Accepting the Challenge: Defining Dementia and Brain Change
Presented by Teepa Snow and Melanie Bunn
This is part one of a four-part series, Accepting the Challenge, on caring for people with dementia. Part 1 is an introduction for professionals and caregivers. It begins by discussing how dementia is not typical aging, but a neurodegenerative disease process. It breaks down the key categories of dementia (Alzheimer's, Lewy Body, FTD, Vascular) and explains the profound and predictable impact of brain change on critical cognitive domains: memory (loss of recent memories and confabulation), language (loss of formal speech while preserving automatic skills), and impulse control (loss of emotional regulation leading to behavioral changes). The goal of the course is to help caregivers develop awareness, knowledge, and skills to become effective care partners who can offer compassionate and helpful support that respects the person living with brain change.
Learning Objectives
- Identify the fundamental changes in brain structure and function that typically occur during the process of dementia
- List the major forms of dementia and their hallmark symptoms
- Recognize common cognitive and emotional symptoms experienced by people living with dementia
- Outline the value of obtaining a specific dementia diagnosis and how it influences care approaches
- Identify typical changes in communication abilities across the dementia spectrum
- Select basic strategies to improve communication and manage distress in dementia care interactions
Meet your instructors
Teepa Snow
Teepa Snow is an advocate for those living with dementia. She has made it her personal mission to help families and professionals better understand how it feels to be living with such challenges and seeks to change and improve life for everyone involved. Her practice has included everything from neuro intensive care units in…
Melanie Bunn
Melanie Bunn, a Speaker and Mentor with Teepa’s Snow’s Positive Approach to Care®, received her undergraduate degree in nursing from the University of North Carolina-Chapel Hill, her master’s degree in Family Health Nursing from Clemson University and a Post-Master’s Gerontological Nurse Practitioner Certificate from Duke…
Chapters & learning objectives
1. What is Dementia
Chapter 1 introduces dementia not as a normal part of aging but as a disease process involving neurodegeneration (brain cell deterioration and death), which damages the ability to process information, think, and act, ultimately making independent living impossible.
2. Common Dementias
Chapter 2 covers the four most frequent categories of dementia: Alzheimer's Disease, Lewy Body Dementia, Frontotemporal Dementia (FTD), and Vascular Dementia.
3. Brain Change: Memory
This chapter explains how dementia causes the brain to physically shrink (atrophy), primarily impacting the memory centers. This results in a predictable pattern of progressive memory loss, where immediate recall is lost first, followed by the most recent memories, which can lead the person to "time travel" to earlier life periods and confabulate memories.
4. Brain Change: Language
Chapter 4 focuses on how dementia progressively destroys language abilities, which are primarily stored in the left hemisphere of the brain. This loss typically begins with word-finding problems and progresses to vague language and eventual limited or altered speech.
5. Brain Change: Impulse Control
The final chapter of this course explains how dementia severely damages the Executive Control Center. This part of the brain is responsible for impulse control, reasoning, self-assessment, and making value-consistent choices.
More courses in this series
Accepting the Challenge: Defining Dementia and Brain Change
Teepa Snow and Melanie Bunn
Accepting the Challenge: Positive Physical Approach™ for Dementia
Melanie Bunn and Teepa Snow
Accepting the Challenge: The GEMS® Dementia States
Melanie Bunn and Teepa Snow
Accepting the Challenge: Challenging Situations in Dementia Care
Melanie Bunn and Teepa Snow
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