Posts Tagged ‘exercising your brain’

Resident to Resident Altercations

Saturday, August 22nd, 2009

Resident to Resident Altercations

            Resident to resident altercations can be a serious and difficult issue to face as a caregiver in a nursing home.  Aggressive behaviors can be verbal (yelling, cursing, name calling) or physical (hitting, pushing).  These events can occur without any provocation or because of a misinterpretation of facts or situations.  Caregivers must be able to respond appropriately when one resident begins arguing or fighting with another resident.

              No group of people living together will get along all of the time.   Even the closest families will argue or become annoyed with one another.  Residents living on an Alzheimer’s Care Center are confused due to the cognition loss that they are experiencing from the disease process.  A roommate for example is a stranger, in most cases, that she has never met before.  She is now sharing this space with someone who she is expected to trust automatically.  If she is already experiencing paranoia then becoming accustomed to sharing her space may even be more of a challenge.  When this is tied together with the fact that all of the residents are living with the same cognition loss and confusion about living in an unfamiliar place, the situation may be fertile for aggression.

            Caregivers must approach the situation in a calm manor.  Typically residents with dementia suffer from lability.  They will mirror the emotions of those around them.  If caregivers rush into a situation yelling, pushing, or threatening, the resident will become even more aggressive.  Caregivers must try to identify the immediate cause of the agitation.  What happened right before the incident occurred?  What is occurring in the environment?  Is it too loud?  Caregivers should focus on feelings and not facts.  Validate what the person is feeling and help put those feelings into words.  “I understand you do not want Sally in your room.  Tell me about this photo of your mother.  Did you help her with the garden she is standing next to in this photo?”  Once a caregiver has been able to put those feelings into words, then use redirection to help refocus the energy onto a new task. 

            The best way to eliminate resident to resident altercations is prevent them before they occur.  Programming is the key to success with this goal.  Caregivers should integrate as much of a resident’s past interests into her current daily schedule.  This will not only help the resident to feel as though she has a purpose, it will also prevent boredom.  The need for a purpose does not diminish as a person’s dementia progresses.  In fact, staying focused with purpose is as important in the late stages of the disease process as in the early stage.

            Caregivers need to remember the following important tips in dealing with resident to resident altercations:

·         Never raise your voice to the residents fighting

·         Focus on the feelings not on the facts

·         Limit distractions during the incident

·         Validate feelings and help put those feelings into words

·         Shift focus onto another activity

·         Prevent behaviors by developing a person centered daily purpose programming calendar.            

For more information call 317-218-5111 or www.behomelivelife.com.

Socialization Important For Memory

Tuesday, June 23rd, 2009

This article discusses recent findings regarding socialization and it’s affects on Alzheimer’s and other related dementias.  Interestingly, more and more research is proving socialization is vital to conserving cognitive function as we age.  It is a reminder in the value of staying connected with others.

 

Study links seniors’ loneliness to higher risk of dementia

 

By Kathleen Fackelmann, USA TODAY

Loneliness may put people at risk of an Alzheimer’s-like dementia, a study reported Monday.

“People who described themselves as lonely were twice as likely to develop dementia,” says researcher Robert Wilson of the Rush University Medical Center in Chicago.

Other studies have found that people who are unmarried and socially isolated are at higher risk for dementia, including Alzheimer’s. But this study is one of the first to show a link between loneliness — or the feelings of disconnection from other people — and a higher risk of developing dementia late in life, says Laurel Coleman, a spokeswoman for the Alzheimer’s Association and a geriatrician in Portland, Maine.

Wilson and his colleagues studied 823 people who were about 80 years old and had no sign of dementia at the start of the study. The team gave the recruits a loneliness quiz and tested them annually for signs of memory loss and confusion, two key signs of dementia and Alzheimer’s.

During the four-year study, 76 people developed an Alzheimer’s-like dementia, Wilson says. The risk of developing dementia increased about 51% for each one-point increase on the loneliness scale. People with the highest scores had 2.1 times the risk of developing dementia, a group of conditions that destroy brain cells and lead to mental confusion. Alzheimer’s is the most common form of dementia.

Autopsies were performed on 90 people who died during the study. The researchers found no link between loneliness and the development of the abnormal brain deposits that are the hallmark of Alzheimer’s.

That finding suggests loneliness might be triggering dementia through a novel mechanism — one that doesn’t lead to a brain riddled with deposits, Wilson says.

One theory is that people who are lonely over long periods of time might have higher levels of damaging stress hormones. The elevated stress hormones might lead to an accelerated aging of the brain — and perhaps to dementia, Wilson says.

