Cognitive Impairment

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It was fun and interesting to work with the old ladies in Edgewood Vista. The time for this exercise class was too short; I really hope we could have longer time for the interaction. What I did not expect was that the ladies might in the early stage of dementia or cognitive impairment, so most of them were able to follow the instructions well, so we did not experience the scenario we had at class. Only one lady seemed confused a lot of time, which was within our expectation. Hearing impairment was also within expectation, so we had to speak louder and sometimes toward their ear directly. The evidence we found was that exercise training was helpful for improving cognitive function and positive behavior in geriatric patients who have dementia. …show more content…

For example, one lady was so quiet and seemed confused about what to do when playing the balloon tossing game while all the other ladies were so active to tap the balloon back and forth, so the quiet lady did not get enough chance to get involved in the game. I tried to toss the balloon directly to her several times, but since she was slow in response, other ladies tap the balloon away from her. In another coin matching game, the ladies were instructed to walk back and forth between two tables to pick up different coins from one table and match them with the coins on the other table. There was a lady who was cognitively competent for this game, but due to the need to walk with a FWW, she was slower than other ladies. And the table was small, so most of the time she had to wait outside of the crowd to get the coins, which made her upset. The bowling game at the end of the class was very successful. We had two sets of bowling, and the ladies could either sit or stand and took turns to play bowling. The quiet lady who was confused most of the time could watch her peers doing the game then following them. From the dementia lecture, we learned not to use reorientation, so during the coin game, when the quiet lady put the coins to her pocket, we did not stop her. Instead, Serria did a very good job to ask her grasp another coin and match it with the ones on the other table. She was able to follow her instructions a few times. For my future practice, I may not use group therapy for the dementia patients especially when they were not in the same cognitive or physical level. I will be patience and slow down with the dementia patients and not give reorientation if they did something

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