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How to Run Sensory Groups in Residential Care

How to Run Sensory Groups in Residential Care. Session Content. What are the senses? Sensory deprivation Why run sensory groups / who would benefit from attending? Basic assumptions of sensory groups. What are the senses?. General 5 senses:. Not commonly thought of senses : Vestibular

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How to Run Sensory Groups in Residential Care

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  1. How to Run Sensory Groups in Residential Care

  2. Session Content • What are the senses? • Sensory deprivation • Why run sensory groups / who would benefit from attending? • Basic assumptions of sensory groups

  3. What are the senses? General 5 senses: Not commonly thought of senses: Vestibular Proprioception • Visual • Auditory • Olfactory • Tactile • Gustatory

  4. Tactile / Touch sense • Touch receptors in the skin • 3 Functions of the touch receptors are 1) temperature 2) pain 3) vibration • Function is protective and discriminative

  5. Tactile / Touch sense continued • Light touch • Sensory receptors close to the skin’s surface/hair • Often a faster response than with deep touch • May provoke strong emotional response • Deep touch • Receptors are further under the surface of the skin • Can be very calming

  6. Auditory Sense: • Directly inter connected with the vestibular system and muscle tone • Evokes memories and feelings by association • Used for: • Entertainment • Helps ease transitions, reduce stress • Decrease or increase levels of arousal

  7. Olfaction / Smell: • Primitive, protective and powerful! • Directly connected to the limbic system (emotional centres of the brain)

  8. Vision: • Light is activating • Peripheral vision is often alerting (primal response) – link to muscle tone • Try to avoid approaching people with visual impairments from the sides – verbalise your approach. • Clarify with residents with visual impairments exactly what they can see so that you can tailor visual stimulation to their needs.

  9. Gustatory – Taste / Oral motor • Chewy, crunchy, salty, sour, sweet, spicy, hot and cold • Coordination of movements and muscle tone enable ability to eat, swallow and suck. • People seek oral motor stimulation to help with comfort, attention and overall organization.

  10. A little bit about Proprioception: • Proprioception is your bodies sense of where you are in space and how your body is moving

  11. A little bit about the Vestibular sense: • Stimulated through the delicate structures of the inner ear. • Stimulated through changes in position and movement. • Examples of vestibular dysfunction • Hypersensitivity to movement • Hyposensitivity to movement

  12. The most important thing to remember… People seek what they need, in any way then can - this can be in a positive way or a negative way

  13. Sensory Deprivation • Acquired syndrome • Could be due to normal age related sensory changes and pathological conditions and/or institutionalisation. • I.e. residents with an impairment in any of the main senses who cannot compensate adequately for their lost senses (i.e. due to decreased cognition) Consequences of sensory deprivation: • Residents can try to provide their own stimulation to compensate • If a person is not able to sufficiently provide the stimulation they need – withdrawal and quicker decline in cognitive function can sometimes be charted.

  14. What is a sensory group or sensory based intervention? • Address all 5 senses where able in a sequence • Has a theme to the group that is accessible to the participants. • Importance of taste for people who are PEG fed should not be underestimated.

  15. Basic assumptions of sensory group • Neuroplasticity can occur, new brain cells can grow even in late stage dementia and neurological disease. • Activity should be relevant, meaningful and stimulating • Repetition of activity is necessary for learning • Carry over can be achieved – benefits can last more than the duration of the session

  16. Individual sensory stimulation • If you have residents that are unable or unwilling to come out of their room, then you can bring the activity to them = one to one sensory stimulation. • Also consider bringing another resident into the room with you and do the stimulation with the two residents simultaneously (ensure that this will not cause anxiety for the residents who's room it is.

  17. Why run a sensory group / who would benefit from attending? • Provide a range of stimuli for residents in a manner that is accessible to them. • Prevent sensory deprivation • Prevent neglect by omission WHO WOULD BENEFIT: • Sensory groups are designed for residents who are lower functioning

  18. Sensory Groups I am putting up plans for • Ladies Fragrance Group • Water Therapy • Sports Sensory Group • Spring Sensory Experience • Summer sensory experience • Men and their cars • Apple theme • Chocolate theme • Men's Wood group • A trip down laundry lane • Inside the sewing box • Blokes and their buildings

  19. Creating a Mobile Multi-sensory kit: • What could we have on our cart? • I furnished my cart from dollar stores for the majority of items. • See group plan with ideas on what to include in kits

  20. Resources: • Tina Champagne – legendary OT from the USA who has based her career and research on sensory stimulation and sensory modulation • Great website: www.otinnovations.com which has great online resources and form and hints that you can use. • Any questions email me on sonya@otdiscussions.com

  21. References Baker, R., Bell, S., Baker, E., Gibson, S., Holloway, J., Pearce, R., Dowling, Z., Thomas, P., Assey, J. & Wareing, L. (2001). A randomized controlled trial of the effects of Multi-sensory stimulation (MSS) for people with dementia. British journal of clinical psychology. 40. Pg 81. Burns, A., Bryne, J., Ballard, C., & Holmes, C. (2002). Sensory Stimulation in dementia: An effective option for managing behavioural problems. British Medical Journal. 325. 1312-1313. Cohen-Mansfield, J. (2001). Managing agitation in elderly patients with dementia. Geriatric Times. 2(3). Livingston, G., Johnston, K., Katona, C., Paton, J. & Lyketsos, C. G. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. The American journal of psychiatry. 162(11). Pg1996-2022. Trudeau. S. (1999). A sensory stimulation intervention for patients with advanced dementia: An interview with Scott Trudeau by AL Romer. Innovations in end of life care. 1(4). Werezak, L. J. & Morgan, D. G. (2003). Creating a therapeutic psychosocial environment in dementia care: A preliminary framework. Journal of Gerontological Nursing. December issue.

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