Other research suggests lonely people are at risk of other health problems such as cancer and high blood pressure, says John Cacioppo of the University of Chicago. Still, he says, the new finding, which appears in February’s Archives of General Psychiatry, must be verified by additional research.

The findings didn’t change much when the team factored in markers of social isolation, such as infrequent participation in social events. That means that people who have a small number of good friends might be better off than those with a busy social schedule but chronic feelings of loneliness, Wilson says.

But lonely people often benefit from signing up for a new class or activity, Coleman says. Research shows that such activities might protect aging brain cells. And seniors who are out and about are more likely to make new friends, which might lessen feelings of loneliness, she says.

For more information contact 317-218-5111   or www.behomelivelife.com.

Sensory Kit: Spiritual

Wednesday, April 1st, 2009

Approach and Communication

 

            As Alzheimer’s disease progresses it can impact the way a person may communicate.  Communication is vital in the care giving process.  It is the way we express our ideas, feelings, and wants.  In order to maintain a quality life, this basic need must be met.   

 

            An individual with Alzheimer’s may have trouble finding the right words, may misunderstand statements that are made, may repeat the same words or statements, or may revert to speaking a native tongue.  As the disease progress, caregivers may also see the person relying more on gestures than words.  For example, it may be easier to point to an object such as a cup of water, than to ask for a drink.  She may pat the sides of her waist to indicate she needs to go to the bathroom.  Some people may have trouble speaking in coherent statements where the phrases sound more like “word salad.”  Word salad is an incomprehensible mixture of incoherent words or phrases.    Caregivers must rely on gestures and other forms of nonverbal communication in order to understand what the person is trying to communicate.

 

            Despite the fact that communication may become more challenging as Alzheimer’s disease progresses, sensitive ongoing communication is important.  Although the person with Alzheimer’s may not respond to each statement, she still benefits from continued communication.

 

Tips to enhance communication:

 

·         Identify yourself by name and what you are going to do for/with the person. Even if you have known the person for years, it is still important to identify yourself and the task.

·         Call the person by his/her familiar name.

·         Use short, simple, one step instructions

·         Give the person plenty of time to respond to questions and statements

·         Limit available choices to two (2) for the person to decide from ( i.e. the blue dress or the red dress, a brownie or ice cream)

·         Don’t ask questions that rely on memory (remember when you ate eggs for breakfast last week?).

·         Speak in a strong clear voice; don’t yell unless the person has a hearing impairment.

·         Don’t talk down or childlike.

·         Turn negatives into positives. Say “Let’s go here” instead of “Don’t go in there.”

·         Turn questions into statement.  Say “Let’s go eat” instead of “Are you ready for lunch?”

·         Be aware of your tone of voice.  Convey an easy going attitude.

·         Approach from the front and never from behind.

·         Use positive, friendly facial expressions.

·         Be aware of your stance – avoid standing with hands on the hip or crossed arms.

·         Focus on feelings not on facts.

·         Validate feelings and help put those feelings into words.

·         Be patient, flexible and understanding.

 

 

            Good communication will bolster self worth, validate feelings, stimulate memories, and calm and reassure.

Approach and Communication

Tuesday, March 31st, 2009

Approach and Communication

 

            As Alzheimer’s disease progresses it can impact the way a person may communicate.  Communication is vital in the care giving process.  It is the way we express our ideas, feelings, and wants.  In order to maintain a quality life, this basic need must be met.   

 

            An individual with Alzheimer’s may have trouble finding the right words, may misunderstand statements that are made, may repeat the same words or statements, or may revert to speaking a native tongue.  As the disease progress, caregivers may also see the person relying more on gestures than words.  For example, it may be easier to point to an object such as a cup of water, than to ask for a drink.  She may pat the sides of her waist to indicate she needs to go to the bathroom.  Some people may have trouble speaking in coherent statements where the phrases sound more like “word salad.”  Word salad is an incomprehensible mixture of incoherent words or phrases.    Caregivers must rely on gestures and other forms of nonverbal communication in order to understand what the person is trying to communicate.

 

            Despite the fact that communication may become more challenging as Alzheimer’s disease progresses, sensitive ongoing communication is important.  Although the person with Alzheimer’s may not respond to each statement, she still benefits from continued communication.

 

Tips to enhance communication:

 

·         Identify yourself by name and what you are going to do for/with the person. Even if you have known the person for years, it is still important to identify yourself and the task.

·         Call the person by his/her familiar name.

