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© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
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© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
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Teepa Snow and Positive Approach® to Care
Any redistribution or duplication, in whole or in part, is strictly prohibited,
without the expressed written consent of Teepa Snow and
Positive Approach, LLC
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Using Music
and Humor in
Dementia Care
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Sing
Dance or move
Use song to connect
Use song to express how you feel
Use song to encourage gathering
Use song to signal changes/transitions
Use music to calm or stimulate
Use music to celebrate
How Can Music Be Used?
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
The GEMS® Progression:
Abilities Affect How Music and
Humor Should be Used
Sapphires: True Blue – Slower but Fine
Diamonds: Repeats and Routines, Cutting
Emeralds: Going – Time Travel – Where?
Ambers: In the Moment – Sensations
Rubies: Stop and Go – Big Movements
Pearls: Hidden in a Shell - Immobile
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Sapphires
- Us on a good day
- Clear and true to ourselves
- May feel ‘blue’ over changes
- Can typically choose our behavior
- May have other health issues that affect behaviors
- Recognize life experiences, achievements and values
- Can follow written info and hold onto it
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Diamonds
-Sharp, hard, rigid, inflexible, can cut
-Many facets, still often clear, can really shine
-Are usually either Joiners or Loners
-Can complete personal care in familiar place
-Usually can follow simple prompted schedules
-Misplaces things and can’t find them
-Resents takeover or bossiness
-Notices other people’s misbehavior and mistakes
-Vary in lack of self-awareness
-Use old routines and habits
-Control important roles and territories, use refusals
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Emeralds
-Changing color
-Not as clear or sharp, more vague
-On the go, need to ‘do’
-Flaws may be hidden
-Time traveling is common
-Are usually Doers or Supervisors
-Do what is seen, but miss what is not seen
-Must be in control, but not able to do it correctly
-Do tasks over and over, or not at all
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Ambers-Amber Alert- Caution!
-Caught in a moment
-All about sensation and sensory tolerance,
easily over or under stimulated
-May be private and quiet or public and noisy
-No safety awareness
-Ego-centric
-Lots of touching, handling, tasting, mouthing,
manipulating
-Explorers, get into things, invade space
-Do what they like and avoid what they do not
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Rubies:-Hidden depths
-Major loss of fine motor finger and mouth skills, but can do gross motor skills like walking, rolling, rocking
-Comprehension and speech halted
-Wake-sleep patterns very disturbed
-Balance, coordination, and movement losses
-Eating and drinking patterns may change
-Tends toward movement unless asleep
-Follows gross demonstration and big gestures for actions
-Limited visual awareness
-Major sensory changes
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Pearls:-Hidden in a shell: still, quiet, easily lost
-Beautiful and layered
-Spends much time asleep or unaware
-Unable to move, bed or chair bound, frequently fall
forward or to side
-May cry out or mumble often, increases
vocalizations with distress
-Can be difficult to calm, hard to connect
-Knows familiar from unfamiliar
-Primitive reflexes
-The end of the journey is near, multiple systems are
failing
-Connections between the physical and sensory
world are less strong but we may be the
bridge
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Learning Songs
Using Music
Having Fun with Music
Music – Singing Songs:
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Two Main Options:
Quiet and Calm:
•Soothing rhythm
•Slow speed
•Deep pitch
•Quiet themes
•Personal
background
Stimulate and Excite:
•Upbeat rhythms
•Faster speeds
•Higher pitches
•Fun/play themes
•Personal
background
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Know Each Person:
• Favorite artists
• Favorite types of
music
• Favorite songs
• Meaningful Songs:
•Comfort songs
• Fun songs
• Life story songs
• History with music,
dance, and
performances
• Dislikes
• Volume preferences
• Times of high action
• Times of relaxation
• Background sounds
preferences
• Seating/space
preferences
• Signals of
enjoyment and
distress
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Music Activities Ideas:
Sing-a-Long
Name That Tune
Clues to Songs
Crossword Puzzle Clues
Theme Sings
Prompt Story Telling
Go Down Memory Lane
Group Movement Games
Songs/Music to Radio/TV
Identify Instruments from Sounds
Help to Rest
Help to Wake Up
Cue to Next Activity
Cue for Routines
Fill in Holes
Offer Thanks
Parties
Dancing
Play Musical Instruments
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Crossword Puzzles:
My Wild Irish _____
The Yellow Rose of ___
Let Me Call You ______
Five Foot ___ Eyes of Blue
Rockabye Baby in the ______
Oh Where, Oh Where has my ____ Dog Gone
If You’re ____ and You Know it...
