Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
Title: Impulsive, Disinhibited Behavior—Dining in a Restaurant
Goals and Objectives
This activity is intended for health care providers, family, and/or caregivers who provide care for patients with dementia.
Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. There are so many stimuli; the patient can be overwhelmed with information overload and not able to focus on the main purpose of the event: have dinner and especially enjoy the other person’s company.
In this case scenario, we present a 62-year-old man diagnosed with behavioral variant frontotemporal dementia (bvFTD). His daughter “invited” him to have dinner with her at a very fancy restaurant to celebrate her promotion at work. Unfortunately, whereas the evening started very well, it had a catastrophic ending. We discuss 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.
Before beginning this CME activity, you must review the article in its entirety, located here:
R.C. Hamdy, MD1, Amber Kinser, PhD1, Tracey Kendall-Wilson, RN1, 2, Audrey Depelteau, PhD1, Kathleen Whalen, BA1
1East Tennessee State University, Johnson City, TN, USA
2Alzheimer’s Tennessee, Knoxville, TN, USA
CME Release Date: May 7th, 2018
Content Reviewed: April 3, 2019
Valid for credit through: May 7th, 2020
Course type: Journal CME
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 firstname.lastname@example.org 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.
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