cognitive and physical stimulation therapy n.
Skip this Video
Download Presentation
Cognitive and Physical Stimulation Therapy

Loading in 2 Seconds...

play fullscreen
1 / 15

Cognitive and Physical Stimulation Therapy - PowerPoint PPT Presentation

  • Uploaded on

Cognitive and Physical Stimulation Therapy. Kelsey Firsick , BSW Mitchel P. Kohnen , BS Kinesiology Jeff Loraine RN,DON NHC Healthcare of Maryland Heights. Learning Objectives. To allow for alternative programing to help reduce need for antipsychotic medications

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Cognitive and Physical Stimulation Therapy' - laken

Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
cognitive and physical stimulation therapy

Cognitive and Physical Stimulation Therapy

Kelsey Firsick, BSW

Mitchel P. Kohnen, BS Kinesiology

Jeff Loraine RN,DON

NHC Healthcare of Maryland Heights

learning objectives
Learning Objectives
  • To allow for alternative programing to help reduce need for antipsychotic medications
  • To assist care givers in developing therapeutic techniques to manage difficult behaviors
  • To promote strategies to assist with improving cognition and decreasing depression
  • To facilitate programs to maintain or improve functionality in dementia patients with behaviors
program development
Program Development
  • Initial program started to increase quality of life in dementia patients with behaviors
  • Later developed to comply with CMS initiative to reduce antipsychotic usage in dementia patients with behaviors
  • Aimed at reducing difficult behaviors
  • Enhanced programing to combine cognitive stimulation and physical exercise
cognitive stimulation therapy
Cognitive Stimulation Therapy
  • Cochrane Database concluded:
    • “CST programs benefit cognition in persons with mild to moderate dementia as much as cholinesterase inhibitors”
    • “Shown to improve quality of life and be cost effective
  • Professor Martin Orrell, University College of London
  • Performed training for our center and region
cognitive stimulu s training cont
Cognitive Stimulus Training(cont.)
  • Two Comprehensive training manuals, “Making A Difference” &”Making A Difference” volume 2. Manual for group leaders by Aimee Spector, LeneThorgrimsen, Bob Woods, & Martin Orrell by Hawker Publications & The Journal for Dementia Care
  • $30 each
program development1
Program Development

Cognitive Stimulation Therapy

Physical Stimulation Therapy

  • Small groups (6-10) people
  • Groups meet twice a week
  • 3 groups formed
  • Consist of a set warm up followed by a predetermined topic of interest
  • All residents get involved
  • Multiple visual and tactile aids
  • Walking and exercise program performed before each meeting
  • Residents walk an average of 10 minutes and perform 6-8 repetitions of resistance exercises
program development2
Program Development
  • Appointed 2 “Memory Care Liaisons”
  • Assist with memory care unit and operations as well as program development for Cognitive and Physical Stimulation
  • Different focus for each
    • Exercise
    • Activity
  • Work in conjunction and combine specialties to enhance programing
  • Participants where assessed for baseline cognition and depression before program began and after7weeks

SLUMS & BIMS utilized to measure baseline cognitive function

PHQ-9 for depression

dosage reduction
Dosage Reduction
  • Program participants reviewed for potential reduction
  • Anti-psychotic utilization reviewed by Medical Director, Consultant Pharmacist, & Primary Physician
  • Decrease in psychotropics done gradually
dosage reduction1
Dosage Reduction


NHC MH – 93%

MO – 67.9%

Nat’l Avg. – 82.2%

Psychiatric DX.

NHC MH- 61.9%

MO- 59.8%

Nat’l Avg. – 55.4%

Antipsychotic Usage

NHC MH – 14.9%

MO – 28.4%

Nat’l Avg. – 25.2%

  • Enhanced the quality of life of the cognitively impaired
  • Programming has allowed for increased resident and family satisfaction
  • Allowed healthcare center to diversify it’s services and provided additional referral source
  • Decreased hospital readmission rates
  • Staff acquisition of new skill sets to assist with caring for the cognitively impaired