Question

RMT is a verbal retrograde memory test that measures how strategically organised an individual’s childhood memories are. VPA is an anterograde verbal episodic memory test, which measures how well an individual relates arbitrary pieces of information together.

Respond to both scenarios below:

A. You assess an individual in the early stages of Dementia of the Alzheimer Type (DAT). Assuming that you see a pattern of performance on each of these measures that is typical for DAT, what would you expect to say regarding encoding and retrieval abilities for each of these measures?

B. You assess an adult with recent bilateral frontal lobe damage. Assuming that you see a pattern of performance on each of these measures that is typical for bilateral frontal lobe damage, what would you expect to say regarding encoding and retrieval abilities for each of these measures?

what is required?

Answer 1

A ) Dementia of the Alzheimers Disease involves progressive changes in memory & thinking Patterns

Pattern of performance

Encoding & Retrieval

1) Disorientation : Give orientation to the patient in simple sentence.

2 ) Recent memory loss : Reminded the patient to do Hygienic measures.

3 ) Difficulty completing familiar tasks: Keep assisting if needed .

4 ) Problem with abstract thinking : Simplify the task .eg : Replace saree to night gown.

5 ) Problem in communication : Avoid asking confusing or unnecessary questions.

6 ) Mood change: Music therapy, it provides more relaxed mood.

Other encoding & retrieval measures

- Avoid giving too many changes

- Thank the person or Express appreciation when something is done.

- Do not hurry the person.

- special aids : eg : mugs with handle

B ) Frontal lobe damage assessment:

Memory loss

Impaired moral judgment

Aggression

Declining intelligence

Impaired language skills

Loss of empathic reasoning

Encoding & retrieval:

- Remaining calm & supportive if patient is agitated

- Provide frequent cues & reminders to reorient the patient

- maintain a consistent environment

- keep request for the patient simple

- protect the patient from injury by providing safe , structured environment.

- encouraging patients independence.