Quiz Time! · 2020-07-13 · 6/21/2020 6 © Teepa Snow, Positive Approach, LLC –to be reused only...
Transcript of Quiz Time! · 2020-07-13 · 6/21/2020 6 © Teepa Snow, Positive Approach, LLC –to be reused only...
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
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Slides will be available for 2 weeks
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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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Using a
Positive Approach®
to Dementia Care
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Quiz Time!
- What do we know?
- What do we think we know?
- What don’t we know?
- What surprised us most?
- What can we do about it?
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Question #1
Dementia and Alzheimers are two
different words for the same condition
a.True
b.False
c.I don’t know
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Dementia Alzheimers Memory Problems
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About 90-95% of the general public think
Dementia Alzheimers Memory Problems
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BETTER ANSWER:
Dementia Alzheimers Memory Problems
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BEST ANSWER:
Dementia Alzheimers Memory Problems
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Having dementia
does not equal and is more
than just Alzheimers
does not equal and is more
than just Memory Problems
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Animal Fluency:
- Name as many animals as you can
- Give one minute: don’t highlight time limit
- Count each animal named: not repeats
- Establish Baseline versus Normal/Not Normal
-Old Guidelines: 12 normal for > 65 and 18 for
<65
-New: Compare you to you over time
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Question #2
About how many types, forms, or causes of dementia are there?
a. 2-3
b. 5-10
c. 20-40
d. Over 100
e. I have no idea
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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
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Question #3
What is one of the most common losses of ability
someone will experience when they get any form
of dementia?
a. Loss of ability to hear sound
b. Loss of ability to recognize familiar voices as
familiar
c. Inability to know another person is upset by
noticing their tone of voice
d. Loss of formal language skills – vocabulary,
comprehension, speech production
e. I have no idea
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Understanding Language – BIG CHANGE
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.Hearing Sound – Not Changed
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Question #4
What is the how much of your brain tissue
will you typically lose by the end of the
condition?
a. About 95%
b. About 65%
c. About 50%
d. About 30%
e. I don’t know
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For all that is lost,
some remains!
• 1/3 of brain remains
• Know what still works
• Know how we support in areas of loss
used with permission from Alzheimers:The Broken Brain, 1999
University of Alabama
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Normal
Brain
Alzheimers Brain
Used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Sensory Strip
Motor Strip
White Matter
Connections
BIG CHANGES
Formal Speech
and Language
Center
HUGE CHANGES
Automatic Speech
Rhythm – Music
Expletives
PRESERVED
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Executive
Control
Center:
Emotions
Behavior
Judgment
Reasoning
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Learning and
Memory
Center:
Hippocampus:
BIG CHANGE
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Vision Center – BIG CHANGES
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Question #5
What is the first change with dementia?
a. The brain begins to shrink
b. The chemistry of the brain changes
c. The person’s personality changes
d. The person’s behavior changes
e. I don’t know
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PET Scan of 20-Year-Old Brain PET Scan of 80-Year-Old Brain
PET and Aging:
ADEAR, 2003
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Positron Emission Tomography (PET)
Alzheimers Disease Progression vs. Normal Brains
G. Small, UCLA School of Medicine.
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Four Truths About
Dementia:
1. At least 2 parts of the brain are dying -
one related to memory and another part
2. It is chronic – can’t be fixed
3. It is progressive – it gets worse
4. It is terminal – it will kill, eventually
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Question #6
What is it called when you have dementia and
continue to think you are as skilled as you
were before, even though you are making
mistakes now?
a. Anosognosia
b. Denial
c. Hippocampal damage
d. Confabulation
e. I really don’t know
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Positron Emission Tomography (PET)
Alzheimers Disease Progression vs. Normal Brains
G. Small, UCLA School of Medicine
Primitive
BrainPrimitive
Brain
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
INTENT
I'm sorry I was trying
to help
EMOTION
I'm sorry I made you angry
I’m sorry I disappointed
you
INTELLECTUAL CAPACITY
I'm sorry, I had no right to
make you feel that way
THAT HAPPENED
I'm sorry, it should NOT
have happened
THIS IS HARD
I'm sorry, this is hard, I
hate it for you
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Question #7
What is an effective treatment for
dementia?
a. How we connect and respond to people
who are living with the condition
b. There are pills people can take to slow
the disease down
c. There is nothing that really helps
d. Exercise and eating right keeps it from
getting worse
e. I don’t know
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Beliefs:
People living with dementia are doing the
best they can
We must learn to dance with our partner
What we choose to do matters
We are a key to making life worth living
We must be willing to change ourselves
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How Can We Become Better
Care Partners?
-Let go of the past to be in the moment
-Go with their flow
-Be willing to try something new
-Be willing to learn something different
-Be willing to see it through another’s eyes
-Be willing to fail and try again
-Be a detective, not a judge
-Match your help to their remaining abilities
-Look, listen, offer, think
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Some Basic Skills:
1. Positive Physical Approach™
2. Hand-under-Hand® for connection and
assistance
3. Supportive Communication
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1. Positive Physical
Approach™:
-Pause at edge of public space (6 feet)
-Gesture and greet by name
-Offer your hand and make eye contact
-Approach slowly within visual range
-Shake hands and then maintain Hand-under-Hand®
-Move to the side
-Get to eye level and respect intimate space
-Wait for acknowledgement
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
A Positive Approach(To the Tune of Amazing Grace)
Come from the front
Go slow
Get to the side,
Get low
Offer your hand
Call out the name, then wait…
If you will try, then you will see
How different life can be.
For those you’re caring for!
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2. Hand-under-Hand®:Protects aging, thin, fragile, forearm skin
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3. Supportive Communication
• Repeat a few of their words with a question at
the end
• Avoid confrontational questions
• Use just a few words
• Go slow
• Use examples
• Fill in the blanks
• Listen, then offer empathy:
“Sounds like…” or “Seems like…” or “Looks
like…”
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Connect Emotionally:
-Offer your name: “I’m (name) and you are…?”
-Offer a shared background: “I’m from (place)
and you’re from…?”
-Offer a positive personal comment: “You look
great in that!” or “I love that color on you.”
-Make a positive observation: “What beautiful
flowers!” or “Great photo!”
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Then, Get it Going!
- Give Simple and short information
- Offer concrete choices
- Ask for help
- Ask the person just to try
- Break the task down to single steps at a time
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Question #8Which message would you prefer if you had
dementia?
a. You seem incompetent, let me help you
b. I am glad to see you. I could use your help.
c. There is clearly something wrong with you
and I don’t know what to do
d. You are scaring me and I want you out of here
e. There is clearly something wrong with you
and I am going to call the authorities for
help
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
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Teepa Snow and Positive Approach to Care
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