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The Effectiveness of Rehabilitation for Cognitive
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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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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 22 November 2019

Cognitive rehabilitation in early-stage dementia

Cognitive rehabilitation in early-stage dementia

Evidence, practice and future directions

(p.327) 26 Cognitive rehabilitation in early-stage dementia
The Effectiveness of Rehabilitation for Cognitive Deficits

Linda Clare

Oxford University Press

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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