The Role of Therapy in Alzheimer’s Treatment

Because there is no cure for Alzheimer’s, PT and OT are about making the patient’s remaining years as wonderful and enjoyable as possible.

When we discuss occupational and physical therapy, certain things come to mind. Occupational therapy is often viewed through the lens of helping the developmentally disabled lead lives that are as productive and normal as possible. Physical therapy tends to be thought of in terms of recovery from accidents, surgeries, and debilitating illnesses. Yet it turns out both therapies are crucial in Alzheimer’s treatment. Those who work in such therapy jobs are dealing with a different kind of patient and, ultimately, a different outcome. But the role they play in treating patients is still important.

Alzheimer’s disease is a form of degenerative dementia that claims the lives of its victims in nearly every case. And because there is no cure for Alzheimer’s at this time, physical and occupational therapy is about making the patient’s remaining years as wonderful and enjoyable as possible. This kind of therapy requires a different way of thinking. It means doing the best you can today despite knowing that your patient will eventually succumb to the disease.

Occupational Therapy for Alzheimer’s Patients

Occupational therapists are trained to focus most of their attentions on what clients can do rather than what they cannot do. For example, most Alzheimer’s patients can maintain the ability to walk normally until the latest stages of the disease. But walking might be affected by imbalance issues. An occupational therapist might work with the family to declutter certain areas of the home in order to make walking safer.

Along those same lines, the therapist may observe an Alzheimer’s patient become agitated about household clutter or a particular furniture arrangement. He or she will work with the family or other caregivers to rectify the situation so the patient does not get agitated as frequently.

Occupational therapy for Alzheimer’s treatment is all about making the patient’s remaining years as enjoyable as possible. It concentrates on the positive aspects of daily life so that patients and their families can make the most of their remaining time together.

Physical Therapy for Alzheimer’s Patients

Physical therapy plays a very different role in Alzheimer’s treatment. In fact, it is directed both toward the patient and his or her caregivers. Therapists work with patients to overcome diminishing physical abilities as the disease progresses. For example, the therapist may help the patient overcome eating difficulties in order to maintain as much independence as possible.

Therapists also work with caregivers, especially during the later stages of the disease. They will teach caregivers how to help the patient out of bed, how to properly bathe the patient, and so on. This form of treatment is about providing appropriate care for patients without compromising the health of caregivers.

The physical therapist is also in an excellent position to explain to caregivers what’s going on with patients as their physical abilities begin to diminish. The combination of compassion and knowledge therapists bring to the table makes it easier for caregivers to understand the physical challenges patients are going through, increasing their own empathy and compassion at the same time.

Alzheimer’s disease is a devastating disease that takes its toll on far too many families every year. Researchers are feverishly looking for successful treatments and an ultimate cure, with the hope that one day the disease will be just a distant memory. Until that day comes, occupational and physical therapists will be significant contributors in the treatment of the illness.

Therapy jobs involving Alzheimer’s patients are both challenging and rewarding. For those who do it well, there is great satisfaction in helping patients and their families enjoy a better quality of life despite the disease.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

How Hospitals Can Prepare for an Influenza Pandemic

Public health officials agree that the next major pandemic will be influenza. Are U.S. hospitals ready for it?

from HealthcareDive

The U.S. Department of Health and Human Resources (HHS) estimates that an infectious disease pandemic could infect 90 million Americans and kill as many as 1.9 million people. This kind of pandemic would put a strain on the country’s healthcare system, sicken hospital staff and stretch hospital resources to their limits and beyond.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Too Many Healthcare Employees Would Share Sensitive Data

68% of employees at healthcare organizations would share sensitive, confidential, or regulated information under certain circumstances.

from Healthcare IT News

The most recent Dell End-User Security Survey has some found that three in four employees across all industries, including 68 percent of employees at healthcare organizations, would share sensitive, confidential or regulated information under certain circumstances. Some situations, such as being directed to do so by management (43 percent) or sharing with a person authorized to receive it (37 percent), would seem legitimate. But others, such as determining that the risk to their company is very low and the potential benefit of sharing information is high (23 percent), or feeling it will help themselves or the recipient do their jobs more effectively (22 percent and 13 percent respectively) play a bit looser with the rules.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Sleep Tips for the Tired Nurse

It’s Sleep Awareness Week, and if you’re a nurse, you’re probably well aware of how tired you are. Here’s some tips on how to get a better night’s sleep.

