No one likes to be physically restrained. Whether it involves pinning down the arms or preventing an individual from moving forward, physical restraint often has the opposite effect of its intention. Unwarranted restraint can elicit a violent reaction to free oneself, creating an escalation of resistance that can have negative results. This is especially true for individuals struggling with dementia. And it is one reason why Anthem Memory Care communities work hard to ensure our residents are provided with as much freedom of movement as possible, all the while keeping them safe and secure.
Of course, there are circumstances in which some physical restraint is necessary to protect an individual with dementia from injuring himself or herself. After all, aggression and agitation are often found in individuals with dementia, especially as the disease progresses. With that in mind, however, techniques to avoid restraint should be used whenever possible. Why? Because, for an individual with dementia, restraints can exacerbate their already fragile sense of autonomy, creating even more confusion and anxiety.
The Alzheimer’s Association describes unnecessary restraint of those with dementia as having the following negative impacts:
These are serious consequences to be avoided, whenever possible. If you have a loved one with dementia it is important to educate yourself on strategies that you can adopt to help you navigate away from using unnecessary restraints and identify alternative ways of dealing with agitation and aggressive behavior.
If you are evaluating memory care communities for your loved one, look for facilities with floor plans that enable residents to move around freely. Look for wide, open corridors without dead ends or alcoves that can become confusing. Finally, ask the caregivers what strategies they use to avoid unnecessary restraints on individuals.
As healthy individuals, we take for granted out ability to move freely from room to room, or take a stroll along a garden path, or walk the dog. Individuals with dementia deserve to live their lives in an environment that is safe and secure, and yet respects the human being inside and provides every opportunity to live as normal of a lifestyle as possible.
Why do colors sometimes seem to make us feel happier or more depressed? Are colors really that powerful in their ability to alter our moods? In many ways, the answer is “yes”, in that different colors and hues are interpreted differently in our brains, some having a profound, yet subliminal impact in how we feel at any different moment.
For years researchers have been studying the effect of different colors on the brain and human behavior. A study by Margaret Calkins, published in the Journal of Dementia Care, takes a look at the impact of colors on individuals living with dementia. While Calkins acknowledges that there may be certain personal and cultural variances between color interpretation, here are some of her observations:
Other organizations studying the impact of color on individuals with Alzheimer’s disease have characterized pink as having an uplifting effect, decreasing aggressive tendencies. Lime green is often used to increase visual attention. Some therapists have found that using blue in a room can actually lower blood pressure. Clearly color has the power to impact our feelings and emotional interpretation of the environment around us.
At Anthem Memory Care communities, we take the emotional impact of color seriously. We not only use color it in creative ways to optimize the environment, but also use contrasting colors to help our residents stay mobile and independent as long as possible.
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No, the holidays aren’t here yet. But they will be before you know it. So, if you are caring for a loved one with dementia, the time to plan is now!
The holidays bring with them special challenges for caregivers of loved ones who have dementia. If you’ve already been through a holiday season or two, you may have created a mental list of all the things you are not going to attempt this year. That’s understandable as the inclination for caregivers is often to go into hibernation mode when the holidays roll around. But this doesn’t have to be the case. There is still time to plan for the holidays, and there are things you can do to bring more of the joy back into the season. Here are some suggestions:
Above all, do your best to be flexible. There may be occasions when the hubbub of family gatherings becomes overwhelming for your loved one. Prepare yourself in advance for the potential of shortened visits or needing to cancel altogether. If you’ve updating your friends and family in advance, this will be much easier.
Caring for a loved one doesn’t mean that you have to wall yourself and your loved one away from holiday festivities. With proper planning, help from friends and family, and preparing yourself as well as your loved one before each gathering, you and your family can still find many moments of joy in the holidays.
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If you’re into yoga, you may be familiar with a new trend sweeping the country. It’s called “goat yoga”. “Why goats?” you may ask. Goats are increasingly being recognized for their therapeutic qualities. These innately gentle creatures are known to be exceptionally even tempered. And, contrary to popular opinion, they are naturally clean animals. They are also easy to transport and manage. All this has made goats a popular addition to the peaceful, quiet yoga environment.
