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Reminiscence
Therapy
Reminiscence benefits– one to one
 Increases:
 the ability to communicate and practice self expression.
 social interaction through the sharing of experiences.
 feelings of belonging and togetherness.
 the individual identity and unique experiences of each person.
 Allows older people take on teaching role by sharing their experiences.
 Helps people to come to terms with growing older.
 Encourages older people to regain interest in past times and hobbies
 Encourages creativity.
Benefits continued
 Increases self worth and provides a sense of
achievement.
 Reduces apathy and confusion, especially in
confused people.
 Alleviates depression.
 Increases life satisfaction.
 Improvesself-care.
 Helpsolderpeopledealwithcrisis,lossesandlifetransitions.
 Meets psychological and emotional needs.
 Involvement in a meaningful and pleasurable activity and
positive Interaction.
Benefits for the family and carer
 Gain knowledge and understanding aboutthe
aperson’s life,historyandachievements
 Find links between the person’s past experience
and presentbehaviour
 Assisttherelationshipbetween,asunderstanding
more about a person can facilitate more
meaningful contact
 Provide an opportunity to learn
about the past
 A way of finding a connection with another
person and sharing similar experiences and
memories
Doingreminiscencework
 Use sensitivity, flexibility, awareness and
warmth
Focusonpositiveinteraction,emphasise
brief, high qualityinteractions.
 Focus on the remaining abilities of the
person taking into account the person’s
past and present strengths, interests and
difficulties
Doingreminiscencework
 It does not matter if the enjoyment is for a short
time or fleeting as it is still of value to that person
 Be aware of attempts to communicate. What
we see as ‘difficult behaviour’ could simply be
an attempt to communicate
 Be person focused and let the person talk about
whatisimportanttothem.
 Spending time listening to a person says to them
they are special and what they have to say is
valuable.
Doingreminiscencework
 Use humour as a means of
communication. It can catch
a person’s attention and has
the capacity to holdit.
Reminiscingwithhumournotonlyprovides
opportunities to enjoy it, but also gives
permissiontoexpressit.
Doingreminiscencework
 It is important to recognise the many factors
that influence one’s life:
 Growing up in a different country, living in rural or
urban areas all offer different experiences. Other
influences on a person’s life can be growing up
as part of a large family, different cultures,
customs and language (Museum Victoria, 1995, p 3).
 Some older people may no longer have the
ability to explain or express their thoughts
through words. Reminiscing is much more then
simply talking about a memory. Reminiscing can
involve all the senses.
 For people with difficulties in communicating
verbally,theopportunitiesoffered byadifferent,
non verbal, way of communicating may be of
great importance
Providingsensorystimulation through:
 sound
 movement
 dance
 rhythm
 beat
 smell
 changes in light and colour
 objects
 tactile surfaces
 materials
 vibration
 food and experiencing flavour
can provide vivid and strong reminiscence.
 The persons ability to derive pleasure from the use of
someorallofthefivesensesisanimportantstrength.
 Many activities can involve some sort of sensory
stimulationwhichresultinapleasurableactivity
 Activities through visual and tactile modes can be
stimulatingandenjoyable
Hearing andTouch
 Hearing is a major sense that can bring pleasure.
 Touch is one of the only non verbal types of
communication that can be fullyperceived.
 Touch helps to keep in touch with the
environment and reality.
 An agitated person will often relax when someone sits
and holds their hand and talks to them.
 Touch conveys attitudes and feelings. Touch is
something which cannot befaked.
When reminiscing brings updifficult,
sad or distressing emotions
 If anolderperson startsremembering asad
ordifficulttimeintheirlifeit isnotnecessarily
a bad thing. Sometimes it is OK for the person
explore their feelings and for these feelings to
be acknowledged.
 Often sad experiences will be recalled as
part of reminiscence therapy.
Not all memories are positive
so it is important to ‘check in’
withtheperson
throughout the reminiscing
experience. Keep the
following in mind:
 Theseexperiencesarejustasimportantas
happy ones, so don’t feel that you need to
steer discussion on to a happier topic unless it
is clear that the person is becoming stressed.
Sometimes reminiscence can lead to feelings
of depression and may require one to one
followup(StGeorgeMuseum,2004,pp6-7).
 Environments should be supportive and
confrontations should be avoided.
Engaging theperson
 Be physically at the same level
 Make eye contact if possible.
 If eye contact is not possible be sure to have your
hand or the reminiscing objects in a place the
person will be able to see as this will help to make
a connection.
 If the person has a sight impairment let them know
you are with them through touch, movement,
talking or possibly move them to an area where
there will be a difference in light.
