Alzheimer’s Disease and Related Disorders COMD 7389

Class Room: CD1A.229

Class Time: 2:00-4:45pm

Instructors: Prof. Sandra B Chapman Raksha Anand

Office Hours: On appointment
E mail: schapman@utdallas.edu
Office: A. 109
Office Hours: Wednesday 4:45-5:15pm
(By appointment)
Office Phone: (214) 905 3162
E mail: rakshar@yahoo.com

Dates Topic Readings

January 12 Aging and Dementia: An
overview
January 19 Definition of dementia W & L: Ch 5
Types of dementia
(reversible and irreversible) Supplementary Reading:
Cognitive-linguistic profiles G & H- Ch1 & 2
January 26 Alzheimer’s disease and Research Articles 1& 2
cognitive-linguistic profile
in various stages
February 2 Frontotemporal lobar Research Articles 3 & 4
degenerations and
cognitive- linguistic profiles
February 9 Medical evaluation
Neuroimaging W & L: Ch 3
Differential diagnosis of
dementia
February 16 Cognitive-linguistic Research Articles 5 & 6
evaluation of dementia

February 23 Cognitive-linguistic
evaluation of dementia:
workshop
March 2 In class mid term

March 16 Neuropsychological W& L: Ch 2 & 8

perspectives
March 23 Medical management W & L: Ch 6 &13
Behavioral management
Cognitive intervention Supplementary reading:
 G & H: Ch 6
March 30 Management of G & H: 5
communication function:
Direct intervention Supplementary reading:
Research Articles: 7, 8, 9
April 6 Caregiver intervention W& L: 9

Supplementary reading:
G & H: 5
Research article: 10

April 13 Role of Speech Language G & H: 10

Pathologist in assessment Research article: 11 & 12
and management in various
settings (hospital, rehab
centers, university clinics
etc)
Ethnicity and dementia
April 20 Resources for professionals, W& L: Ch 11
patients, and family
Students share their
narratives in class
April 27 In class final

Text Books:

1. Weiner, M. F., & Lipton, A. M. (2003). The dementias: diagnosis, treatment &
research (3 ed.). Washington, DC: American Psychiatric publishing, Inc. ISBN 1-
58562-043-2

2. Garratt, S., & Hamilton-Smith, E. (1997). Rethinking dementia: an Australian

approach (ed.). Preston,Victoria: Ausmed Publications.

Research Articles:

(1) Bohling, H. R. (1991). Communication with Alzheimer’s patient: An analysis of

caregiver listening patterns. International Journal of Aging and Human
Development, 33, 249-267.

(2) Chapman S. B. (1997). Discourse markers in Alzheimer’s disease versus normal

aging. In Special interest division in neurophysiologyand neurogenic speech and
language disorders: recent breakthroughs in Alzheimer’s disease (pp 4-10).
Rockville, MD: ASHA
 (3) Neary D, Gustafson L, Passant U, Stuss D, Black S.E., Freedman M et al.
Frontotemporal lobar degeneration: A consensus on clinical diagnostic criteria.
Neurology 1998; 51(6):1546-1554.

(4) Rochon E, Jokel R. Alzheimer's Disease and Semantic Dementia. ASHA Division
15 Newsletter -- Perspectives on Gerontology 2002; 7(2).

(5) Chapman, S. B., Ulatowska, H. K., Franklin, L. R., Shobe, A. E., Thompson, J.
L., McIntire, D. D. (1997). Proverb interpretation in fluent aphasia and
Alzheimer’s disease: implications beyond abstract thinking. Aphasiology, 11,
337-350.

(6) Chapman, S. B., Zientz, J., Weiner, M., Rosenberg, R., Frawley, W., & Burns, M.
H. (2002). Discourse Changes in early Alzheimer’s disease, mild cognitive
impairment, and normal aging. Alzheimer’s Disease and Associated Disorders,
16, 177-186.

(7) Bourgeois, M. S. (1992). Evaluating memory wallets in conversations with

persons with dementia. Journal of Speech and Hearing Research, 35, 1344-1357.

(8) Chapman, S. B., Weiner, M. F., Rackely, A. Hynan L. S., & Zientz, J. (2004).
Effects of cognitive-communication stimulation for Alzheimer’s disease patients
treated with donepezil. Journal of Speech Language and Hearing Research, 47,
1149-1163.

(9) Moss S. E., Polignano, E., White, C. L., Minichiello, M. D., & Sunderland, T.
(2002). Reminiscence group activities and discourse interaction in Alzheimer’s
disease. Journal of Gerontological Nursing, 28, 36-44.

(10) Ripich, D. N., & Ziol, E. (1999). Training Alzheimer’s disease caregivers for
successful communication. Clinical Gerontologist, 21, 37-56.

(11) American Speech-Language Hearing Association. (1988, March). The roles of

speech-language pathologists and audiologists in working with older persons,
Asha, 30, 80-84.

(12) American Speech-Language Hearing Association. (1987). The roles of speech-

language pathologists and audiologists in habilitation and rehabilitation of
cognitively impaired individuals. Asha, 29, 53-55

Assessment

Exams: 2

1.In class mid term (short essays)- Date: 03/02/05 (30%)

2.In class final (short essays)- Date: 04/27/05 (30%)

Projects: 2

1.Share in class one recent breakthrough in dementia research published in popular

press that is supplemented by 2 scientific sources. Submit half page (double
spaced) written summary. (10%)

2. Interact with a patient and caregiver to understand life before and after diagnosis of
dementia and write a 5 page double spaced narrative based on your experience
following the outline given below:

General impressions: When I met Mr. B, I was struck by …..

Life before diagnosis: As I visited with him I learned to appreciate the incredible
life he had lived. Working in …

Diagnosis: Mr. B said he knew something wasn’t right when he couldn’t make
change for a train while on vacation. And there were other challenges as well …

Life after diagnosis: Mr. B’s positive attitude continues to permeate his life, even
after a diagnosis of _____. For instance …

Recommendations: B’s social nature has helped him find ways to address
his challenges in communication. List strengths and weaknesses. Recommend
treatment to maintain Mr. B’s functional competence by weighting the pros
and con’s of various treatment approaches.

Assignment Due: 04/20/05 (30%)