Residents at Greenridge Place Memory Care in Westminster, Colorado, have been enjoying visits from goats for over two years. Their presence has proven to have a calming effect as well as adding an element of fun for residents. And, as it happens, Greenridge Place also holds regular yoga sessions. So, it wasn’t long before the staff got the idea to blend the two together and start their own “goat yoga” classes.
News of the unique Greenridge Place yoga sessions spread, eventually getting the attention of CBS local Denver affiliate, KCNC, who recently visited to film one of their sessions. Michelle Meyer, Life Engagement Director, explained to the reporters how the combination of yoga along with the presence of the goats creates a more enriched sensory experience for the residents. “Goats are amazing,” Michelle told the KCNC reporters. “They lift spirits. Especially for the elderly. It’s something that’s a sensory [experience] as well as something soft to touch,” she added.
For many residents, the presence of goats has helped bring back memories of their youth. According to Michelle Meyer, several of the residents have lived in the Midwest all their lives, some on farms with a variety of animals, including goats. Having the opportunity to interact with goats has proven to have a soothing, calming effect on the residents, which helps them to relax their muscles and, therefore, optimize their yoga experience.
In many ways, this isn’t surprising. We know that the presence of animals brings with it a special kind of therapeutic value. At Anthem Memory Care communities, we are always on the lookout for opportunities to have our residents interact with animals. We schedule regular visits from all kinds of animals, ranging from dogs and cats to exotic animals from local zoos and reserves. It never fails to bring smiles and laughter to our residents. And that’s the best part of all.
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Learning that a loved one has a dementia can turn your world upside down. It will take some time to wrap your head around the fact that your role as adult child, sibling or spouse will be changing dramatically. The good news, however, is that you are not alone. Far from it. There are more resources today than ever to help those who are suddenly plunged into the role of caregiver.
Here are 5 important steps to take as you begin your journey.
This is also a good time to evaluate memory care communities. As your loved one’s disease progresses, it will become more and more challenging for them to remain at home. Keeping them socially connected is also important for those with dementia. A memory care community devoted to caring for those with dementia can be an ideal environment for your loved one. Many, such as Anthem, allow for short respite stays so that your loved one can “try it out” for a week or so.
Finally, it is so important to make sure you are reaching out and communicating with family and close friends. You may also need to schedule some family leave time with your place of work while you iron out steps you will be taking over the next several months. Don’t be afraid to share your circumstances with those who are in a position to help. It will make the days and weeks ahead easier to deal with as you begin an important journey as caregiver.
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There is a reason that we have something called “horse therapy”. These majestic, gentle animals have a presence that has been known to calm anxieties and infuse a sense of joy in those around them. This can be especially true for those living with dementia. Stroking the nose of a horse and looking into its large, intelligent eyes can create a deep personal connection that, while mysterious in many ways, is generally acknowledged as therapeutic by physicians, psychologists and, we might add, anyone who has experienced it for themselves.
No one understands this better than Bobbi Kelley, Community Relations Director for Porter Place Memory Care, in Tinley Park, Illinois. A competitive rider herself, Bobbi likes to share her beautiful show horses with the residents and staff members of Porter Place. “Little compares to the pleasure of sharing my passion of horses with others,” Bobbi says.
Recently, Bobbi brought two of her horses, Baloo and Zack, to Porter Place for, what Bobbi refers to as some “horsing around” with the residents. Nearly 100% of the residents participated, feeding the horses carrots, petting them and showering them with kisses. Six residents even got up in the saddle and rode!
For a couple of the residents, the experience was transformational. One previously non-verbal resident, not only spoke, but used a full sentence, proclaiming, ‘Zack, you are beautiful and need an apple!’. Another resident rode around and sang a few bars of “Back in the Saddle Again”. Not only were the residents engaged and energized, the staff members were moved as well. “Yet another reason I love my job,” Bobbi says.
Animal therapy is an important part of creating opportunities for individuals with dementia to connect to the world around them. If you have a loved one challenged with dementia, seek opportunities to bring them together with a pet. Whether it is as small as a hamster or as large as a horse, you will undoubtedly witness a transformation that is well worth the effort. You may also consider contacting your local memory care community and asking when they are next planning to bring animals to visit the residents. Ask if you can bring your loved one to enjoy the experience with them.