Engaging theperson
 Always use a space where the person can
feel comfortable, where there are minimal
distractions and where you will not be
interrupted.
 Give the person a clear introduction to the
reminiscing session and theme.
 Don’t rush the person. Allow time for them to
communicate in a way that they are
comfortablewith.
Engaging theperson
 Look for non verbal cues as they are often more
subtle than verbal clues but probably more powerful.
 Look for the following:
 Watch for facial expressions.
 Is the person looking?
 Is the person adding a gesture?
 Hand the person one object at atime.
 Keep to the pace of the older person. Some people
will be interested in objects for a long time whilst
others for only a short time.
 (Armstrong and Wright, 2002, p18)
Engaging theperson
 When closing the reminiscence make sure the
activity has a formal ending and that the person
knows the reminiscing is coming to an end (Armstrong and
Wright, 2002, p18).
 Check that the older person is not left thinking
aboutasadordistressingmemory.Ifsomeoneis
thinking about a sad or distressing memory keep
thefollowinginmind:
 ‘Walk’ the person out of that
memoryontoanother.
 Acknowledge how the person is
feeling,thattheiremotionsaregenuine.
Staywiththepersonalittlelongeriftimepermits.
(Armstrong and Wright, 2002, p18)
Tips for successfulconversation
 Don’t ask specific questions that are closed ask open
ended questions as they often work better e.g.
 ‘How are you getting on?’
 ‘Please give me some advice on…”
(not suitable for people with advanced
dementia).
 Allow the person with dementia to set the agenda. Let the
topic of conversation flow under the older person’s control
wherever possible.
 Be a good listener. Stop, wait and allow the older person
time to speak. What may seem like an uncomfortable, silent
wait for us can allow the older person time to gather their
thoughtsandrespond.
(Surr, 2002, p25)
The importance of objects
 Providing a focus for reminiscing can be best achieved through
objects.
 The objects are usually collected within a theme and can be
used as a structured activity to support reminiscing. Objects
can also be left with an older person for them to sort through
and engage with.
 Oneresearchernotesmultisensorytriggershelpcompensate
for different cognitive impairments and objects which can be
touched, handled and passed around seem to be particularly
important (Coaten, 2001, p20).
Reminiscing Kits
 Reminiscing kitsare a great resource. When creatingkits keep the
following inmind:
 Older people should be familiar withmost or all of the items in the kits.
 The objects need to be carefully selected so that they relate to specific
ideas, events, occasionsor periodsof life.
 The objects need to be age and experience appropriate and safe for
older people to use.
 Don’t forget about kit maintenance by replacing all objects in the kits
afteruse,cleaningsomeitemsifnecessary.
Creating aKit
 Talk with the older person about what is important to them and their experiences.
 Centre your kit around a theme
 Select an era or year appropriate for the
olderperson
 Remember the senses
 Many items can be donated or found in second hand stores. Creating a kit does
not have to be expensive.
 Make the container part of the theme and think about how it will be used.
 Will the kit sit in an older persons lap or simply be used for storage of items?
 (Museum Victoria, 1995, p13)
es.
Othertypesofactivities/
reminiscing materials
 Sensory stimulation, multi sensory
environments.
 Soft toys, life-like dolls and toys.
 Sensoryboxes.
 Cooking/Art.
 Tactileboards / mats/wallsculptur
(Wareing, 2000, pp22-24)
Other opportunities to
reminisce
 There are many ways to reminisce. Using objects is a
powerful way of touching the senses and stimulating
memories however using themes in conversation during
everyday activities can also provide positive engagement
with an older person.
 One researcher notes it is about engaging older people
throughout the day with positive interaction during routine
care (Spencer and Joyce, 2000, p 20).
 Every day activities to use reminiscence
• Meal times.
• Bed times.
• Bath/shower times.
• Morning/ afternoon tea and supper time.
• When assisting someone to walk to another area.
• When giving medication.
Themes
 Below are a number of
themes you could use in
conversation during daily
tasks. These types of
questions can be useful to
build up a personal ‘life
history’ of the older person
or as a way of allowing the
person to express
themselves.
