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Physical therapy, occupational therapy and speech-language pathology services can be beneficial throughout various stages of Alzheimer's or dementia.

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Early Stages of Alzheimer’s

In the early stages, rehabilitation services can help your loved one be as functional as possible for as long as possible. People with Alzheimer's or dementia are at greater risk of falls and mobility problems due to muscular weakness, history of falls, gait, balance deficits and cognitive impairment. The focus of physical therapy (PT) with dementia care is to improve balance, muscle strength, and mobility and provide pain management. Safe physical activity, including exercise, will maintain strength, balance, ability to walk and ability to get into or out of a chair or car.

Both the physical and occupational therapist may assist you in changing and enhancing your loved one’s environment to improve function and safety. Environmental modifications such as adding signs on bathroom doors and labeling drawers for socks and shirts may allow a person with dementia to function at the highest level possible for as long as possible.

Mid-Stages of Alzheimer’s

In the mid-stages of Alzheimer's and dementia, challenging behaviors are most often present during bathing, toileting, dressing and eating – all areas of expertise for an occupational therapist. Occupational therapists can provide instruction on how to manage these daily tasks safely and with as minimal stress as possible. Even if you believe your loved one now has a limited ability to learn new things, occupational therapy treatment can be helpful.

Physical therapy can assess one’s ability to walk safely, the risk of falls, and other functional tasks. The therapist will develop a treatment program, including exercise, to help maintain your loved one’s current abilities, which also has the effect of reducing the burden on the caregiver.

Late Stage Alzheimer’s

In the late stages, the role of physical, occupational and speech therapies change yet again. Skilled therapists can help prevent and manage the shortening of muscles or joints, and train you in overall care for your family member at the end-stages, including proper feeding.

Speech-language pathologists have a primary role in the assessment, diagnosis and treatment of swallowing disorders associated with dementia. These specialists also can assess a person’s cognitive and communication abilities and recommend strategies to help manage difficulties.

Rehabilitation therapists can recommend and help you obtain a custom wheelchair to maximize comfort and function for seating and positioning.

Treatment as Alzheimer’s Progresses

Rehabilitation services have much to offer at all stages in the disease process to maximize function, manage day-to-day activities, reduce caregiver stress and improve the quality of life for all.

Brookdale Senior Living has a Rehabilitation Care segment that consists of physical, occupational and speech therapy, as well as Alzheimer’s and dementia care residences. Find a Brookdale residence near you.

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