be able to communicate verbally, but with a more narrow vocabulary than that of the mildly demented patients, and most would be able to show some degree of creative expression with a moderate range of movement

Cleveland Clinic Science Internship Program, OCEI


Conclusions2

Conclusions

  • The patients with severe dementia would communicate verbally, but in short sentences followed by long pauses. At this stage in the disease, the patients’ vocabulary is especially limited. Minimal patients would be able to show creative expression, and if able, movement would be minimal

Cleveland Clinic Science Internship Program, OCEI


Discussion

Discussion

  • All conclusions are hypothetical and are based on my daily experiences in the Geriatric Behavioral Medicine Department at Euclid Hospital

Cleveland Clinic Science Internship Program, OCEI


Acknowledgements

Kurt Karis

Tria O’Maille

Upma Dhingra, MD

Nursing staff of Department of Geriatric Behavioral Medicine at Euclid Hospital

Patrick Finnegan

Nedra Starling

Rosalind Strickland

Office of Civic Education Initiatives

Cleveland Clinic

Acknowledgements

Cleveland Clinic Science Internship Program, OCEI


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