 I was born
 Mymother
 My father
 My brothers and sisters
 Other relatives
 First memories
 My childhood home
 Favourite rooms, things
 Childhood illness
 Childhood fears
 Childhood songs, street
games
 Familylife
 Sundays
 In the backyard
 Our neighbours
 Our childhood games
 Childhood pets
 Our town
 Childhood disasters
THEMES CONTINUED
 Toys andtreats
 Christmas day
 Favouritefood
 Heroes
 Radio, music
 Turning 21
 Cars
 Thegreatdepression
 Duringthewar
 Children, other commitments
 Love, marriage
 Work
 Special friends
 Hurdles,heartbreaks
 Regrets
 (Thompson, year unknown)
 (Coaten, 2001, p 19)

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Reminiscence_Therapy

  • 2. Reminiscence benefits– one to one  Increases:  the ability to communicate and practice self expression.  social interaction through the sharing of experiences.  feelings of belonging and togetherness.  the individual identity and unique experiences of each person.  Allows older people take on teaching role by sharing their experiences.  Helps people to come to terms with growing older.  Encourages older people to regain interest in past times and hobbies  Encourages creativity.
  • 3. Benefits continued  Increases self worth and provides a sense of achievement.  Reduces apathy and confusion, especially in confused people.  Alleviates depression.  Increases life satisfaction.  Improvesself-care.  Helpsolderpeopledealwithcrisis,lossesandlifetransitions.  Meets psychological and emotional needs.  Involvement in a meaningful and pleasurable activity and positive Interaction.
  • 4. Benefits for the family and carer  Gain knowledge and understanding aboutthe aperson’s life,historyandachievements  Find links between the person’s past experience and presentbehaviour  Assisttherelationshipbetween,asunderstanding more about a person can facilitate more meaningful contact  Provide an opportunity to learn about the past  A way of finding a connection with another person and sharing similar experiences and memories
  • 5. Doingreminiscencework  Use sensitivity, flexibility, awareness and warmth Focusonpositiveinteraction,emphasise brief, high qualityinteractions.  Focus on the remaining abilities of the person taking into account the person’s past and present strengths, interests and difficulties
  • 6. Doingreminiscencework  It does not matter if the enjoyment is for a short time or fleeting as it is still of value to that person  Be aware of attempts to communicate. What we see as ‘difficult behaviour’ could simply be an attempt to communicate  Be person focused and let the person talk about whatisimportanttothem.  Spending time listening to a person says to them they are special and what they have to say is valuable.
  • 7. Doingreminiscencework  Use humour as a means of communication. It can catch a person’s attention and has the capacity to holdit. Reminiscingwithhumournotonlyprovides opportunities to enjoy it, but also gives permissiontoexpressit.
  • 8. Doingreminiscencework  It is important to recognise the many factors that influence one’s life:  Growing up in a different country, living in rural or urban areas all offer different experiences. Other influences on a person’s life can be growing up as part of a large family, different cultures, customs and language (Museum Victoria, 1995, p 3).
  • 9.  Some older people may no longer have the ability to explain or express their thoughts through words. Reminiscing is much more then simply talking about a memory. Reminiscing can involve all the senses.  For people with difficulties in communicating verbally,theopportunitiesoffered byadifferent, non verbal, way of communicating may be of great importance
  • 10. Providingsensorystimulation through:  sound  movement  dance  rhythm  beat  smell  changes in light and colour  objects  tactile surfaces  materials  vibration  food and experiencing flavour can provide vivid and strong reminiscence.
  • 11.  The persons ability to derive pleasure from the use of someorallofthefivesensesisanimportantstrength.  Many activities can involve some sort of sensory stimulationwhichresultinapleasurableactivity  Activities through visual and tactile modes can be stimulatingandenjoyable
  • 12. Hearing andTouch  Hearing is a major sense that can bring pleasure.  Touch is one of the only non verbal types of communication that can be fullyperceived.  Touch helps to keep in touch with the environment and reality.  An agitated person will often relax when someone sits and holds their hand and talks to them.  Touch conveys attitudes and feelings. Touch is something which cannot befaked.
  • 13. When reminiscing brings updifficult, sad or distressing emotions  If anolderperson startsremembering asad ordifficulttimeintheirlifeit isnotnecessarily a bad thing. Sometimes it is OK for the person explore their feelings and for these feelings to be acknowledged.  Often sad experiences will be recalled as part of reminiscence therapy. Not all memories are positive so it is important to ‘check in’ withtheperson throughout the reminiscing experience. Keep the following in mind:  Theseexperiencesarejustasimportantas happy ones, so don’t feel that you need to steer discussion on to a happier topic unless it is clear that the person is becoming stressed. Sometimes reminiscence can lead to feelings of depression and may require one to one followup(StGeorgeMuseum,2004,pp6-7).  Environments should be supportive and confrontations should be avoided.
  • 14. Engaging theperson  Be physically at the same level  Make eye contact if possible.  If eye contact is not possible be sure to have your hand or the reminiscing objects in a place the person will be able to see as this will help to make a connection.  If the person has a sight impairment let them know you are with them through touch, movement, talking or possibly move them to an area where there will be a difference in light.
