Prises en charge non-médicamenteuses de la maladie d`Alzheimer

Institut d'Orthophonie
Gabriel DECROIX
MEMOIRE
Marie DUBOIS et Cendrine GROSCH
Prises en charge non-médicamenteuses de la
maladie d'Alzheimer et des maladies apparentées
dans le Nord-Pas-de-Calais : guide ressources à
destination des orthophonistes
 !"
TRAN Thi Mai#"$%&'(
Docteur MACKOWIAK Marie-Anne#)"#!!*!%'#*+
!","
'-

DUBOIS M. et GROSCH C., 2011
Remerciements
).
/01234
#
!!'
*0
)"
"
"0
)5
0
#2
""0
6! 77

DUBOIS M. et GROSCH C., 2011
Résumé :
8    #                
6950.:;;
<#"206
#3+".4
3"0'"
      4      0 6   
#"#
#/40
'"40
'  "   "        "  &0  )
.".
""#.#
0 8.
#  4      .    #          
2              .      "
0'44
 ")&1&&
##
"690
Mots-clés :
69-&&"&&-)&1&&
Abstract :
3#=69
>"="0:;;#<#3
03#3
3" ""0 ?"
      3    "      
40?"#
"=3#"#=
= 3"0 ,
3""&"0?
= =    )&1&&            
"0="#
0,=#
    #    =              
4    =          "  0   "      =
"            )&1&&  3
##"#"69
"0
Keywords :
69-3--"-&&)&1&&
@

DUBOIS M. et GROSCH C., 2011
Table des matières
Introduction..................................................................................................................9
Maladie d'Alzheimer et maladies apparentées : données théoriques et
problématique............................................................................................................12
1. Vieillissement.........................................................................................................13
00800000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@
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0@0'0000000000000000000000000000000000000000000000000000000000000@
0@00'0000000000000000000000000000000000000000000000000000000000000000000@
0@00'320000000000000000000000000000000000000000000000000000000000000000000000000000B
0@0@0'"00000000000000000000000000000000000000000000000000000000000000000000000000000B
2.Démences................................................................................................................15
00800000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000;
0080000000000000000000000000000000000000000000000000000000000000000C
0@0,"00000000000000000000000000000000000000000000000000000000000000000000000000000000D
0@00'69000000000000000000000000000000000000000000000000000000000000000000000000000000D
0@000E"690000000000000000000000000000000000000000000D
0@000E"0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000:
0@00@0'00000000000000000000000000000000000000000000000000000000000000000000000000:
2.3.1.3.1.Phase 1, le stade pré-clinique.....................................................18
2.3.1.3.2.Phase 2, le stade pré-démentiel..................................................18
2.3.1.3.3.Phase 3, le stade démentiel........................................................19
2.3.1.3.4.Phase 4, le stade démentiel évolué............................................19
0@00'000000000000000000000000000000000000000000000000000000000000000000000000
0@000E"0000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0@000F000000000000000000000000000000000000000000000000000000
0@00@0'0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0@0@0'.'=300000000000000000000000000000000000000000000000000000000000000000000
0@0@00G00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0@0@00'0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0@0B0'8"'F&?$8'F?(00000000000000000000
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2.3.4.2.1.La forme frontale ou comportementale.......................................23
2.3.4.2.2.La forme temporale......................................................................23
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0B00'0000000000000000000000000000000000000000000000000000000000000000000000000000000000000B
0B000'0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000;
0B000'40000000000000000000000000000000000000000000000000000000000000000000000000000000;
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0B00;0'0000000000000000000000000000000000000000000000000000000000000000000C
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0B00'0000000000000000000000000000000000000000000000000000000000000000000000000000C
0B000'3"000000000000000000000000000000000000C
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0B00B0E3000000000000000000000000000000000000000000:
B

DUBOIS M. et GROSCH C., 2011
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0B0C08""&000000000000000000@
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0;00'69000000000000000000000000000000000000000000000000000000000000000000000000000000@B
0;00'000000000000000000000000000000000000000000000000000000000000000000000000@B
0;0@0'.'=300000000000000000000000000000000000000000000000000000000000000000000@B
0;0B0'"&00000000000000000000000000000000000000000000000000@;
0C01"&000000000000000000000000000000000000@;
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0C00 000000000000000000000000000000@D
0C000'400000000000000000000000000000000000000000000000000000000000000000000000000000000@D
0C000',, 68$,, 68(000000000000000000000000@D
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2.6.5.1.1.La musicothérapie.......................................................................41
2.6.5.1.2.L'aromathérapie...........................................................................41
2.6.5.1.3.La luminothérapie........................................................................41
2.6.5.1.4.Stimulations multi-sensorielles de type Snoezelen.....................41
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3.Plans, structures et dispositifs légaux................................................................42
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@0@0;0'"0000000000000000000000000000000000000000000000000000000000000000000000000000000000000B;
@0@0C0'61.6$616(000000000000000000000000000000000000000B;
@0@0D0'1$1*(000000000000000000000000000000000BC
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;