When the Red, Red ____ comes
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
R O S E T E X A S
W W P
T R E E T O P P
E L I T T L E
T E
H A P P Y T
E R O B I N
A E
R E
T
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Crossword Puzzles:
My Wild Irish _____
The Yellow Rose of ___
Let Me Call You ______
Five Foot ___ Eyes of Blue
Rockabye Baby in the ______
Oh Where, Oh Where has my ____ Dog
Gone
If You’re ____ and You Know it...
When the Red, Red ____ Comes
ROSE
TEXAS
SWEETHEART
TWO
TREETOP
LITTLE
HAPPY
ROBIN
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Music Categories:
Polkas
Marches
Waltzes
Songs from OtherCountries/Cultures
Seasonal Songs
Holiday Songs
Color Theme Songs
Emotion Theme Songs
Songs of the 20’s
Songs of the 30’s
Songs of the 40’s
Songs of the 50’s
Sing-a-Long Favorites
Songs of America
Kid’s Songs
Broadway Hits
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More Songs Categories:
Work Songs
Weather Theme Songs
Patriotic Songs
Spiritual/Hymns
Gospel
Bluegrass
Ragtime
Country and Western
Classical and Opera
Big Band
Blues
Dixieland
Folk
Barbershop Quartet
Round Songs
Movement Songs
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Animal Song Ideas:
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
How Much Is That Doggie:
How much is that doggie in the window,
The one with the waggley tail,
How much is that doggie in the window,
I do hope that doggie’s for sale!
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Pussy Cat, Pussy Cat:
Pussy cat, pussy cat,
Where have you been?
I’ve been to London to visit the queen
Pussy cat, pussy cat,
What did you do there?
I frightened a little mouse under her chair!
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Oh Where, Oh Where Has My
Little Dog Gone:
Oh where, oh where has my little dog gone,
Oh where, oh where can he be?
With his ears cut short and his tail cut long,
Oh where, oh where can he be?
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
The Little White Duck:
There’s a little white duck sitting in the water,
A little white duck doing what he ought-er,
He took a bite of the lily pad,
Flapped his wings and he said “I’m glad-
I’m a little white duck sitting in the water
QUACK, quack, quack.”
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Other Animal Songs:
Old McDonald
The Old Gray Mare
Home on the Range
Gray Squirrel
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Music Resources:
- http://www.venturepublish.com/product.php?id=96
- http://www.recreationtherapy.com/tx/musicactivities.htm
- http://www.angelfire.com/co/pscst/music.html
- http://kclibrary.lonestar.edu/decade20.html
- http://kclibrary.lonestar.edu/decade30.html
- http://kclibrary.lonestar.edu/decade40.html
- http://www.pdinfo.com/list.htm
- http://kclibrary.lonestar.edu/decade50.html
- http://kclibrary.lonestar.edu/decade60.html
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Why is Humor Important?
• Laughter is healthy
• Laughter connects you to others
• Laughter makes your brain work better
• Laughter makes you learn faster
• Laughter energizes you
• Laughter refocuses your thoughts
• Laughter relieves stress and worry
• Laughter heals
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Why Do We Laugh?
Four Theories:
•Superiority Theory
•Relief Theory
•Incongruity Theory
•Play Theory
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Some Types of Humor:
Funny stories
Funny comments
Jokes
Professional humor:
topic-specific humor
Puns or word play
Cartoons (TV)
Riddles
Mimicry
Slapstick
Self-deprecation
Sarcastic
Dry or wry
Caricature
Photos or pictures
Video clips
Comics
Tongue twisters
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Why Do We Laugh?
