| Manifestations |
Behavioural Interventions |
- Impaired recall of recent events
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- Use reminders (notes, single-day calendars, cues)
- Talk with the client about recent events
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- Impaired functioning, especially complex
tasks
- Gradual withdrawal from activities
- Lowered tolerance of new ideas and
changes in routine
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- Avoid stressful situations
- Do not ask for more than the client can do
- Keep the environment, schedule, routine the same
- Maintain normal mealtime routine
- Have items in the same place and in view
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- Anticipate what the client is trying to say
- Provide word or respond to thought/feeling
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- Be tolerant and respond like it is the first time stated or heard
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- Decreased judgment and reasoning
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- Assess safety of driving and other desired activities
- Allow performance of skills as long as safe
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- Accompany on walks
- Provide safe and secure walking area
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- Inconsistency in ordinary tasks of daily
living
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- Ignore inconsistencies
- Help to maintain consistency by keeping needed items in view
and maintaining routines
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- Increasing tendency to misplace things
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- Keep items in the same place and in view
- Find things and replace or hand to the client without focusing
on the forgetfulness
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- Narrowing of interest
- Living in the past
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- Maintain familiar social, physical, mental, and work activities
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- Self-centred thoughts; restlessness or
apathy
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- Focus on the client and listen
- Allow pacing or sleeping
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- Preoccupation with physical functions
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- Assist in maintaining normal physical functions (basic and
instrumental activities of daily living)
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- Increased forgetfulness (meals,
medications, people, self )
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- Place food where client can see and reach it
- Hand medications to client
- Remove mirrors
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- Untidiness, hoarding, rummaging
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- Put things away as desired; do not expect client to put
them away
- Provide a chest of drawers for hoarding or rummaging
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- Difficulty with basic activities of daily living
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- Keep needed objects in sight/reach
- Do for the client what he or she cannot, but allow the client to
do as much as possible
- Provide assistive equipment: shower stool, elevated seat
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- Close and perhaps lock doors on stairways and rooms that the
client should not access
- Fence the yard
- Place cues to help recognize rooms or objects
- Avoid physical and chemical restraints while providing areas for
wandering and resting
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- Uncoordinated motor skills, poor balance
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- Have non-shiny floors without contrasting colours or patterns.
- Provide soft environment.
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- Repetition of words or activities
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- Provide environment where repetitive activities can safely be
done
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- Reversed sleep-wake cycles
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- Provide activities in daytime
- Provide room where the client can safely be up alone for a time.
- Put back to bed with usual bedtime routine
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- Loss of contact with reality;
hallucinations, confusion
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- Make available materials for activities that the client enjoyed
throughout life
- Keep picture albums with old pictures
- Keep the client’s room location and layout unchanged
- Remove confusing stimuli
- Ignore hallucinations unless they are distressing to the client;
remain calm; act normally
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- Provide meaningful stimuli
- Provide place for quiet time
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- Remove objects that could be damaging
- Provide space
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- Provide safe environment
- Have unsafe objects out of sight
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- Altered sensory-perceptual functioning
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- Provide good lighting
- Have non-shiny floors without contrasting colours or patterns
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