Strategies for Memory Improvement in Older Adults

Jane S. Saczynski, PhD; George W. Rebok, PhD

Disclosures

Topics in Advanced Practice Nursing eJournal. 2004;4(1) 

In This Article

Abstract and Introduction

Abstract

Memory impairment is of great concern to middle-aged and older adults as well as their families. Memory is related to the ability to successfully perform tasks of daily living and to live independently. Longitudinal studies report conversion rates from mild cognitive impairment to a diagnosis of dementia of approximately 10% per year. Memory interventions focusing on modeling and practicing strategies specific to memory tasks show that memory decline can be retarded or reversed. Although memory interventions are often implemented outside of medical office visits because of time constraints, an office visit is a natural venue for the intervention of memory-related problems raised during the course of the visit. This article outlines the procedure for an advanced practice nurse (APN) to implement a memory intervention within the context of a 3-session office visit. Prevalence rates and risk factors for memory impairment are presented, assessments described, and treatment options offered. Strategies common to all memory tasks, as well as those specific to certain types of memory (eg, memory for names, memory for lists) are described. Case vignettes describe various types of memory impairment. Clinical implications and the role of the APN are discussed.

Introduction

Cognitive decline is one of the consequences of aging most feared by older adults and their families. Intellectual function is strongly related to the ability to perform tasks of daily living[1,2] and, in turn, to live independently. The topic of memory decline has received considerable attention in the news media and in gerontologic study. Most likely this is because memory is involved in most aspects of daily living, making it a cognitive ability most people can relate to. People are also often acutely aware of problems with their memory since memory difficulty may lead to embarrassing (eg, forgetting the name of a coworker) or dangerous (eg, forgetting to take prescription medications) situations. Given the importance of memory ability in everyday life and memory concerns with increasing age, interventions have been proposed to prevent or reverse memory decline.

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