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Revised Aging Course 4G - Assessment and Treatment of [Non-Alzheimer's] Cognitive and Behavioral Dysfunction in Aging Adults
This course is written, copyrighted and published by Marsha Naylor, MA, LPC - Co-owner of CEU By Net. The course has been revised to include DSM V Diagnoses and other data. The course now earns 6 Clock Hours of credit for multiple State Boards including Florida, Texas, and Alabama, and Florida Certification Board (Addiction). Re-approved and effective June 6, 2019 for 4 EACC PDHs Domain III. Also earns 4 NBCC and 4 CA BBS Hours of Credit. Based upon these credentials, the course is accepted by most state boards for multiple licenses.
This course presents a STRUCTURED SKILLS-BASED, STRENGTH-BASED TREATMENT APPROACH to assessing, treating, and managing NON-Alzheimer's cognitive impairment and associated behavioral difficulty in the elderly including those with a history of long term misuse of alcohol and other drugs (SUDs). Interventions are appropriate for use in multiple settings including nursing facilities, personal care homes, day treatment programs, outpatient settings, and in-home support.
This course is appropriate for mental health and addiction counselors, CEAPs, social workers, LMFTs, Rehabilitation Specialists, and others who work directly with affected individuals. It is also appropriate for those who are working with adults who are coping with an impaired person's cognitive and behavioral disturbance on a day to day basis - seeking to prevent burnout and 'melt down' of an elderly patient's family members and treatment staff.
The assessment and treatment interventions taught in this course address COGNITIVE CONFUSION AND IMPAIRMENT in aging individuals (which at times may mimic dementia) - oftentimes appearing concurrent with long-term SUDs and serious AFFECTIVE conditions (such as DEPRESSION with or without agitation) and BEHAVIORAL difficulties (such as angry or explosive behavior, aggression, refusal to perform essential activities, and other behaviors which may lead to inpatient care if not stabilized).
DIFFERENTIAL DIAGNOSIS in this age group is crucial and oftentimes more difficult than with the non-elderly client population. The clinical picture presented by such clients is oftentimes confusing and misleading, i.e., what “looks like Alzheimer’s” isn’t always Alzheimer’s disease, and isn’t always a case of organically based dementia which can be unresponsive to non-medical treatment interventions.
In the non-Alzheimer’s client, what we frequently see is cognitive confusion and behavioral abnormality following long-term abuse of alcohol and drugs, medical trauma including strokes and major surgery, loss of health or home or independence, and other such disruptive events. These functional difficulties are oftentimes complicated by depression and anxiety, and perhaps by difficulty in communicating basic wants and needs. These issues may lead to withdrawal from the environment and from social interaction, which can mimic organically based dementia.
Oftentimes we must “back into a diagnosis” . . . interacting with the individual in the treatment environment for a period of time that exceeds that normally required with non-elderly clients, and then formulate a differential diagnosis based on our experiences with the individual.
Perhaps more than with any other age group, ASSESSMENT AND DIAGNOSIS with the elderly is a DYNAMIC process. We must observe changes in affect and functional response to treatment interventions for a period of time that extends beyond a formal “intake evaluation”. How best to approach these non-Alzheimer's AGING issues, therapeutically, in a variety of settings? That’s the focus of this course.
Details: The course presents a STRUCTURED SKILLS-BASED, STRENGTH-BASED APPROACH to assessing, treating, and documenting cognitive and behavioral difficulties of the elderly, in various settings. We present information that will allow you to effectively ASSESS and PRIORITIZE the cognitive and behavioral issues at hand, and to develop creative INTERVENTIONS that work!
We may find our aging clients in an outpatient clinic, residing in nursing facilities or participating in Day Care Centers operated by churches or private individuals – or simply living at home with adult children or other relatives.
More details: The interventions are particularly helpful with COGNITIVE confusion or impairment and BEHAVIORAL difficulties associated with any one of a number of precipitating factors – e.g., a mild stroke resulting in cognitive disturbance (with sensory-motor issues, perhaps receptive or expressive aphasia, mental confusion, etc) .... or cognitive confusion resulting from grief, loss, dislocation, etc. (e.g., a move to a nursing home, the loss of one’s personal home and possessions, death of a spouse, loss of independence, etc.).
Such elderly individuals oftentimes present with agitated or angry behavior, along with confusion. Such behavior is oftentimes accompanied by depressed and anxious emotionality, which can mimic dementia. How best to approach these issues therapeutically? And how best to resurrect cognitive skills which have fallen into disuse or impaired due to a stroke or situational trauma? That’s the focus of this course.
More details: The interventions we describe can be employed in multiple settings, including mental health clinics, professionally operated church day care programs for aging individuals with mental health issues, nursing homes – and at home with family, under professional supervision.
LEARNING OBJECTIVES OF THIS COURSE:
1. Understand the precipitants of cognitive, functional, and behavioral dysfunction in the elderly, when not the result of Alzheimer's Disease - including acute reactions to destabilizing events, SUDs, and misuse of prescription medication.
2. Based upon detailed case histories, understand the interactive relationship between depression with cognitive confusion and behavioral dysfunction in the elderly.
3. Understand the issue of 'differential diagnosis' in the elderly, and how to apply this understanding at a practical level. Know that cognitive confusion, depression, and behavioral dysfunction in the elderly can be confused with active neurological disease, serious psychiatric illness, and Alzheimer's disease.
4. Understand that the symptoms of cognitive confusion and behavioral dysfunction are oftentimes an acute reaction to destabilizing events and circumstances in the elderly, and may also be the product of treatable depression.
5. Through review of specific SKILLS BASED, STRENGTH-BASED techniques and approaches, know how to prioritize target behaviors, and to bring about improvement both in functional COGNITION and in disruptive BEHAVIORAL difficulty.
6. Learn practical approaches to stabilize and revitalize impaired COGNITIVE skills - thereby improving DAILY FUNCTIONING [cognitive, behavioral, and emotional] and reducing stress upon caregivers.
IT'S NOW FREE TO VIEW! You may now view the entire course and the quizzes for free, before enrolling, if you like - or even before you register on our site. There are four 'chapters' or 'Study Guides' in this course, and one quiz for each Study Guide. Just click the links below.
To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE
To view Study Guide 3 now CLICK HERE
To view Study Guide 4 now CLICK HERE
To view and print QUIZ 1 for free, CLICK HERE
To view and print QUIZ 2 for free, CLICK HERE.
To view and print QUIZ 3 for free, CLICK HERE.
To view and print QUIZ 4 for free, CLICK HERE.