“We pride ourselves on our creativity and active lifestyle opportunities, thus taking a ‘far beyond the ordinary’ approach to memory care,” Bobbi says. “These kinds of events truly capture the essence of our ability to create moments of joy and connect memories with current day sensory skills. The power of pet therapy is truly moving!”
(The photo shown with this article is of Porter Place resident, Mildred Ott.)
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Depression and Alzheimer’s disease, especially in its early stages, have much in common in terms of behavioral changes such as sleeping longer, loss of appetite and withdrawal from activities once enjoyed. If you have a loved one with Alzheimer’s disease, you may have noticed behavioral changes that concern you. Of course, you want to make sure you are caring properly for a loved one who may be depressed. But how do you know if your loved one is experiencing true depression, or it is just a manifestation of the disease itself?
The Mayo Clinic has written numerous articles on the topic of depression and dementia and the challenges of distinguishing between the two. Here are some of the symptoms that are common to those with depression and those with Alzheimer’s:
The Mayo Clinic points out that one of the challenges for those with Alzheimer’s and depression is that the individual may not be able to properly communicate their feelings. That is why it’s important for them to have an evaluation by an experienced professional.
To diagnose depression in an individual with dementia, doctors will work with family members as well as through their own observations. They will look for at least one of the first two of the following symptoms, combined with at least two of the other symptoms. All should be present within a 2-week period.
It should be noted as well that, in some cases, individuals with Alzheimer’s who are experiencing depression may actually present with less severe symptoms, or periods of depression that don’t last as long as they might with an otherwise healthy individual. That’s why a professional evaluation is necessary.
If you suspect that your loved one with Alzheimer’s may also be depressed, it is important to have a trusted physician evaluate them carefully to assess whether or not they are also clinically depressed. If they are, there are several potential treatment options, depending on the nature and severity of the depression. Remember, you are not alone. Instead of waiting and worrying, reach out for professional help. You’ll be glad you did.
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Most of us remember, at some point in our lives, swinging a club in a round of miniature golf. Navigating the many mazes and encounters with cute little houses that would swallow up your golf ball were some of the fun challenges. For others, golf was a serious passion. They would take their clubs and a few friends and play a round or two at the local course on a regular basis.
Either way, getting outside in fresh air and enjoying a relaxing game of golf, even on a putting green, can have a positive therapeutic impact on health and emotional wellbeing.
No one knows this better than the residents of Grace Point Memory Care in Oak Lawn, Illinois. Recently, the staff and a few “golf aficionado” residents took to the putting green to test their skills and enjoy a pastime several of them recall fondly.
“An activity like golf gets the blood pumping and oxygenates the body,” says Grace Point’s Life Engagement Director, Lisa Siemsen. “Not only is it fun, but the residents are better able to participate in the cognitive, creative or social activity following the physical activity,” she adds. The residents shown in the photograph above are (from left) Verona Hoffman, Toots Boyce and Kathy Ridder.
Experts would agree. Bert Hayslip, Jr., a psychologist who has studied individuals with Alzheimer’s disease, noted in a Wall Street Journal article, “There is something about that game [golf] that imprints itself on peoples’ minds.” He also noted that the things we learn at an early age tend to be the things we remember for the longest time. And this is certainly true for those struggling with dementia. Family members often report to us that, while mom may not remember what she had for lunch, she may quickly recall a conversation held decades ago with a high school friend.
Whether it’s a game of miniature golf or another activity, connecting a loved one to something he or she used to enjoy can help recapture moments of joy that otherwise might remain locked away.
At Anthem Memory Care communities we celebrate the unique lives of all of our residents, always seeking to light their paths towards old memories that can be shared again by their families, other residents and our loving staff.
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You often will hear it in doctors’ offices, stores, restaurants and even at home – younger people treating aging, disabled adults like children. This is especially prevalent in communications with adults who struggle with cognitive loss, such as Alzheimer’s disease. Even those adult children who vowed they never would, often find themselves resorting to “child speak” with a mom or dad with dementia.
If this sounds like you, first know that you’re not alone. It is a common issue expressed by caregivers of aging parents, especially those with dementia. Why does it happen? It begins as a parent’s behavior becomes less focused and speech becomes more halting and harder to understand. The parent may also have mobility impairments, which adds an additional layer of challenges. And, if they struggle with dementia, they may exhibit spells of erratic behavior. Collectively, these changes can mimic attributes of early childhood (learning to speak, walk, occasional tantrums, etc.). And, while you realize that mom is an adult, your patience may begin to wear thin. That’s when so many adult children resort to interacting in ways that treat the adult like a child.