by Kathleen Caulfield, RN

Sleep, sleep, sleep—for many of us it’s hard to get there and even harder to stay there. It especially seems a problem for stressed out nurses, with their chaotic routines and many demands. But the insomnia can be cured with a few tweaks, and given that it’s Sleep Awareness Week, I wanted to share some tips for how busy nurses can get a better night’s rest:

  • No use of electronic devices 1-2 hours before bed. Shut off TVs, cell phones – no texting. Or, better yet, remove them from the bedroom entirely.
  • Plan your day the night before. Llay out your clothes, jot down work activities or tasks for the next day. This can allay some anxiety.
  • Take a warm bath with lavender Epsom salts.
  • Stop caffeine early in the day and limit alcohol 3 hours before bed.
  • Exercise is key to sleep; do it early in the day for a restful night.
  • Respect the sleep process. Use nightclothes that are clean and comfortable.
  • Prep your bedroom. Keep it clutter-free, and get comfortable pillows that support your neck, linens that are soft to the touch.
  • Use room darkening drapes.
  • Keep the bedroom cool: 68 degrees is a good setting.
  • Have a light dinner and if hungry prior to bed, eat foods high in tryptophan, such as nut butters, bananas, yogurt, tuna, dates.
  • Warm milk is excellent, but not palatable for some. Try it with a teaspoon of real vanilla and a package of natural sweetener to improve taste.
  • Passion, valerian, or chamomile tea one hour before bedtime is also known to be effective for promoting relaxation.
  • Incorporate yoga into your nightly routine, including child’s pose, legs up against the wall, or corpse pose to assist with relaxation.
  • Journal and reread your entry to give closure to the day.
  • Use progressive relaxation techniques.
  • Lavender in any form – candles, spray for pillowcases or sheets, or in a diffuser.
  • Keep a sleep diary.

By evaluating these components with a sleep diary, often the culprit causing sleep problems and deprivation will be caught, and insomnia will no longer reign.


Kathleen Caulfield is a Registered Nurse who has worked in all facets of nursing, with her most recent gig as a psych nurse in New York City. Currently residing in Florida while seeking employment, she is sharing her passion for writing with us at HealthJobsNationwide.com.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Using Social Media in Nursing

Nurses are tapping the vein of social media for networking, gathering and sharing knowledge, and more.

from AJC

Amid the digital blast of the information age, the use of social media continues to be a preferred form of communication and information for many, both professionally and personally. Nurses are no exception, often tapping the vein of social media from networking to gathering and sharing knowledge.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Does Telemedicine Save or Cost Money?

Telehealth companies have long asserted that increased access to physicians via video or phone saves money by reducing office visits.

from KevinMD

Over 1 million virtual doctor visits were reported in 2015. Telehealth companies have long asserted that increased access to physicians via video or phone conferencing saves money by reducing office visits and Emergency Department care. But a new study calls this cost savings into question. Increased convenience can increase utilization, which may improve access, but not reduce costs.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Rethinking Institutional Metrics of Success

Financial and productivity metrics are critically important in any business. But for physicians, medicine is a profession, not a business.

from WellnessRounds

Recently, I was talking to a superstar surgeon who had travelled to Africa for two weeks to operate and teach. Lives were saved, a gift was given, but when he returned he was told that the two weeks he had spent in Africa resulted in not meeting his RVU target for the month… which he now had to “make up.”

Are you kidding? I can’t think of any physician that would think this is okay.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Kim’s Blog: Asking Crucial Conversation Questions

Discussing end-of-life wishes is exceptionally difficult, for us as providers, as well as patients. However, if we can give a last bit of dignity to that person in the end of life, we’ve done an extraordinary thing.

by Kimberly Spering, MSN, FNP-BC

I met this patient on an early spring day. The snowstorm of the past month was but a distant memory. It took me a few passes by the driveway to realize that, yes, this was the home of my patient. I drove up to the house, spaced back from the main road, with parking signs noted about 50 feet from the abode.

Gathering my computer bag and backpack with my medical supplies, I walked up the graceful arch of the front walk. Ringing the doorbell, I braced myself for the inevitable nuances of a first visit in my palliative NP role.

After my introduction, the patient’s spouse graciously welcomed me into their home of 60 years. A medical professional in his past life, my role was understood and welcomed. That doesn’t always happen in my work… but I appreciated the ease with which I was accepted into their home.

After a dissecting thoracic aneurysm and subsequent severe CVA, the patient had spent months in a skilled nursing facility. Quite honestly, the patient had the proverbial “nine lives” of a cat, given her medical set-backs. The spouse journeyed to the nursing home three times daily to feed her. Why? “No one else will take the time.” After many long months of care, the insurance was running out. “It would cost me over $500 daily to keep her there. I want to care for her at home.” So, she was discharged from the skilled nursing facility to the home that she stayed in since her marriage.