  • 15. Engaging theperson  Always use a space where the person can feel comfortable, where there are minimal distractions and where you will not be interrupted.  Give the person a clear introduction to the reminiscing session and theme.  Don’t rush the person. Allow time for them to communicate in a way that they are comfortablewith.
  • 16. Engaging theperson  Look for non verbal cues as they are often more subtle than verbal clues but probably more powerful.  Look for the following:  Watch for facial expressions.  Is the person looking?  Is the person adding a gesture?  Hand the person one object at atime.  Keep to the pace of the older person. Some people will be interested in objects for a long time whilst others for only a short time.  (Armstrong and Wright, 2002, p18)
  • 17. Engaging theperson  When closing the reminiscence make sure the activity has a formal ending and that the person knows the reminiscing is coming to an end (Armstrong and Wright, 2002, p18).  Check that the older person is not left thinking aboutasadordistressingmemory.Ifsomeoneis thinking about a sad or distressing memory keep thefollowinginmind:  ‘Walk’ the person out of that memoryontoanother.  Acknowledge how the person is feeling,thattheiremotionsaregenuine. Staywiththepersonalittlelongeriftimepermits. (Armstrong and Wright, 2002, p18)
  • 18. Tips for successfulconversation  Don’t ask specific questions that are closed ask open ended questions as they often work better e.g.  ‘How are you getting on?’  ‘Please give me some advice on…” (not suitable for people with advanced dementia).  Allow the person with dementia to set the agenda. Let the topic of conversation flow under the older person’s control wherever possible.  Be a good listener. Stop, wait and allow the older person time to speak. What may seem like an uncomfortable, silent wait for us can allow the older person time to gather their thoughtsandrespond. (Surr, 2002, p25)
  • 19. The importance of objects  Providing a focus for reminiscing can be best achieved through objects.  The objects are usually collected within a theme and can be used as a structured activity to support reminiscing. Objects can also be left with an older person for them to sort through and engage with.  Oneresearchernotesmultisensorytriggershelpcompensate for different cognitive impairments and objects which can be touched, handled and passed around seem to be particularly important (Coaten, 2001, p20).
  • 20. Reminiscing Kits  Reminiscing kitsare a great resource. When creatingkits keep the following inmind:  Older people should be familiar withmost or all of the items in the kits.  The objects need to be carefully selected so that they relate to specific ideas, events, occasionsor periodsof life.  The objects need to be age and experience appropriate and safe for older people to use.  Don’t forget about kit maintenance by replacing all objects in the kits afteruse,cleaningsomeitemsifnecessary.
  • 21. Creating aKit  Talk with the older person about what is important to them and their experiences.  Centre your kit around a theme  Select an era or year appropriate for the olderperson  Remember the senses  Many items can be donated or found in second hand stores. Creating a kit does not have to be expensive.  Make the container part of the theme and think about how it will be used.  Will the kit sit in an older persons lap or simply be used for storage of items?  (Museum Victoria, 1995, p13)
  • 22. es. Othertypesofactivities/ reminiscing materials  Sensory stimulation, multi sensory environments.  Soft toys, life-like dolls and toys.  Sensoryboxes.  Cooking/Art.  Tactileboards / mats/wallsculptur (Wareing, 2000, pp22-24)
  • 23. Other opportunities to reminisce  There are many ways to reminisce. Using objects is a powerful way of touching the senses and stimulating memories however using themes in conversation during everyday activities can also provide positive engagement with an older person.  One researcher notes it is about engaging older people throughout the day with positive interaction during routine care (Spencer and Joyce, 2000, p 20).  Every day activities to use reminiscence • Meal times. • Bed times. • Bath/shower times. • Morning/ afternoon tea and supper time. • When assisting someone to walk to another area. • When giving medication.
  • 24. Themes  Below are a number of themes you could use in conversation during daily tasks. These types of questions can be useful to build up a personal ‘life history’ of the older person or as a way of allowing the person to express themselves.  I was born  Mymother  My father  My brothers and sisters  Other relatives  First memories  My childhood home  Favourite rooms, things  Childhood illness  Childhood fears  Childhood songs, street games  Familylife  Sundays  In the backyard  Our neighbours  Our childhood games  Childhood pets  Our town  Childhood disasters
  • 25. THEMES CONTINUED  Toys andtreats  Christmas day  Favouritefood  Heroes  Radio, music  Turning 21  Cars  Thegreatdepression  Duringthewar  Children, other commitments  Love, marriage  Work  Special friends  Hurdles,heartbreaks  Regrets  (Thompson, year unknown)  (Coaten, 2001, p 19)