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Out Of The Box

Chronic Stress and Dementia: The Lost Keys Paradox

From its earliest onset, dementia induces stress. Memory impairment, language problems, emotional dysregulation… most people are aware of these changes in the early stages of neurodegeneration. This awareness is upsetting, and it can trigger a cascade of hormonal changes that ...

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Dementia and The Right to Self Determination

*** In the United States, a patient’s right to make their own health care decisions is a federal law.  The Patient Self-Determination Act (PSDA) ensures that a patient’s right to self-determination in health care decisions be communicated and protected. Clearly there ...

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Behavior-Based Ergonomics Therapies- A Good Thing

  When I developed the Head, Hands, Heart Dementia Assessment System ten years ago, I had no idea that I was really developing a behavior-based ergonomic tool.  I thought I was using my occupational therapy background to flush out function amidst cognitive ...

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