·         Use short, simple, one step instructions

·         Give the person plenty of time to respond to questions and statements

·         Limit available choices to two (2) for the person to decide from ( i.e. the blue dress or the red dress, a brownie or ice cream)

·         Don’t ask questions that rely on memory (remember when you ate eggs for breakfast last week?).

·         Speak in a strong clear voice; don’t yell unless the person has a hearing impairment.

·         Don’t talk down or childlike.

·         Turn negatives into positives. Say “Let’s go here” instead of “Don’t go in there.”

·         Turn questions into statement.  Say “Let’s go eat” instead of “Are you ready for lunch?”

·         Be aware of your tone of voice.  Convey an easy going attitude.

·         Approach from the front and never from behind.

·         Use positive, friendly facial expressions.

·         Be aware of your stance – avoid standing with hands on the hip or crossed arms.

·         Focus on feelings not on facts.

·         Validate feelings and help put those feelings into words.

·         Be patient, flexible and understanding.

 

 

            Good communication will bolster self worth, validate feelings, stimulate memories, and calm and reassure.

Alzheimer’s in the News

Monday, March 30th, 2009

This week in the news, the Alzheimer’s Association released its Facts and Figures 2009.  According to the Alzheimer’s Association 5.3 Million Americans have Alzheimer’s disease and the direct and indirect cost to the nation is $148 billion dollars annually.  Additionally, Newt Gingrich presented The National Alzheimer’s Strategic Plan for improving the care of those with Alzheimer’s disease and other related dementia to Congress.

What are you going to do to make a difference in the lives of those with Alzheimer’s and their caregivers? 

So often we become stuck in the mindset that people with dementia have no hope.  The media often reports the stories of heart ache and despair, but we never hear the heroic stories of people making a difference for others being afflicted with this devastating disease.

Who are those heroes?

·         Families who continue to make life the life of the loved one valuable even when that means adapting past interests to current abilities

·         Families who continue to visit their loved one even when it appears she doesn’t remember them any longer

·         Family members who regularly rotate care and responsibility to ensure the primary caregiver receives some respite

·         Caregivers in long term care who engage their residents in dementia with personally meaningful activities

·         Caregivers who provide care despite  Congress cutting Medicare/Medicaid benefits

·         Owners of nursing homes who put Person Centered Care before the dollar

·         Innovators who continue to find new ways to bring quality of life to some who can no longer remember

Are you making a difference?  Do you know where to begin? 

For more information:  Call 317-218-5111 or www.alzcaregroup.com

House Acts on Elder Abuse

Tuesday, February 17th, 2009

In today’s edition of the McKnight’s Long-Term Care News and Assisted Living Newsletter I read this article on legislation that has been passed protecting our Seniors against abuse. 

 

Economic stimulus legislation hasn’t been the only item on Congress’s plate lately. The House of Representatives Wednesday passed a bill that would fund elder abuse prosecution and establish education and therapy programs for victims and their families..”

The Elder Abuse Victims Act sailed through the House with a 397-25 vote. As part of the bill, Congress would direct the attorney general’s office to conduct research into current state and local elder abuse prevention programs. The legislation also would provide funding for elder abuse prosecution at local, state and federal levels, as well as law enforcement training and nurse-investigators to identify and evaluate elder abuse cases.

Between 1 million and 2 million seniors in the U.S. have suffered abuse, according to the bill’s sponsor, Rep. Joe Sestak (D-PA). There is currently no Senate companion bill, though Sestak has said the Senate would likely pass a bill soon.”

 

Call to Action:  Contact your Senator today.   Ask your Senator to pass a similar bill soon to protect those at risk for elder abuse. 

 

            Care giver stress often leads to elder abuse in all care giving settings.  Alzheimer’s Care Group can provide strategies and develop programs to enhance the quality of life for all care partners in long-term care settings.  For more information:   www.alzcaregroup.com

Dementia Training: Audo Conferences

Friday, January 23rd, 2009

Audio Conferences on Dementia Care

 

The absolute best you can do for your families, guests, and residents – and your staff – is to make sure that every day is meaningful.  This means…

 

That the day is filled with activities your residents want to do and with which they are already familiar. 

 

That their daily care optimizes their ability to “do for themselves” and is respectful and dignified. 

 

And that their living environment is safe and secure, yet inviting, warm, and familiar. 

 

How do you make sure that everyday you have a variety of activities for your residents that are what they WANT to do and are FAMILIAR? 

Better yet, how do you make sure those very same activities PREVENT behaviors so your residents feel more secure and your staff more satisfied? 

