The Care Pathway Program (CPP) guides patients with a diagnosis of dementia and families to appropriate interventions directly related to specific symptoms and developmental life stage. This program is available to the patients and families of the Northwestern Neurobehavior and Memory Clinic.
Extensive research shows that dementias are not uniform in the symptoms they produce and that each patient should be characterized individually based on neurobehavioral profile in order to ensure the most appropriate interventions. While most individuals with Alzheimer’s disease experience forgetfulness as the most common early clinical manifestation, there are individuals whose primary presenting symptoms are not memory loss but some other cognitive or behavioral change. These different profiles of dementia require comprehensive and individualized interventions since they can affect daily activities in distinct ways.
What are the Care Pathways?
The four Care Pathways or cognitive symptom profiles are list in the image below. They include Memory, Language, Behavior/Emotion, and Visuospatial Functioning. A patient’s presenting and/or most predominant symptoms affecting a patients functioning and quality of life determine which Care Pathway is most fitting. Each Care Pathway has unique recommendations that are suitable for the individual.
Common Recommendations Based on Care Pathway
Each patient has a unique presentation of symptoms and factors such as lifestyle, history, and background are taken into consideration before recommendations are made.
|Memory||Cognitive Memory Strategies|
|Occupational & Speech Therapy|
|Communication Tips for patient and family|
|Behavior/Emotion||Behavioral symptoms education|
|Caregiver support and resources|
|Safety resources and education|
|Language||Communication tips including using non-verbal communication strategies|
|Modified meaningful activities|
|High and Low tech communication devices including iPad or Notebook|
|Visuospatial function||Occupational therapy to assist with home environment modification|
|Visuospatial change education|
|Referrals to low vision resources in the community|