Abstract:

This article of the paper focuses mainly on cognitive rehabilitation and related education and its possible impact on patients with cognitive problems, in this case with Alzheimer's disease, the most frequently diagnosed form of dementia in the Czech Republic, and is therefore one of the most restrictive and limiting illness of seniors in our country with a relatively high frequency of premature death. First symptoms of Alzheimer’s disease are usually spotted around the 65th year of life and then progresses. Individual progression of this disease usually goes through the mild/early stage where cognitive functions are slightly disrupted, then following the moderate/middle stage, where patients show notable disruption of cognitive functions followed by worse orientation in time and space. The last severe/late stage of the disease is connected with significant disorientation, including uncertainty about self-identity and in some cases also followed by nutrition intake and eating disorders. For the purpose of our research we used 20 probands in elderly age (100 % of which were women ages 65-73). Based on this data selection we chose 20 probands from one senior care institution. These were chosen by random selection and were divided then into two groups: experimental (active participation during intervention - 10 porbands) and control (passive participation - 10 probands). A standardized test was used for this purpose: Bristol daily activity scale, which was used twice as entrance (input) and output diagnostic tool. Then the data sets could be compared with each other. The results of this study point to the fact, that repeated cognitive rehabilitation for people suffering from Alzheimer’s has a positive effect. The therapy used standard work therapy (ergotherapy) procedures, special education techniques (pencil and paper techniques) and gaming console X Box© with movement sensor Kinect©. The recommendation for general practice is then repeated with cognitive stimulation of individuals suffering from Alzheimer’s disease. The activation and use of modern technologies is offering a wide range of activities, which we can offer. We then have to avoid the development of stereotype effect, due to which the activities may lose their effect and intensity over time. In conclusion, we would like to mention that just intensive and intensive care for these clients can have a positive impact on their components of cognitive functions and thus also positively influence the management of ADL (daily life activities - hygiene, meals, etc.).

Keywords:

Alzheimer disease, elderly education, ergotherapy, special education-intervention, comprehensive rehabilitation, pedagogical intervention.