Your time is valuable.  You need “just in time” resources and “just right answers”.  We’ve got both.

Reserve your place today at our interactive audioseminars.

90 minutes each

Complete with written materials you’ll receive prior to the session, a question/answer session, a continuing education certificate, and follow up materials

Each seminar is only $47.97

Wednesday, February 4, 2009

10am PT, 11am MT, Noon CST, 1pm Eastern   90 minutes in length

Register Here or call us at (317)218-5111

TITLE:         Every Day Can Be a Meaningful Day for Everyone

Description:  Using personally meaningful activities and life-long roles to ENGAGE

                  residents and staff. Prevent behaviors, and provide joy in the daily work
                      for your staff.

Learning Objectives: 

  • Review the science of dementia as it relates to behaviors, delirium, and the heirarchy of human needs
  • Develop a paradigm shift from needing to “manage” behaviors (after the fact) to believing in the power of the PREVENTION of behaviors.
  • Implement “personally meaningful days™” that are SUSTAINTABLE
  • Eliminate resident to resident altercations
  • Implement successful “just in time” strategies to daily care that eliminates the battles and restores dignity and respect of the resident/guest.

 

www.alzcaregroup.com

 

Daily Journals For Caregivers

Friday, January 2nd, 2009

I recently received a call from a daughter caring for her dad with Alzheimer’s.  Her challenge was communicating with the family physician about Dad’s care.  It seemed that each time Dad went to the doctor, he was able to answer the questions perfectly therefore the doctor didn’t think there was cause for concern.  What the doctor didn’t know however was that five minutes after leaving the office, Dad couldn’t remember that he’d even been to the doctor that day.  Care at home was becoming increasingly more difficult because the family was not able to get him to take a bath, his meds, or (at times) eat. 

            One of the best tools that families can utilities when preparing for any kind of visit to a physician is a daily journal.  In this journal, a care giver can keep track of all the important information that the physician will need to know.

            My family encountered this same situation when my grandfather began having challenges due to Alzheimer’s.  Providing the doctor a clear picture of what was occurring daily made it easier for him to prescribe medication and advise my grandfather.  When it came time to give up the keys to his truck, he did so willingly because the doctor advised it.  Had that bit of information come from his family he would have fought us.

 

The Alzheimer’s Association recommends the following list:

 

·        Any medications taken that day.  List any over the counter, prescribed, or herbal   remedies.

 

                                    -Medication name

                                    -Dosage

                                    -Time of day taken

 

·        Changes in:

 

                                    -Behavior

                                    -Memory

                                    -Personality

                                    -Activities of daily living (such as bathing, eating, dressing, etc.)

                                                How much assistance does the person with AD need to

                                                complete these tasks?

 

·        Activities the person with AD enjoyed that day and how much assistance was needed to complete these events.

 

·        Caregiving strategies that worked and those that did not. 

 

            Caregivers should also remember to note when they themselves are feeling overwhelmed in certain situations.  Asking for help in these situations should never be considered a failure and is encouraged in order to maintain the caregiver’s own health and well-being.

 

www.alzcaregroup.com

 

www.behomelivelife.com

Keeping the mind exercised

Monday, February 18th, 2008

If you turn on the news, you will probably hear something about “brain games.” What exactly are brain games anyway? They are games that stimulate the brain, and give your brain a work-out. Many games we are used to playing do not require much thought. I remember when I was younger my brother and I would have SORRY tournaments. SORRY, even though I still love the game, is not a brain game.

You may wonder why I would blog about these type of games on an Alzheimer’s blog. Back in 2006 the Alzheimer’s Association and USA Today reported that the use of these games could improve speech and brain dysfunction.  The use of these games could also improve memory and problem solving skills and reduce the Alzheimer’s disease process.  Keeping the mind exercised has always been an important part in the treatment for Alzheimer’s.

So, how can you start exercising the brain? Glad you asked. Here are a few suggestions on keeping your brain and your loved one’s brain healthy and active:
-Any Soduko games-you can find these games at any major retail store such as Target, Walmart, Meijer etc…
-Nintendo Wii- These are also used in nursing homes and assisted living homes across the country right now. You can play golf, tennis and even bowling.
-Try new technology!  This is a great way of keeping the brain active as well.  Just by getting on the computer and learning how to e-mail will keep the brain exercised.
-Scrabble- this game has been a long for years, and if you don’t cheat by using the dictionary, it is a great way to exercise that brain of yours!  And for all those tech-geeks out there, you can now even play this game online!