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Disorders of Diminished Motivation

Lack of motivation can be one of the most frustrating aspects of caregiving. How do you motivate somebody to do more, engage more, or initiate more in the presence of dementia?  Why is it that your father, who is physically ...

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Frontal Release Signs

*** Frontal Release Signs are primitive reflexes that, when seen in adults with dementia, are indicative of disorders that affect the frontal lobes. Primitive reflexes are hardwired into our brains, and we used them during development as building blocks to master survival functions ...

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Gegenhalten Tone

*** Have you seen Gegenhalten tone in your late/end stage Alzheimer’s patients?  It’s actually considered a primitive reflex, no longer inhibited due to bilateral dysfunction of the mesial cortex and frontal lobes (premotor cortex)  Theoretically, we used the reflex in ...

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Gesture Training

*** Gesture training is a valuable strategy used to compensate for decreased communication in dementia .  Gestures are nonverbal cues- body language- used to communicate something.  We use gestures all the time in our daily lives to emphasize spoken language. ...

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