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Read e-book online Overcoming Deficits of Aging: A Behavioral Approach PDF

By Roger L. Patterson

ISBN-10: 1461592631

ISBN-13: 9781461592631

ISBN-10: 1461592658

ISBN-13: 9781461592655

That older sufferers might be effectively taken care of has just recently been well-known through pros and via older people themselves. That older individuals is also taught new abilities or retaught formerly present talents constitutes even more moderen wisdom. via targeting the reversibility zero/ behavioral defidts within the aged the authors, below the management of Dr. Roger Patterson, have made either a systematic and a humanitarian contribution to the health and wellbeing of older individuals. during this quantity they've got awarded a theoretical foundation and a realistic how-to approach to overcoming behavioral deficits. they've got validated that their modular means of fostering better functioning in such components as actions of day-by-day residing and sodal talents not just has been winning but in addition has allowed contributors to come to much less restrictive environments or to fully self reliant residing. The method is an interdisciplinary one, accurately seeing that older humans usually adventure diffirulties in a number of components of functionality­ ing. The authors have attempted to combine social, scientific, and behav­ ioral methods, with an emphasis on behavioral methodologies. even supposing this publication bargains basically with behavioral ways to remedy of the aged in one atmosphere, the amount c1early con­ stitutes achallenge to different scientists and clinicians to use the ideas defined the following in different settings. A clinical colleague of mine, a geriatrician, lately expressed the opinion that he had by no means encountered an older sufferer for whom he couldn't do anything to enhance health.

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It was essential in working with a dient that the least amount of assistance resulting in the appropriate completion of the response be provided. For example, in the ADL I module, we often found that we had to start with occasional physical assistance to ensure that the dient completed fingernail care appropriately. The key to successful prompting, however, was the ability then to use only gestural prompts and finally only verbal prompts to get the dient to complete the behavior appropriately. Once the dient was completing fingernail care appropriately with only a verbal prompt to initiate the behavior, the verbal prompt was faded.

When the dient had behaved appropriately for aperiod of time, he was asked to continue in the group. When using exdusion time-out, it is essential to implement the procedure when the disruptive behavior is occurring or immediately after the occurrence. It is also essential that the procedure be implemented with a minimum of verbal interaction. Occasionally it is nec- BEHAVIORAL PRINCIPLES AND TECHNIQUES 45 essary to use graduated guidance in removing the dient from the group and to direct hirn to a neutral area of the unit.

It is often difficult to determine just what approximation will be reinforced prior to implementation of the procedure. The appropriate shaping technique involves reinforcing the client's self-initiated approximations rather than reinforcing a client for conforming to predetermined steps. When using shaping, one must be flexible enough to allow for a "molding" of behavior just as a potter does in molding a vase from an initial amorphous piece of moving day. Backward Chaining Backward chaining is a technique used to teach a complex task by dividing the task into separate, sequential steps (behaviors); the chain is then taught sequentially beginning with the last step first and progressing backward until the entire chain is acquired.

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Overcoming Deficits of Aging: A Behavioral Approach by Roger L. Patterson


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