Does it have to be that way? Not at all. Many adult children caregivers who find themselves slipping into “child speak” and other habits are able to adjust and move on. But for those of you struggling with the transition, here are some thoughts to help you resist these negative patterns and keep the adult-to-adult connection with your cognitively impaired loved one.
Finally, be sure to reach out for help. Get in touch with your local memory care community. Some will offer “dementia virtual reality” experiences that help you better understand what your loved one is going through and why their lives have become so challenging. Many have regular dementia support groups where you can share your feelings and frustrations with other adult children who have similar experiences.
When a parent acts in ways that mimic an angry or wayward child, it’s easy to start treating them as such. It is up to you to break this cycle and re-calibrate your reactions in a positive way that acknowledges your loved one’s challenges yet continues to treat them as the adult they were and remain.
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When school children sat down, recently, to read to Chelsea Memory Care residents the effect was transformational. Residents who may have been harder to connect with found themselves cracking smiles as the children diligently sounded out words, occasionally stopping to exclaim over colorful pictures.
Chelsea Place Memory Care in Aurora, Colorado, is a big believer in the benefits of getting children together with residents. So much so, in fact, that they have created their own Grandfriend Project, bringing residents to local elementary schools to have them sit with children and listen to them read.
Chelsea Place was recently honored with the Community Commitment Award from the Pioneer Network for their innovative intergenerational reading program with first grade students from local Fox Hollow Elementary school.
The process is simple, but effective. There are three basic steps to Chelsea Place’s program as follows:
It is always interesting to observe how the residents take on the role of mentors, encouraging the school children to read. It gives the residents an added sense of purpose to sit and listen to the young students and even guide them along occasionally.
The Grandfriend Project is clearly a win-win experience for residents and school children. It helps the children gain a greater understanding of the challenges of those who struggle with dementia. For residents it is a “breath of fresh air” to observe children at the beginning stages of their education, as they begin reading to them. The combined result is that everyone has a greater sense of connectedness to each other, with a renewed sense of belonging and purpose.
At Anthem Memory Care communities, we believe in the many benefits of inter-generational activities. We have seen, over and over again, the amazing therapeutic and emotional impact of children interacting with our residents. Seeing the faces of our residents light up and the smiles of the children are always well worth the effort!
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August is National Wellness Month. It’s a good time to reflect on your own health as well as explore new ways of living a healthier life. This is especially important for those of you caring for a loved one struggling dementia. You need to keep your own health operating on all cylinders to be able to cope with the many daily challenges you and your loved one encounter.
The International Council on Aging has created a wellness model that involves seven dimensions of wellness. Take a moment to read about them and consider them in context with your health and how they may impact your daily life.
While August is wellness month, it’s important to regard the tenants of wellness as more than just a once-a-year concept. Look at ways you can make your day to day living situation healthier. Reach out to others in need and help if possible. Wellness can become an integral part of your life with a little thought and practice. You’ll feel better, happier and more connected to all the things that matter!
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When we think of dementia, the primary focus is on how it impacts short term memory. However, an often overlooked consequence of the disease is how it affects the way the brain recognizes and processes the five senses: sight, smell, taste, hearing and touch.
If you are caring for a loved one with dementia, here are some sensory changes to look for, along with some things you can do to help. (Note that some of the information below is provided courtesy of the Alzheimer’s Resource Center):
Understanding the impact of dementia on the senses can help you better prepare for changes experienced by a loved one with dementia. By recognizing the degeneration of sight, hearing, taste, smell and touch you can take precautions to help avoid further agitation as well as dangerous accidents.
At Anthem Memory Care communities, our staff members are experienced in assisting with the sensory changes associated with dementia. The rooms, hallways and courtyards of our buildings have been optimized to support individuals with dementia and to help ensure that they continue to experience a high quality of life by keeping them safe, comfortable and connected to those around them.
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Have you ever noticed how a good night’s sleep can make the next day’s challenges just a bit more bearable and the high points a bit more enjoyable? Of course you have. We have all experienced the added energy and improved frame of mind that comes with good sleep. And, conversely, we all know how a bad night’s sleep can derail just about everything we do the next day.
