WORKSHOP 1 - Understanding
the World of Alzheimer's
WORKSHOP 2 - Non Verbal Communication
WORKSHOP 3 - Verbal Communication
WORKSHOP 4 - Listening Skills
WORKSHOP 5 - Tools for Behaviors
WORKSHOP 6 - Tools for Caregiving
WORKSHOP FIVE - TOOLS FOR HELPING WITH BEHAVIORS
RITUAL: Name tags/Handouts/Snack/Sit in a new seat
DISCUSSION: Review and discuss last week's class on Listening
EXERCISE: This is
not a ....
GO OVER the Rules
of Brainstorming (click for printable PDF)
*Go over the handouts
on Behaviors and the possible causes. The ones I used are available
as printable Handouts right here: Understanding
Difficult Behaviors, Authors: Anne Robinson, Beth Spencer, and
Behaviors: The Why's and What to Do's
of Behaviors to Brainstorm (click for printable PDF)
* These are just examples. You should think about what behaviors
have occurred in your facility and use a different one for each
group. Write them on index cards and have them randomly choose one
or you can give them out to each group. I have done it both ways
and both work just as well.
Once each group I each has a behavior, I remind them to keep the
same spirit of brainstorming as they had when they were doing the
last exercise (Market This!). Now they need to refer to the Understanding
Behaviors handouts and to all their caregiving knowledge to figure
out the Why's? behind the behavior and then the What to Do's? about
TIP - Write WHY and WHAT TO DO on a flip chart. Also encourage
them to pick someone to write all of it down. Give the groups about
10 minutes. You may need to be flexible with your time. After the
time is up - pick a group to begin. Review what the behavior was
and have them read what they came up with for the Whys. Then discuss
it with the whole group and open it up for discussion if anyone
has any other Why's to add to the list. Then have them read what
they have come up with for he What To Do's and do the same with
opening it up to the other groups for discussion. Let everyone response
before you as the facilitator give any input.
NOTE: You really need to know behaviors to be able to do this exercise.
They will be looking to you for the answers.
What is Validation Therapy ?
* Not too long ago medical personnel were taught to "use reality
orientation" . We no now this is not the way to work with persons
with dementia. Now we know to use validation.
It stresses the importance of bringing the disoriented person to
the " here and now" by constantly emphasizing time, place,
person and thing. Not useful with Alzheimer's or other permanently
impaired persons. See Validation.
"Forcing the Alzheimer's-afflicted to 'face reality' can often
be counter- productive", Naomi Feil said, explaining that when
patients become confused, they tend to turn inward and lose their
communicate. The idea behind validation therapy is to just let them
talk, and to act as if what they are saying is perfectly fine, even
when they appear to be living in another time or place, or are confused
about who is who. There is no evidence that using validation therapy
will improve patients' memories or cognitive abilities, but it does
seem to increase their enjoyment of life.
DISCUSSION - Yes And
Yes And is the foundation for improvisation theatre. Using Yes
And in Alzheimer's care can do the following.
Yes And = Agree - Build
Yes And = Validate - Redirect
Yes And = Understand - Help
* How does it feel to say Yes and for someone else to say Yes to
And to Alz
HOMEWORK: How can you be more aware of behaviors? What are the
behaviors you see communicating to you? Think about whose fault
it is - are you communicating clearly ? are you making the task
fit their abilities ? are you not recognizing body language ?