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Physical Therapist

This section is for physical therapists. Persons with dementia develop many musculo-skeletal problems that benefit from the assistance of a physical therapist. Fall injuries and fractures are common problems in middle or late stage dementia. Your help with safe patient movement can safeguard the quality of life for older persons with dementia.

Dementia
Prevention of falls in the Dementia patient
Fact sheet on transfers

Just the Facts for the Physical Therapist

1. Persons with dementia develop gait problems in the middle or late stages of disease.
2.Mildly demented residents may become unsteady when medically sick or delirious.
3.Falls are common in demented residents.
4.Gait apraxias occur in the late stages of the disease.
5.Side rails and restraints are not effective for persons with dementia.
6.Physical therapists must understand the level of intellectual disability prior to initiating therapy.
7.Moderate or severely demented residents usually forget your instructions.
8.Behavioral problems, e.g., aggression, hostility, impulsivity, are common in mid or late state dementia patients.
9.Staff or family must be trained on techniques of safe transfer and ambulation.
10.Physical therapy can reduce the risk for fractures by strengthening and safeguarding residents.
11.Many (10-20%) elderly patients admitted to hospitals have unrecognized delirium.

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