SPEAKER BUREAU




Yes! I would like to be a member of the Alzheimer's Services Speaker Bureau. I am available to speak (with adequate notice) on the following days and times:

Please indicate all days and times that you are available:

Morning
Noon
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

I can present information on the following topics (check all that apply):

An Overview of Alzheimer's Disease
Caring for Someone with Alzheimer's Disease
What is Alzheimer's Services of the Capital Area and the Services it Provides to the Community?
Wandering / Safe Return
Communicating with an Alzheimer's Patient
Managing Aggressive Behavior

Nursing Care of the Confused Client
Fall Prevention Program
Psychotropic Medications
Sundowning
Restraint Reduction Measures

Managing Caregiver Stress
Activities for People with Dementia
Assessing for Dementia
Care/Service Plan Development
Validation Therapy and other Ongoing Care Strategies

Late Stage Care
Managing Symptoms of Dementia - Depressions, Hallucinations, etc.
Legal Questions
Getting a Diagnosis / Seeing the Doctor
Tqaking the Car Keys Away
Other_____________________________________________________________
Other_____________________________________________________
Other_____________________________________________________

YES! I am also willing to appear on early morning TV shows (2une In, Nine News This Morning, 33 Today) to discuss Alzheimer's disease issues and promote local Alzheimer's Services events.

Name:________________________________________________ Daytime Phone:_________________________

Mailing Address:_______________________________________________________________________________

______________________________________________________________________________________________

Thank you!

Please mail this form:

Alzheimer's Services of the Capital Area
3772 North Blvd., Ste. B
Baton Rouge, LA 70806