Those who care for loved ones with dementia are especially vulnerable to the aftereffects of a sleepless night. And, if you’re like so many, you have plenty of sleepless nights spent worrying about your loved one, yourself, finances, health and so on. The list goes on and on.
With some patience and planning you can get the sleep you need. Here are three tips to get you moving in the right direction:
Don’t expect miracles overnight. Learning to think in new ways and form new habits takes time. Be patient with yourself. It will take time to “get good at” falling and staying sleeping. Keep at it. Remember, you deserve a restful, restorative 7-8 hours of sleep each night. You can and will get there. And, once you do, you will find the result well worth your efforts. So, by the way, will your loved ones.
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Are you getting ready to take a vacation? Are you wondering whether to take along a mom or dad who has dementia? It’s an understandable concern. Vacations, while they can be relaxing, involve getting away from familiar rooms, backyards and routines. That’s why we take them; to enjoy a break from the daily grind and experience different sights and sounds. For someone with dementia, however, a departure from routine can create anxiety which, in turn, can exacerbate the symptoms of the disease and disrupt their daily life.
And yet, a vacation that is restful and relaxing can have a therapeutic effect for individuals with dementia. So, what to do?
Part of the answer to that question lies in assessing the cognitive ability of your loved one. For individuals with mild dementia, a relaxing getaway can be enjoyable. For those in the mid stages, the disruption to their daily lives may outbalance any potential benefits. Most professionals recommend that traveling, if possible, be restricted to those individuals in earlier stages of dementia. A brief discussion with your loved one’s doctor may be helpful.
Also, consider the type of vacation you are taking. An active vacation involving multiple destinations, with tour deadlines and lots of activities is probably not a good fit for any aging parent, especially one with dementia. A relaxing respite at a seaside rental house or mountain retreat, however, can provide plenty of opportunity for rest and relaxation.
With these things in mind, if you’re ready to move forward with your plans, there are still things you’ll need to do to optimize the vacation experience for your loved one with dementia as well as other family members and friends. Here are some tips to consider.
There are plenty of additional travel tips, including air travel with individuals who have dementia, which are available from the Alzheimer’s Association, and which you can access here.
Vacationing with a loved one who has Alzheimer’s disease will never be 100% stress free. If you are caring for a mom or dad with dementia, you know that there are daily challenges to meet that make total relaxation hard to achieve. Make sure you are traveling with family members and/or close friends who can pitch in and help so that you can take a walk by yourself or go out with a friend in the evening. With proper planning and preparation, your vacation can be enjoyed by everyone.
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Do you meditate? If so, you are well aware of the power of meditation to restore a sense of calm and physical relaxation. If you don’t meditate you may want to consider it. This is especially true if you are caring for an elderly loved one. A UCLA study found that mindful meditation not only helped reduce feelings of depression and loneliness among caregivers, it also helped reduce inflammatory proteins that can lead to heart disease and other chronic diseases. The study also found that the healing potential of meditation and its therapeutic effect on the brain may even play a role in reducing risks that can lead to the onset of Alzheimer’s disease!
While all this is important, most of those who meditate would say that they don’t need studies to tell them how powerful the therapeutic impact of meditation is and its ability to, in effect, “reboot” the brain. Here are a few potential benefits of meditation, from The Mayo Clinic:
Emotional Health and Well-being:
Physical health:
There is also research that suggests meditation may help individuals more effectively control and manage these conditions:
The Mayo Clinic cautions that, while research increasingly supports the many health benefits of meditation, there remain some researchers who believe it is not yet possible to draw conclusions. Therefore, they urge individuals to check in with their healthcare providers as to the pros and cons of using meditation to tackle any serious health issues.
What most professionals do agree on, however, is that meditation is able to focus our attention away from negative, stress inducing thoughts, and refocus on establishing a sense of calm, peace and balance that benefits both your emotional well-being and your overall health.
There are several different types of meditation to choose from. So, it may be wise to choose a beginner’s class to learn about them and to find out which style works best for you. Take time to explore your options and, with a little patience and a consistent effort, you may find that meditation can make your life as a caregiver just a bit easier and less stressful. That, in and of itself, may be worth the effort.