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New Programming Methods for Persons with Dementia

New Programming Methods for Persons with Dementia. Sarah Kneisler, RMT/NHA skneisler@new.rr.com 920-655-7162. Retrogenesis. Dr. Barry Reisberg- “Retrogenesis” FAST Stages Acquired Abilities/Lost Abilities. FAST Stages. FAST Stages. FAST Stages. FAST Stages. Declarative Memory

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New Programming Methods for Persons with Dementia

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  1. New Programming Methods for Persons with Dementia Sarah Kneisler, RMT/NHA skneisler@new.rr.com 920-655-7162

  2. Retrogenesis Dr. Barry Reisberg- “Retrogenesis” FAST Stages Acquired Abilities/Lost Abilities

  3. FAST Stages

  4. FAST Stages

  5. FAST Stages

  6. FAST Stages

  7. Declarative Memory The“what” of memory Facts Events Facts Events World Knowledge Vocabulary Based on a Model by Larry Squire

  8. Procedural, “Muscle Memory” or Motor Learning The “how” of memory Skills/Motor Learning Habits Classical Conditioning Priming Based on a model by Larry Squire

  9. Memory Exercise • What did you eat for supper last night? • Making coffee • Typing an email to a co-worker • Rollerblading • Eating with your left hand • Folding laundry

  10. Memory Exercise • Who is the President of the United States? • Driving to work • Turning pages • Is a Cicada an animal, vegetable or mineral? • Reading

  11. Symptoms of Moderate Dementia • Increasing memory loss/confusion • Shorter attention span • Problems recognizing close friends/family • Repetitive statements/movements • “Sun-downing” and restless nights

  12. Symptoms of Moderate Dementia • Difficulty organizing thoughts, thinking logically and making decisions • Can’t find the right words: May not be able to name common objects** • Difficulty completing skills with multiple steps • Problems with writing, reading and numbers • May be suspicious, irritable, fidgety, teary or silly

  13. Symptoms of Moderate Dementia • Loss of interest in ADLs, won’t bathe, afraid to bathe, appear sloppy • Has trouble dressing and eating • Gains and then loses weight • May see or hear things that are not there

  14. Symptoms of Moderate Dementia • Perceptual motor problems (walking) • Loss of impulse control • Need full time supervision • Problems with “form consistency” • Time becomes an abstract concept • Has difficulty with open-ended questions (offer this OR this)

  15. Understanding Time __ Breakfast __ Exercises __ Visit from Family __ Lunch __ Nap __ Activity __ Supper

  16. Moderate DementiaResponse to Activities • Can reminisce-long term memory intact-needs to be more “prop-driven” • Can read words even after ability to recognize pictures is lost • Can participate in “life skill” programs • Can sing/hum to familiar tunes

  17. Moderate DementiaResponse to Activities • Responds well to activities that promote ROM, coordination and self-feeding • Object permanence continues • Sense of curiosity remains

  18. Moderate DementiaResponse to Activities • Can follow short simple directions (5 to 6 words only) • Respond better to demonstration and gestures rather than talking • Benefits from procedural learning May not remember doing the activity, but will remember the task when given the materials

  19. Activities for Moderate Dementia“Life Skills” • Stud-Finder • Paper folding and tearing • Remote controls • Flower arranging/plant watering • Using a template

  20. Activities for Moderate DementiaMental Stimulation Passive ProgramsActive Programs Entertainers Name that Tune Bingo Spelling Bees Reading/Lecturing Story Writing Videos Sharing Memories

  21. Activities for Moderate DementiaMental Stimulation Word Bingo

  22. Activities for Moderate DementiaMental Stimulation • Other activities • Color Discrimination: “Connect Four” • Category Sort • Matching

  23. Category Sort Fruits and Vegetables

  24. Matching Allen Wrenches Measuring Spoons

  25. Activities for Moderate DementiaMental Stimulation Can the resident read? • Size and style of font • Bold lines • Contrast

  26. Activities for Moderate DementiaMental Stimulation • Reading Group • Prepared Sources • Children’s Books • Resident Stories • Enlarged Materials • Jokes

  27. Reading Group Prepared Sources: “Reading Roundtables”TM Myers Research Institute www.myersresearch.org 1-888-MYERSRI

  28. Reading Roundtables “The Birth of the Chocolate Chip Cookie”

  29. Reading Group Children’s Books

  30. Reading Group Resident Stories “Friday Family Night Out”

  31. Activities for Moderate Dementia Tactile Experiences “Curiosity” Boxes of…. Rick RackLarge Buttons Jewelry Tangled Ribbons Feathers Nuts/Bolts

  32. Moderate Dementia: Physical Activities: Balls • Alphabet Ball • Favorites Ball • That’s My Name Ball • Create your own • www.enasco.com

  33. Activities for Moderate Dementia Music • Appropriate Period • Appropriate to Residents • Sing-a-long: Live or Alternatives • Music Games-Music Bingo

  34. Activities forModerate DementiaROM/Feeding/Fine Motor Skills • Clips/Clothespins and “The Artist” • Hole punching • Scooping • Balls into muffin cups • Pouring

  35. Closing Thought Who Knows What’s Ahead By Melanie Chauvin

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