I met this lovely woman, a shell of her previous existence, but yet…she maintained the spark of her intelligence, even if her body could not respond in kind. She had visual deficits and could only track from one side. I positioned myself on her good side to talk with her. Her words were few, her gestures limited… but still, I could sense the proud, dignified woman that she had been prior to her illness.

“I want to help you… to manage your symptoms, and to help you achieve your goals of care. Tell me what is most important to you at this time.”

Her words were limited. Her husband filled in the details. I sensed his exhaustion from the past many months of care… trying, unsuccessfully, to have her return to her former level of functioning. He was not initially willing to acknowledge her level of disability. Slowly, I discussed her overall status.

“I’m concerned that she is having symptoms that are not controlled. I am worried that her health situation is grave, and that if something unexpected happens, that she will not survive. Has she discussed her end-of-life wishes if her health deteriorates?”

Slowly, in a trance, he looked up at me. The emotion of relief washed across his face. “No one has talked about this… until now,” he said. “I’m worried about what will happen if she declines. I know that she will not survive.”

Gently, I discussed her end-of-life wishes. Reiterated that a “no code” status does not mean “no care.” I know that I personally would not want to live in that boxed-up state for any amount of time. He was frank, almost outspoken in his words about her wishes. I documented these issues for future use.

However, at this point, he wanted everything possible to be done at this point, including full code status. We discussed the ramifications of what running a code would entail for her. No matter — this was his wish. She agreed with him. And we will honor her wishes. However, honestly, the chance of survival in a code scenario is slim-to-none. All I could do is document this discussion and the response.

So what is a “life worth living?” Is it someone who is but a shadow of her prior experience? Is it someone with full capacity, but physical limitations? Or… is it someone who says “life is worth living in this moment,” no matter what that moment may be. It may not be your or my moment… nor our own decision, but rather, someone who chooses LIFE, no matter what the experience, what the cost. A life worth living is determined by EACH individual, in EACH situation. We may have a different perspective on that issue, but our own experiences affect our reactions. We owe it to our patients to ask those tough questions.

I encourage you to discuss these issues with your patients, particularly if they have an end-of-life illness. So often, I hear, “I don’t have time to discuss these issues.” I get it, having worked in an office setting most of my NP career. However, Medicare now reimburses you for these discussions, which, quite frankly, may be the most important ones you have with your patients.

Discussing end-of-life wishes is exceptionally difficult. Most of us don’t like to imagine that scenario. It’s uncomfortable for us as providers, as well as patients. However, if we can document a patient’s wishes, and give a last bit of dignity to that person in the end of life, particularly if he/she is unable to verbalize those wishes — we’ve done an extraordinary thing.

I challenge you to look at your chronically ill patients. Think about opening the conversation with these questions regarding serious illness:

  1. What is your understanding of where you are with your illness?
  2. How much information about what is likely to be ahead would you like from me?
  3. If your health situation worsens, what are your most important goals?
  4. What are your biggest fears and worries about the future with your health?
  5. What abilities are so critical to your life, that you can’t imagine living without them?
  6. If you become sicker, how much are you willing to go through for the possibility of gaining more time?
  7. How much does your family know about your wishes?

These serious conversation questions are crucial to open conversations and begin dialog with patients. Try asking these questions. It gets easier, the more often you do it. And…your patients and families will thank you.


Kim Spering has been a nurse for over 25 years and worked as an NP over the past 15 years in Family Medicine, Women’s Health, Internal Medicine, and now Palliative Medicine. She serves as an editorial board member of Clinician 1 and submit blogs to the website, with a goal of highlighting both the clinician and patient experience in health care.

Dave’s Blog: Let’s Level the Playing Field

You can’t lead if the cards are stacked against you from the start. You can’t lead if the playing field is not level and ours has never been.

by Dave Mittman, PA, DFAAPA

I am not sure why some in the profession do not see why we must grow, must evolve. Why we have to change with the times, not for change sake, but because we have earned the change. Why if we do not, we will leave ourselves behind on so many levels.

What I’m talking about is the need for Full Practice for PAs. No, not practicing ALONE as some would have you believe, just practicing as we do today. No, not rejecting teams, or angering people who in reality have no business being angry, but just being who we already are. Just with a small shift, same as NPs have done in 22 states, PAs being responsible for what we do each day. Signing our names and by doing that saying “I did that”. Full Practice Authority and Responsibility. Something about that notion scares some of us. I am not sure why? Maybe you can tell me? To me it is the natural progression of all groups of people to want to grow and take responsibility for what they do. It’s what professions have always done. It’s what people do. Legally, the majority of NPs need to do this also. It is only in 22 states where they have Full Practice also. PAs now have some sort of collaboration in two and a hybrid of some aspects of FPA in one.

