*Preface*

*Acknowledgements*

*About the Author*

*Mary Lou's Journal*

*Genre 1: Poem*

*Genre 2: Power Point Presentation*

*Genre 3: Webliography*

*Genre 4: Guest Editorial*

*Genre 5: Interview*

*Genre 6: Lesson Plans*

*Reflection*

*References*

The following are excerpts from the daily lesson plans of Linda Ross, an SLP. She is working with a man named Bill who has Alzheimer's Disease. She works with Bill to help him compensate for deficits caused by Alzheimer’s.

Lesson Plan #1

Client Info:

Name: Bill Who
Age: 67
Date: 6/4/02

Objectives:
1) Bill will correctly identify 20 pictures out of 50 in his memory book in a 30-minute therapy session.

Procedures:
1) The clinician will ask Bill questions regarding pictures in his memory book while reinforcing him on a 1:1 ratio.

Materials:
Bill's memory book

Activities:
1) Memory book picture identification

Observations:
Bill did very well in therapy today. He was in a good mood, and cooperated with the clinician. He correctly identified 30/50 pictures in his memory book. This exceeded the set goal!

Lesson Plan #2

Client Info:

Name: Bill Who
Age: 67
Date: 6/11/02

Objectives:
1) Bill will tell 3 stories about things he remembers from his past in a 30-minute session.

Procedures:
1) The clinician will record important points from Bill’s stories to use in later memory exercises.

Materials:
No extra materials needed

Activities:
1) Recalling the past

Observations:
Bill told 3 stories today. He showed some of the signs typically seen in a person with AD when they are telling stories about their life. Narratives of persons with AD are less chronologically organized,include repetitions, omit salient events, and contain fewer detailed descriptions than do narratives of persons without AD (Usita, P.M.; Hyman, Jr., I.E.; et al, 1998).

Lesson Plan #3

Client Info:

Name: Bill Who
Age: 67
Date: 6/18/02

Objectives:
1) Bill will show the clinician how to make a peanut butter and jelly sandwich while describing the steps in a 30-minute session.

Procedures:
1) The clinician will ask Bill questions about sequence after he completes his task.

Materials:
Plate
Knife
Paper towels
Peanut Butter
Jelly
Bread

Activities:
1) Sequencing

Observations:
Bill successfully made a peanut butter and jelly sandwich during our session today. He seemed to have no trouble making the sandwich, but did have difficulty describing the steps. He also had some problems answering the questions about sequence after he made the sandwich. He thoroughly enjoyed getting to eat his sandwich after he made it. One reason this task is somewhat easier is because he could have made the sandwich in a few different ways, and still get the correct sequence. He may not do as well completing a task where every step had to be in a certain order (i.e. making a phone call from a pay phone).

This is a poem by Mabel, a woman starting to progress through the first stages of Alzheimer's disease. The phrases in caps are supposed to be things people who are developing Alzheimer's may say or think.

I'm getting older.
I'm starting to forget things,
Like where I put my car keys, my daughter's phone number, and the name's of people I don't see often.
IT'S PERFECTLY NORMAL TO BE A LITTLE FORGETFUL ESPECIALLY WHEN YOU ARE OLD.

I'm getting older.
I can't always speak clearly.
I know in my mind what I want to say,
But when it comes out of my mouth it makes no sense to anyone, including me.
My memory is getting worse.
The other day I forgot how to get home from the grocery store, but I eventually found my way so
IT'S NO BIG DEAL.
I'M FINE, REALLY.

I'm getting older.
I didn't tell my daughter about getting lost on the way home because I don't want her to worry about me, she has enough to worry about.
She wants me to come live with her and her family.
She doesn't like me living alone.
I've lived alone for fifteen years now, ever since John died. Oh, my dear Johnny.
I wouldn't want him to see me like this.
I DON'T WANT ANYONE TO SEE ME LIKE THIS.

I'm getting older.
What's the matter with me?
There are so many things I can't do anymore,
but that's just part of being old, right?
Things start failing and it's all downhill from here.
For some reason, I don't think all this is part of the "NATURAL AGING PROCESS".