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The Effectiveness of Rehabilitation for Cognitive
                        Deficits$
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Peter W. Halligan and Derick T. Wade

Print publication date: 2005

Print ISBN-13: 9780198526544

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780198526544.001.0001

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Cognitive rehabilitation in early-stage dementia

Cognitive rehabilitation in early-stage dementia

Evidence, practice and future directions

Chapter:
(p.327) 26 Cognitive rehabilitation in early-stage dementia
Source:
The Effectiveness of Rehabilitation for Cognitive Deficits
Author(s):

Linda Clare

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198526544.003.0026

Rehabilitation approaches aiming to optimize well-being and manage disability provide an appropriate framework for the care of people with dementia. There is a long-standing tradition of cognition-focused intervention in this area, and recent work has applied the principles of cognitive rehabilitation primarily to assist people in the early stages of dementias such as Alzheimer's disease. This chapter describes three distinct types of cognition-focused intervention for people with early-stage Alzheimer's disease: cognitive stimulation, cognitive training, and cognitive rehabilitation. Evidence for effectiveness of cognitive training is very weak, but both cognitive stimulation and cognitive rehabilitation hold promise, with cognitive rehabilitation approximating most closely to the parameters set out in the evaluation criteria. Therefore, this chapter argues that cognitive rehabilitation addressing individual, personally-relevant goals, assessed in terms of impact on disability, offers the most beneficial way forward.

Keywords:   cognitive rehabilitation, dementia, Alzheimer's disease, cognitive stimulation, cognitive training

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