I was reading about the great Jackie Roosevelt Robinson. The man who played baseball for the Brooklyn Dodgers one block from where I grew up. He had limitations placed upon himself because of the color of his skin, not his skill. He was told by many people in his day to not to be the first to enter the major leagues. His life was threatened. He was told it was “too soon”. That there was “no need yet”. The Negro Leagues were fine and had great players with teams that did well economically. That it was too early to “rock the boat”. Jackie continually said he only wanted a chance to show America what he could do. He was not about rocking boats, nor was he trying to anger anyone. He wanted the same thing everyone else in his field had, the ability to determine his own future. His feelings resonated with me. I want the same only in PA terms. I want no parades, no medals, nor do I want to say I am an island, any more than Mr. Robinson could have been able to play baseball alone. He knew he needed teammates. He recognized he was part of a team but until the day he walked on the field, as a free and equal representative of his people, he also knew he was not fully a free man. Until the time when PAs own their own profession, take responsibility for it, and determine our own futures, we simply cannot be a fully free profession. To be beholden upon anyone else for the right to work after five, ten, twenty or fifty years of proving you are totally competent at what you do, robs you of your self-esteem. I don’t think we see what that does to us, but it’s effects are there. To have someone else responsible for your actions as a 35 or 45-year-old person is not healthy. To say that we are responsible for what we do, is all I want.

Full Responsibility or Optimal Team Practice will allow us to grow as a profession and as individuals. Our options will increase. We will walk and talk differently. We will look at everything we do in a different more positive light. And most importantly, we will join the ranks of every other medical, nursing and health profession who determine their own destinies every time their own Boards meet.

You can’t lead if the cards are stacked against you from the start. You can’t lead if the playing field is not level and ours has never been. You can’t lead if you are not willing to be responsible for yourself. You can’t lead if others already have significant advantages over you by legislation and by a system that legislates others to lead you. You can’t lead when the law says others have to “supervise” you every day of your professional life. Allow us to lead and I know we will show the world just how innovative, just how smart and just how committed we are.

All I want is a level playing field. If that angers some people, so be it. I am not worried about someone else’s anger. I believe they will see our point but even if they do not, the sky won’t fall. Everyone will eventually go back to doing what they do best. Our NP colleagues in 22 states have shown us that. But this goes farther than competing with any other profession. This is about who we PAs are and who we want to be. We could “leave well enough alone”. But that’s not how people progress.

Just ask Mr. Robinson.


Dave Mittman has been a PA and later NP leader for thirty years. He co-founded the LIU PA Program student society, was President of the New York State Society of PAs from 1978-1979 and served on the American Academy of Physician Assistants (AAPA) Board of Directors from 1981-1983. Dave was also the first USAF Reserves PA permitted to practice. Dave spent 9 years in primary care in Brooklyn, N.Y. and left to begin a career in medical publishing with Physician Assistant Journal. Dave has also won the AAPA Public Education award for leading the march in Trenton NJ to establish PA practice. Dave left PA Journal to co-found Clinicians Publishing Group (1990) and Clinician Reviews Journal in 1991. Dave has authored papers in publications as diverse as “Chicken Soup for the Expectant Mothers Soul”, “U.S. Pharmacist”, “The British Medical Journal” and others. Dave¹s paper in the BMJ was the first internationally written paper written on PA practice. Dave and a few very close PA colleagues co-founded the PAs For Tomorrow”” in 2012 which is a new national professional organization representing and advocating for PAs in an different way. Dave as spoken at hundreds of NP and PA meetings and always has some interesting thoughts on the future of both professions. Most recently Dave has been busy launching another dream; Clinician 1, the first internet community for PAs and NPs. Dave is married to his sweetheart Bonnie for 32 years and has two wonderful children.

1st Pharmacy Tech Administers Immunization

In March, Idaho passed the first law in the U.S. allowing pharmacy technicians to administer immunizations.

from Drug Store News

An Albertsons pharmacy technician has become the first in the nation to administer an immunization to a patient. The new ability for the technician is the product of new law in Idaho brought about by a partnership between Albertsons and Washington State University College of Pharmacy, who worked together to develop the first pilot program to train pharmacy technicians to provide immunizations with permission from the Idaho board of pharmacy.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.