The Gems Of Caregiving: Teepa Snow, Dementia Expert

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Home Instead Senior Care of Sonoma County, CA, sponsored an event with guest speaker Teepa Snow. Teepa is a dementia and Alzheimer's expert, particularly teaching caregivers how to understand the disease and the symptoms and how to best care for the elderly with the disease.

This event was held on March 22, 2010, at the Scottish Rite Masonic Center in Santa Rosa, CA. An all day workshop that included CEU credits for certain health care professionals. Home Instead Senior Care of Sonoma County (Rohnert Park home care) and Brighton Gardens Assisted Living of Santa Rosa were the sponsors.

This presentation was one part of the workshop in which Teepa Snow explained the various stages of dementia as GEMS.
(c) 2010 TeepaSnow.com. All rights reserved. Use only with permission.

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The Gems Of Caregiving: Teepa Snow, Dementia Expert

  1. 1. Caregiving Gems<br />Teepa Snow, MS, OTR/L, FAOTA<br />1<br />© 2010 Teepa Snow. All rights reserved. Use only with permission. Presentation at Home Instead Senior Care of Sonoma County<br />sponsored Dementia and Alzheimer’s event, March 22, 2010, at the Scottish Rite Masonic Center in Santa Rosa, CA.<br />
  2. 2. Beliefs<br />People with Dementia are Doing the BEST they can<br />We must learn to DANCE with our partner<br />We are a KEY to make life WORTH living<br />What we choose to do MATTERS<br />We can change the WORLD with help<br />We must be willing to CHANGE ourselves<br />We must be willing to STOP & BACK OFF<br />2<br />© 2010 Teepa Snow. All rights reserved. Use only with permission. Handout at Home Instead Senior Care of Sonoma County<br />sponsored Dementia and Alzheimer’s event, March 22, 2010, at the Scottish Rite Masonic Center in Santa Rosa, CA.<br />
  3. 3. How Can We Become Better Care Partners?<br />Let go of the past to be in the MOMENT<br />Go with their FLOW<br />Be willing to try something new<br />Be willing to learn something different<br />Be willing to see it through another’s eyes<br />Be willing to fail & try again<br />3<br />
  4. 4. Caring for Someone with Dementia…<br />What Works BEST?<br />4<br />
  5. 5. The Basics for Success…<br />Be a Detective NOT a Judge<br />Look, Listen, Offer, Think… <br />Use Your Approach as a Screening Tool<br />Always use this sequence for CUES<br />Visual - Show<br />Verbal - Tell<br />Physical – Touch<br />Match your help to remaining abilities<br />5<br />
  6. 6. Positron Emission Tomography (PET) Alzheimer’s Disease vs. Normal Brains<br />Early <br />Alzheimer’sAlzheimer’s<br />Late Alzheimer’s<br />Normal<br />Child<br />G. Small, UCLA School of Medicine.<br />6<br />
  7. 7. Normal Brain<br />Alzheimers Brain<br />7<br />
  8. 8. Learning & Memory Center<br />Hippocampus<br />BIG CHANGE<br />8<br />
  9. 9. Understanding Language – BIG CHANGE<br />9<br />
  10. 10. Hearing Sound – Not Changed<br />10<br />
  11. 11. Sensory Strip<br />Motor Strip<br />White Matter Connections<br />BIG CHANGES<br />Automatic Speech<br />Rhythm – Music<br />Expletives<br />PRESERVED<br />Formal Speech & Language<br />Center<br />HUGE CHANGES<br />11<br />
  12. 12. Executive Control Center<br />Emotions Behavior Judgment<br />Reasoning<br />12<br />
  13. 13. Vision Center – BIG CHANGES<br />13<br />
  14. 14. Some Basic Skills<br />Positive Physical Approach<br />Supportive Communication<br />Consistent & Skill Sensitive Cues<br />Visual, verbal, physical<br />Hand Under Hand <br /> for connection<br /> for assistance<br />Open and Willing Heart, Head & Hands<br />14<br />
  15. 15. First Connect – Then Do<br />1st – Visually<br />2nd – Verbally<br />3rd – Physically<br />4th – Emotionally<br />5th – Spiritually - Individually<br />15<br />
  16. 16. To Connect<br />Start with the <br />Positive Physical Approach<br />16<br />
