Assessment, Staging, and Management of Middle Stage Dementia

Program Evaluation

We appreciate your participation in our continuing education activity. Your responses will allow us to improve our program offerings and services. Thank you for your time.

SECTION 1
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
1 = Totally ineffective, wouldn't recommend
2 = Somewhat ineffective, at least one serious deficiency
3 = Somewhat effective, acceptable but not outstanding
4 = Effective, meets high standards, would recommend
5 = Highly effective, among the best

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* 1. Rate the relationship between activity content to stated learning objective:

	1	2	3	4	5
Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia.	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. 1	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. 2	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. 3	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. 4	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. 5
Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia)	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) 1	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) 2	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) 3	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) 4	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) 5
Identify new programs and strategies in dementia care	Identify new programs and strategies in dementia care 1	Identify new programs and strategies in dementia care 2	Identify new programs and strategies in dementia care 3	Identify new programs and strategies in dementia care 4	Identify new programs and strategies in dementia care 5
List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia.	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. 1	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. 2	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. 3	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. 4	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. 5
Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches 1	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches 2	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches 3	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches 4	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches 5

Question Title

* 2. Using a rating scale of 0% (strongly disagree) to 100% (strongly agree), please indicate your level of agreement with each statement (1) BEFORE completing this educational activity and (2) AFTER completing the educational activity.

	Before	After
Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia.	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. Before menu	Identify non-pharmacological approaches to help manage mid stage Alzheimer's type dementia. After menu
Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia)	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) Before menu	Learn ways to prevent BPSD (Behavioral and Psychiatric Symptoms of Dementia) After menu
Identify new programs and strategies in dementia care	Identify new programs and strategies in dementia care Before menu	Identify new programs and strategies in dementia care After menu
List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia.	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. Before menu	List several cognitive rating scales and describe neuropsychological testing used to evaluate dementia. After menu
Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches Before menu	Describe commonly encountered neuropsychiatric symptoms that develop in dementia and treatment approaches After menu

SECTION 2:

Question Title

* 3. Rate the effectiveness of the presenter, Amy Halt, MD, PhD

	1	2	3	4	5
a. Presentation Style	a. Presentation Style 1	a. Presentation Style 2	a. Presentation Style 3	a. Presentation Style 4	a. Presentation Style 5
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4	b. Knowledge of Subject 5
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4	c. Quality of Material 5
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4	d. Practical applicability or relevance of topic 5

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* 4. Rate the effectiveness of the presenter, Laura Young, LICSW

	1	2	3	4	5
a. Presentation Style	a. Presentation Style 1	a. Presentation Style 2	a. Presentation Style 3	a. Presentation Style 4	a. Presentation Style 5
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4	b. Knowledge of Subject 5
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4	c. Quality of Material 5
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4	d. Practical applicability or relevance of topic 5

SECTION 3:

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* 5. What was the most significant thing(s) you learned today?

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* 6. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Yes

N/A

If yes, please describe:

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* 7. Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

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* 8. Are you interested in receiving continuing education credits?

Yes

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* 9. If yes, what type of continuing education credit are you interested in?

Nursing

Social Work

Certificate of Attendance

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* 10. Please enter your information (below) so we may send you a certificate

Full Name and Credentials

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Organization

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