Breaking Barriers: Navigating EBP in Major

Neurocognitive Disorder
Samantha Wannstedt, OTS-swannstedt@chatham.edu
Alisa Pellegrino, OTS-alisa.pellegrino@chatham.edu
Laura Collignon, OTS-laura.collignon@chatham.edu
Emily Eckard, OTS-emily.eckard@chatham.edu
Jodi Schreiber OTD, OTR/L, C/NDT-jschreiber1@chatham.edu
Objectives:
1. Acknowledge the interchangeable (nomenclature) use of the terms Dementia and
Major Neurocognitive Disorder (MNCD).
2. Recognize the need for implementation of evidence-based practice in the MNCD
population.
3. Understand potential facilitators, barriers and solutions to implementing
evidence-based intervention for the MNCD population in OT intervention settings.
4. Determine which interventions are being used with the MNCD population.
Rationale for study:
Occupational therapists play an important role in facilitating occupational
performance with the dementia population.
Occupational therapists use evidence in practice in order to provide current,
effective treatment to clients.
Facts/Results:
Top treatment priorities in:
SNF: family/caregiver education, ADL performance, cueing
LTC: family/caregiver education, environmental modification,
compensatory strategies, cueing
Home Health: family/caregiver education, environmental modification
Facilitators to Implementing EBP
Support from other staff members
Evidence supporting the interventions
Continuing education courses
Applicability to clients needs
Support from upper-level management

Barriers to Implementing EBP

Lack of resources/funding
Lack of time
Poor communication between staff
members
Limited research
Decreased confidence in
implementing new interventions

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