How Can Someone with Dementia Have a Better Quality of Life ?

July 2, 2019

Reminiscence and Story Telling

The role of story telling and reminiscence is very important for elders, as they look back on their life. It gives them a chance to socialize as they tell their story. It also means someone usually listens or documents. That magically gives the elder social interaction and connectiveness.

Elders sharing stories means passing on history, which gives the older person a chance to give the larger picture of their life and family history to children and grandchildren or extended family, who may have not heard all the details of their grandparents or parents life before. So the quality of the older person of both the older person and the aging family are increased through oral history and reminiscence

The aging professional can suggest family or friends just sitting down and prompting a story or oral history using technology like your phone

Even elders with Alzheimers can find new joy with Reminiscence

When an elderly person develops Alzheimer’s or other forms of dementia, the short-term memory is frequently affected but long-term memories can remain as intact and vivid as they have always been during the course of the patient’s life.. As a result healthcare professionals can use practice called reminiscence therapy to help combat the frustration, confusion, and depression that can often accompany dementia and even bring joy to the older person

What is reminiscence therapy?

Reminiscence therapy is like a therapy session where the elderly person will spend time recalling memories of his or her life, perhaps telling stories about things that happened and events the person can recall.

Sometimes senior experts can use photos, familiar objects, or other such things to help jog the memory of the patient. Some therapists can a scrapbook of a person’s life, including photos, letters, and other such personal memorabilia. This becomes a s visual biography of the patient’s life and helps him or her remember who he or she is.

How does this quality of life therapy help? Almost all elderly men and women can start feeling discouraged and frustrated with their memory issues. Reminiscence can give peace and acceptance of the current situation by helping the person remember that he or she has had a good and full life life.It also prompts communication skills of elderly people who otherwise may not feel very compelled to open up and share anything with anyone else.

Dementia and Reminiscence of 4th of July

People with dementia can get given a richer quality of life by giving the people who will actually listen to them, so that they feel as their thoughts and feelings actually matter. To someone who has an elderly loved one suffering from dementia, this benefit alone can make reminiscence therapy a form of joy for a very confused elder.so serve that Hamburger from the grill and ask the elder who you serve it to, what did they eat at the 4th of July when they were young and then —just listen.

What Are the 7 Steps to Spiritual Assessment for Elders

April 2, 2019

Spirituality Means More As We Age

Spirituality can matter more as you age. Now that we are entering a season of high spiritual celebrations like Easter- this is an important ritual to involve elders in spiritual communities. Religious communities offer elders socialization thus increasing their quality of life and returning joy to their lives.

What is This all About?

Leonie Nowitz, a geriatric care manager who has a deep interest in spirituality and writes about it often, once told me to look at spirituality as a question ” What is this all about”. As we age, this question becomes primal, for we face death coming at a rapid pace. Elders wonder- do I go to heaven, to hell, or just energy or dust. Will I meet angels- my wife in heaven.?

Ms. Nowitz said that when you define religion, look at it as a filing cabinet with each drawer is a religion with an answer to spirituality ” “What Is this all About”. There is one for Jews, Protestants, Hindu’s Muslims, Quakers, The Environment- all religions and belief systems.

Spiritual Quality Of Life Assessment

One assessment care managers can do is a spiritual quality of life assessment to find out where joy can be found again. If spirituality is something that would increase an elders quality of life, here are some activities that you may suggest to an older client or their family, especially on holidays when places of worship have their most spectacular music, smells, and bells and pageantry.

Spiritual Quality of Life Activities

If an older person appears isolated and is unable to attend their place a worship, especially on holidays, because of not driving or disability and they wish to still join a congregation, contact the head of the religious group and ask if members could transport him or if they have a van service or arrange for members to transport them to services. If they cannot get out ask if the spiritual leader or congregation members would make home visits.
If an older person is not now a part of a religious group but what once was and has some interest in returning, holidays are the best times to reconnect. Contact the head of the religious group and ask him/her to make a home visit and the care manager follow-up with transportation arrangements if yes.
If an older client has had a recent close relative or friend die and wishes to return to a spiritual group she knew before, connect them, with the congregation they are familiar with for solace or grieving.
If an older person moves to a new area and is part of a religious group connect them to the same religion and place of worship in the new town and arrange transportation and a new member to greet them
If an older person has dementia if possible reconnect him her with his spiritual background through familiar prayer, music, etc.
If an elder has dementia and can attend services without being disruptive, arrange for a caregiver to take them as they can still be drawn in by the ” Smells and Bells’
If you have a homebound client who wishes to return to a religious group, reconnect them by arranging, in their, spiritual music, religious icons (a rosary or image, for example), readings from a sacred text, watching a service on television, listening to one on the radio or via computer

Isolation and Loneliness in Seniors = 15 Cigarettes a Day

March 18, 2019

The AARP Foundation’s Connect2Affect has called social isolation a “growing health epidemic” among older adults. It equates the health risks of prolonged isolation with smoking 15 cigarettes daily. Adding a Quality of Life Program to a geriatric care management practice can help serve independent seniors who do not need hands-on care but do need more community and a way to help themselves overcome loneliness and social isolation.