Something Seems ‘Funny’ to Us:
•What we see
•What we hear
•What we experience
•What we see compared to what we hear
•What we see compared to our experiences
•What we experience compared to what we
expected
•What other people say or do, or say versus do
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Finding the Right Humor for
You:
Your sense of humor may stay the same
Your sense of humor may change over time
Ability to understand humor will change
over time
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Humor for a Person Living
with Dementia:• ‘Silly’ or ‘stupid’ may become ‘funny’
• ‘Funny’ may become ‘not funny’!
• It may take longer for them to ‘get it’ – slow
down
• Familiar stories and jokes may become more
fun than those they don’t already know
• They may want more visual humor versus
written or spoken humor
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Put Humor In Your Day:
• Make time for having fun
• Make time to laugh
• Smile at someone
• Smile at yourself in the mirror
• When you are having a hard time:
•Stop
•Take a break
•Laugh
•Try again
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Here Are Some Ideas…
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History According to Kids:
Ancient Egypt was old. It was inhabited by
gypsies and mummies who all wrote in
hydraulics. They lived in the Sarah Dessert.
The climate Of the Sarah is such that all the
inhabitants have to live elsewhere.
Solomon had three hundred wives and seven
hundred porcupines. He was an actual
hysterical figure as well as being in the bible.
It sounds like he was sort of busy too.
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Socrates was a famous old Greek teacher who went around giving people advice. They killed him. He later died from an overdose of wedlock which is apparently poisonous. After his death, his career suffered a dramatic decline.
In the first Olympic games, Greeks ran races, jumped, hurled biscuits, and threw the java. The games were messier then than they show on TV now.
Madman Curie discovered radio. She was the first woman to do what she did. Other women have become scientists since her but they didn't get to find radios because they were already taken.
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Sir Francis Drake circumcised the world with a 100 foot clipper which was very dangerous to all his men.
Johann Bach wrote a great many musical compositions and had a large number of children. In between he practiced on an old spinster which he kept up in his attic. Bach died from 1750 to the present. Bach was the most famous composer in the world and so was Handel. Handel was half German, half Italian, and half English. He was very large.
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Higher Power:
A teacher said to her children, " We have
been learning how powerful kings and
queens were in ancient times.
But, there is a higher power. Can anybody
tell me what it is?“
One child blurted out, "Aces!"
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
How many dogs does it
take to change a light
bulb?
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Golden Retriever: The sun is
shining, the day is young, we've
got our whole lives ahead of us,
and you're inside worrying about
a stupid burned out bulb?
Border Collie: Just one. And then
I'll replace any wiring that's not up
to code.
Dachshund: You know I can't
reach that stupid lamp!
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Rottweiler: Make me
Boxer: Who cares? I can still play
with my squeaky toys in the dark.
Lab: Oh, me, me!!!!! Pleeeeeeeeeze
let me change the light bulb! Can I?
Can I? Huh? Huh? Huh? Can I?
Pleeeeeeeeeze, please, please,
please!
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German Shepherd: I'll change it as
soon as I've led these people from the
dark, check to make sure I haven't
missed any, and make just one more
perimeter patrol to see that no one has
tried to take advantage of the situation.
Jack Russell Terrier: I'll just pop it
in while I'm bouncing off the walls
and furniture.
Old English Sheep Dog: Light
bulb? I'm sorry, but I don't see a
light bulb!
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Cocker Spaniel: Why change it? I can
still pee on the carpet in the dark.
Greyhound: It isn't moving. Who
cares?
Australian Shepherd: First, I'll put all the light bulbs in a little circle....
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Poodle: I'll just blow in
the Border Collie's ear
and he'll do it. By the
time he finishes rewiring
the house, my nails will
be dry.
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How many cats does it take
to change a light bulb?
The Cat's Answer:
“Cats do not change light bulbs. People change light bulbs. So, the real question is: how long will it be before I can expect some light, some dinner, and a massage?”
ALL OF WHICH PROVES, ONCE AGAIN, THAT WHILE DOGS HAVE MASTERS, CATS HAVE STAFF!
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
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under any circumstances without express permission from Positive Approach to Care.
Copyright 2017, All Rights Reserved
Teepa Snow and Positive Approach to Care
DISCLAIMER
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