  17. 17. Your Approach<br />Use a consistent positive physical approach<br />pause at edge of public space<br />gesture & greet by name<br />offer your hand & make eye contact<br />approach slowly within visual range<br />shake hands & maintain hand-under-hand<br />move to the side<br />get to eye level & respect personal space<br />wait for acknowledgement<br />17<br />
  18. 18. A Positive Approach(To the Tune of Amazing Grace)Come from the frontGo slowGet to the side,Get lowOffer your handCall out the name then WAIT…If you will try, then you will seeHow different life can be.For those you’re caring for!<br />18<br />
  19. 19. Supportive Communication<br />Make a connection<br />Offer your name – ”I’m (NAME) ”… “and you are…”<br />Offer a shared background – “I’m from (place) …and you’re from…”<br />Offer a positive personal comment – “You look great in that ….” or “I love that color on you…”<br />19<br />
  20. 20. Support to ‘Get it GOING!’<br />Give SIMPLE & Short Info<br />Offer concrete CHOICES<br />Ask for HELP<br />Ask the person to TRY<br />Break the TASK DOWN to single steps at a time<br />20<br />
  21. 21. Give SIMPLE INFO<br /><ul><li>USE VISUAL combined VERBAL (gesture/point)
  22. 22. “It’s about time for… “
  23. 23. “Let’s go this way…”
  24. 24. “Here are your socks…”
  25. 25. DON’T ask questions you DON’T want to hear the answer to…
  26. 26. Acknowledge the response/reaction to your info…
  27. 27. LIMIT your words – Keep it SIMPLE
  28. 28. WAIT!!!!</li></ul>21<br />
  29. 29. Now for the GEMS…<br />Diamonds<br />Emeralds<br />Ambers<br />Rubies<br />Pearls<br />22<br />
  30. 30. Diamonds<br />Still Clear<br />Sharp - Can Cut<br />Hard - Rigid - Inflexible<br />Many Facets<br />Can Really Shine<br />23<br />
  31. 31. Diamonds<br />Know Who’s in Charge – Respect Authority<br />Can do OLD habits & routines <br />Become more territorial OR less aware of boundaries<br />Like the familiar – FIGHT CHANGE<br />Can pull it together to make you look bad<br />Know how to push your buttons<br />Want to keep roles the same<br />Tell the same stories ask the same ?s<br />24<br />
  32. 32. Emeralds<br />Changing color<br />Not as Clear or Sharp - Vague<br />Good to Go – Need to ‘DO’<br />Flaws are Hidden<br />Time Traveling<br />25<br />
  33. 33. Emeralds<br />Think they are FINE<br />Get emotional quickly<br />Make mistakes – don’t realize it<br />Do over and over OR Skip completely<br />Ask – “What? Where? When?”<br />Like choices<br />Get lost in past life, past places, past roles<br />Need help, DON’T know it or like it!<br />26<br />
  34. 34. Ambers<br />Amber Alert<br />Caution!<br />Caught in a moment<br />All about Sensation <br />Explorers<br />27<br />
  35. 35. Ambers<br />Get into stuff<br />Fiddle, mess, touch, taste, dig, tear, fold…..<br />Move toward action and noise OR away<br />Sensory tolerance<br />Sensory need<br />Mouth, fingers, feet, genitalia<br />Can’t figure it out… react physically<br />28<br />
  36. 36. Rubies<br />Hidden Depths<br />Red Light on Fine Motor<br />Comprehension & Speech Halt<br />Coordination Falters<br />Wake-Sleep Patterns are Gone<br />29<br />
  37. 37. Rubies<br />Fine motor stops<br />Hard to stop and hard to get going<br />Limited visual awareness<br />One direction – forward only<br />Can’t figure out details – but do copy us<br />SLOW to change<br />On the go or full stop<br />Use music and rhythm <br />30<br />
  38. 38. Pearls<br />Hidden in a Shell<br />Still & Quiet<br />Easily Lost<br />Beautiful - Layered<br />Unable to Move – Hard to Connect<br />Primitive Reflexes on the Outside<br />31<br />
  39. 39. Pearls<br />Can’t move<br />Not aware of the world around – most of the time<br />Problems swallowing<br />Hard to get connected<br />How we touch and help matters<br />SLOW!!!!<br />Varies a LOT<br />32<br />© 2010 Teepa Snow. All rights reserved. Use only with permission. Presentation at Home Instead Senior Care of Sonoma County<br />sponsored Dementia and Alzheimer’s event, March 22, 2010, at the Scottish Rite Masonic Center in Santa Rosa, CA.<br />

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