In recent study loneliness in seniors between the ages of 65 and 86 led to a 64 percent increase in the risk of developing dementia, an extraordinary spike in odds highlighting the importance of fostering meaningful relationships at all stages of life. Helping seniors, through a quality of life services, find new human connections and community, can give an older person a greater sense of happiness and joy. But as this study shows critically- better health.

Quality of Life of the older client can be important to the older person’s family. If the family is involved, which it often is, even if the senior is living alone, the care manager can assist families by beginning the dialogue to open discussions on preferences and values of the older client and the family. What would give the older person joy in their life? Would it be art, music m going to baseball games, being in a knitting group, having a tea for friends at their home, volunteering with a group?

Quality of Life issues that the care manager should assess is the individual’s need for social interaction or privacy; the value of family; proximity to cultural stimulation; and adaptability to change. These are just some of the many quality of life considerations.

A Care Management Agency can even develop a Quality of Life programs. Lifespan Care Management in Santa Cruz, Ca just developed a Quality of life program Well Being designed to bring back the joy in lonely elders lives by assessing just what would do that and taking and engaging them in the activity with skilled personal assistants with training in recreational therapy. In the body and mind connection, this to heal the mind.

Sage Eldercare in Northern California has developed a unique activity kit called Joyful Moments that helps family members, care managers, and caregivers. Joyful Moments, unique activity cards that give “the tools to re-engage older adults in life—and turn every visit from mundane to memory making. Nina Herndon the director of Sage Eldercare is also an expert in quality of life for seniors and authored a chapter on how care managers can develop that skills with seniors Handbook of Geriatric Care Management

Care Managers can be so valuable in not only helping a senior create a path out of loneliness and isolation by assisting in removing barriers to quality of life that family members may, out of care and worry, put in the elder’s way.

Find out more about creating a Quality of Life program

Coming to you-Town Square- San Diego 50’s Fake town that Revolutionizes Reminiscence Therapy

September 23, 2018

Last week the Wall St Journal covered the most revolutionary version of Reminiscence therapy- Town Square. Reminiscence therapy is a treatment that uses all the senses — sight, touch, taste, smell, and sound — to help people with dementia remember events, people and places from their past lives, just as Town Square does.

I took a tour of Town Square on Friday while attending the Western Regional Aging Life Conference in San Diego and it was at the same time mind boggling, fabulously fun and a trip back to my childhood in the 50’s.

The man who discovered the beta-amyloid plaques, George Glenner funded reminiscence therapy through Adult Daycare for 3 decades. His reminiscence legacy has exploded into Town Square, this fake 50’s town built for dementia sufferers so they can spend their day where their mind is calmest in their 50’s past.

Built by the San Diego opera the town has a kitchen refrigerator like the one in my house in the early 50’s, a barbershop with Elvis hanging on the wall , a Malt shop called Rosie’s Dinner with jukebox, just like the ones my boyfriend Steve Paul and I played while we ate greasy french fries and mooned over each other in the early 60’s. Rosie’s has now collectible formica tables, with chrome chairs but that is a sturdy replica that seniors are safe in with added chrome arms.

Town Square Rosie’s acts as act as a lunch spot for the 90 participants, spilling out into the patio.

It has a garage with a luscious, shiny black T bird from the early fifties with gleaming chrome, my dream car when I was in Atlantic City High School.

Not only in this open for the last month but they rent it out for corporate events for fifties parties where everyone can dress up like Mad men and women in those divine 50’s dresses that I still lust for. And on top of this Town Square will franchise and its next ideation will appear in Baltimore

I came home hearing Patti Page sing Old Cape Cod , thinking of 1956 when I discovered Elvis, puberty, boys, small breasts, adolescence and wildly danced the jitterbug in Lou Molinari garage with all my friends, my life exploding. I was there again and felt glorious just like the lucky residents of Town Square.

What are 7 Spiritual Quality Of Life Activities for Elders in the Coming Holiday Season?

July 20, 2018

Now that we are entering a season of high spiritual celebrations like Christmas, Hannaka, Orthodox Christmas, Feast day – Our Lady of Guadalupe- this is the most important season to involve elders in spiritual communities. Religious communities offer socialization thus the quality of life to so many elders and can return joy their lives.

Leonie Nowitz, a geriatric care manager who has a deep interest in spirituality and writes about it often, once told me to look at spirituality as a question ” What is this all about”. As we age this question becomes primal, as we face death coming at a rapid pace. We wonder- do I go to heaven, to hell, or just energy or dust. Will I meet angels- my wife in heaven.?

Ms. Nowitz said that when you define religion, look at it as a filing cabinet with each drawer is a religion with it’s answer to spirituality ” “What Is this all About”. There is one for Jews, Protestants, Hindu’s Muslims, Quakers, The Environment- all religions and belief systems.

One assessment care managers can do is a Quality of Life assessment to find out where joy can be found again. If spirituality is something that would increase an elders quality of life, here are some activities that you may suggest to an older client or their family.