Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
Title: Agnosia Interferes with Daily Hygiene in Patients with Dementia

Published in the journal, Gerontology and Geriatric Medicine
In Joint Providership with Sage Publishing

Goals and Objectives

This activity is intended for health care providers, family, and/or caregivers who provide care for patients with dementia.

Caregivers of patients with dementia often state that they do not know when a catastrophic reaction will unexpectedly erupt.  They find themselves sucked in, unable to change course and unable to avoid or change the catastrophic outcome. They feel powerless and sometimes guilty. Many of these aberrant “unpredictable” behaviors are, however, predictable and often can be anticipated or defused.

In this case study we present a case of a 72 years old woman with moderate Alzheimer’s disease who lives with her daughter and is adamantly refusing to change the clothes she has been wearing for a few days and which are now clearly dirty. We report the interaction, highlight what went wrong in the patient/daughter interaction and how the catastrophic ending could have been avoided or averted. Upon completion of the activity, providers should be able to:

  • Apply the material addressed in the scenario when advising caregivers seeking help with similar situations.
  • Provide advice to caregivers about how to avoid aberrant behaviors from developing, escalating, and erupting, along with steps that can be taken to prevent it from occurring.

Important Note:

Before beginning this CME activity, you  must review the article in its entirety, located here:

Agnosia Interferes with Daily Hygiene in Patients with Dementia


R. C. Hamdy1, J. V. Lewis1,  A. Kinzer2, A. Depelteau3, R. Copeland4 , T. Kendall-Wilson1,5, K. Whalen1

1East Tennessee State University, Johnson City, TN; Department of Geriatric Medicine
2East Tennessee State University, Johnson City, TN; Communication & Performance
3East Tennessee State University, Johnson City, TN; Innovation Laboratory
4East Tennessee State University, Johnson City, TN; Department of Internal Medicine
5Alzheimer’s Tennessee

Course Information

CME Release Date: June 5th, 2018
Content Reviewed: April 3, 2019
Valid for credit through: June 5th, 2020
Course type:  Journal CME

Credits Available

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern Medical Association and SAGE Publishing. Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this Journal CME Activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Course Materials


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