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Innovating an individual cognitive rehabilitation program for the elderly with dementia Yuko Iwamoto 1,2,3,4 , Chiaki Kawasaki 5 1Student at Department of Occupational Therapy, School of Health Science, Nagoya University 2Former affiliation; Long-Term Care Health Facility, Nijigaoka 3Obu Dementia Care Research and Training Center 4Research Institute, National Rehabilitation Center for Persons with Disabilities 5Long-Term Care Health Facility, Nijigaoka Keyword: 認知症高齢者 , 認知リハビリテーション , プログラム , Elderly with dementia , Cognitive rehabilitation , Program pp.177-185
Published Date 2013/4/15
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 Objective: This paper introduces a new cognitive rehabilitation program for patients with mild to severe dementia for the purpose of using remaining abilities. The study focuses on the elderly. Methods: The program consists of cognitive functional items, including memory and attention, based on the Neurobehavioral Cognitive Status Examination (COGNISTAT). Reality Orientation (RO) was a common task, and two items both in the highest and the lowest points were chosen as strength and recovery tasks. One 20-minute session was conducted three times a week for 3 months. Results: A participant with mild dementia (age:92, gender:female) was able to participate in all sessions. In terms of the Hasegawa Dementia Scale-Revised (HDS-R), a 20-point score was maintained for 15 months after the program was completed. Conclusion: The participant accomplished the program and we could follow up on her for a long period. The proposed new cognitive rehabilitation program and the assessment procedures were considered valid and proper in this case.


Copyright © 2013, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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