At Pathways Memory Care, we are committed to helping family members understand the approach we take to our dementia care plans, whether they are being tailored to a resident with Alzheimer’s disease or to a resident requiring vascular dementia treatment.

 

Pathways memory care services put the care and treatment interventions below into practice. We work closely with family members to determine the best dementia care plans for their loved one. For questions about our approach to caring for dementia, please don’t hesitate to contact us.

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Dementia TypeSymptomsInterventions
Lewy Body Dementias: Parkinson Disease with Dementia (PDD) & Dementia with Lewy Bodies (LBD)
  • Progressive dementia
  • Visual spatial processing
  • Attention deficit
  • Executive dysfunction
  • Visual hallucinations
  • Delusions and depression/anxiety are common
  • Confabulation
  • Parkinsonism and fall risk: slow movement, rigidity, tremors and gait difficulties
  • Day to day fluctuation, variable memory
  • Autonomic dysfunction
  • Daytime drowsiness, and difficulty staying asleep
  • REM sleep behavior disorder: acting out of dreams
  • Constipation
  • Loss of smell
  • PDD versus LBD symptoms:
  • PDD: dementia develops after motor disorder
  • LBD: dementia develops prior or at same time as motor disorder
  • Mindfulness-based dementia care
  • Whole care team and family involvement
  • Physical, occupational, and speech therapies
  • Improve sensory impairment
  • Structure environment (safety issues)
  • Behavioral interventions
Dementia TypeSymptomsInterventions
Frontotemporal Dementia
  • Symptoms start between 40–60
  • Poor planning
  • Disinhibition
  • Apathy
  • Emotional blunting
  • Euphoria
  • Obsessions and compulsions
  • Mental rigidity
  • Depression
  • Disease itself, not environment, is cause of behaviors
Specific FTD variations
  • Behavioral variant (Pick’s Disease)
    • Disinhibition
    • Flattening of affect
    • Distractibility
    • Impulsiveness
    • Poor planning and judgment
    • Hyperorality
    • Hypersexuality
    • Memory intact
  • Primary progressive aphasia
    • Nonfluent variant: loss of ability to produce language
    • Semantic variant: loss of word/object meaning
    • Logopenic aphasia: word finding problems, loss of language comprehension
    • For all 3, episodic memory is intact
  • See Administrator
  • Mindfulness-based dementia care
  • Whole care team and family involvement
  • Replace difficult behaviors with more benign behaviors
  • Repetitive ritualistic behaviors may have to be tolerated
  • For apathy, structure day, help stick with task within capabilities
  • Small rewards for completing ADLs
  • Nutrition management, such as limiting overeating, serving limited amounts at mealtime, restricting foods or sweets, and monitoring intake
Vascular Dementia
  • Similar to Alzheimer’s
  • Memory loss
  • Organization, problem-solving, word finding challenges
  • Slowed thinking, distraction, absent-mindedness
  • Depression, irritability, apathy
  • Hallucinations, delusions
  • Balance and movement problems
  • See Administrator
  • Vascular risk factor control
  • Mindfulness-based dementia care
  • Whole care team and family involvement
Dementia TypeSymptomsInterventions
Alcohol-related Dementia
(Wernicke-Korsakoff’s)
Symptoms/acute:
  • Abnormal eye movements
  • Gait problems Confusion
  • Symptoms/chronic (if not treated):
  • Severe and persistent amnesia
  • Personality change
  • Apathy
  • Confabulation
  • See Administrator
  • Mindfulness-based dementia care
  • Whole care team and family involvement
  • Physical, occupational, and speech therapies
  • Improve sensory impairment
  • Structure environment (safety issues)
  • Behavioral interventions