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Connecting Children and Elders with Dementia

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Connecting Children and Elders with Dementia © Positive Approach to Care® – to be reused only with permission. 1 For the slides from this presentation, visit: www.teepasnow.com/presentations Slides will be available for 2 weeks © Positive Approach to Care® – to be reused only with permission. 2 Handouts are intended for personal use only. Any copyrighted materials or DVD content from Positive Approach to Care® (Teepa Snow) may be used for personal educational purposes only. This material may not be copied, sold or commercially exploited, and shall be used solely by the requesting individual. Copyright 2017, All Rights Reserved 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 to Care® © Positive Approach to Care® – to be reused only with permission. 3 1 Connecting Children And Elders with Dementia Beth A. D. Nolan, Ph.D. Director of Research and Policy [email protected] Find additional videos and resources at www.teepasnow.com © Positive Approach to Care® – to be reused only with permission. 4 Steps to Success: Intergenerational Programming © Positive Approach to Care® – to be reused only with permission. 5 #1 Planning Ahead • Starter Activity • Kid-focused – Elders watch… • One leader for the kids, one for the elders • ID those who want to watch, do, not-engage • Integrated activity • Elders look like the “leaders” • Still kid-focused • Transition activity • Elder-focused – they’ve got some place to be! • Not a huge “Good-bye!” – see ya later… © Positive Approach to Care® – to be reused only with permission. 6 2 #2 Setting up the Environment • Visual • Props are a must! All else goes away • Show + tell for everything • Have 2-25 yr olds practice show + tell after a “Huh?” • Sound • How is noise handled in the room? • How much kid-noise can each elder handle? • Physical Space and Set up • Kids introduced to the public space after Elders • Space for the kids up front (so elders can watch) • Space in the middle to pair up 1 kid-1 elder • Space in the back for elders to watch/escape • THINGS: no “favorite” anything and everyone has their own! © Positive Approach to Care® – to be reused only with permission. 7 #2 Setting up the Environment Do the ‘right stuff’ in the ‘right place’ Pay attention Match what you do Create & Use to the lights, to where you are… Storage sounds, seating, work surface, Make set-up & space… clean-up part of the activity Change it around – if Use the space you need to well - to make it Plan and place work! for BEST effect Keep ADULT-activities adult and kid-activities Give out tools and kid! materials ‘just in time’ Make it look friendly Make sure supplies, Get me to want to come activities, and games are Control the activity so meaningful clients are successful – Play & laugh with folks, not overwhelmed not at them - not out of synch © Positive Approach to Care® – to be reused only with permission. 8 #3 Know Your Audience(S!) What do we know about children? What do we know about dementia? • Know the GEMS State of your kids • Know the GEMS State of your elders! © Positive Approach to Care® – to be reused only with permission. 9 3 GEMS® Dementia Abilities - Based on Allen Cognitive Levels to to bere -A Cognitive Disability Theory – OT based - -Creates a common language and approach to providing: ✓Environmental support ✓Caregiver support and cueing strategies ✓Expectations for retained ability and lost skill ✓Promotes graded task modification -Each Gem state requires a special ‘setting’ and ‘just right’ care ✓Visual, verbal, touch communication cues Snow, Positive Approach, PositiveSnow, LLC -Each can shine used only used only withpermission -Encourages in the moment assessment of ability and need Teepa ✓Accounts for chemistry as well as structure change © Positive Approach to Care® – to be reused only with permission. 10 The GEMS… Sapphires: True Blue – Healthy Brain Diamonds: Routines & Routines Rule - Clear/Sharp Emeralds: Green/On the Go with Purpose– Naturally Flawed Ambers: Caught In a moment of time – Caution Required Rubies: Deep & Strong – Others stop seeing what is possible Pearls: Hidden in a Shell – Beautiful Moments to Behold © Positive Approach to Care® – to be reused only with permission. 11 #3 Know Your Audience(S!) Kids • 0-2 Pearls and Rubies • 2-6 Ambers to Emeralds • 7-12 Emeralds with Diamond moments • 12-14 Diamonds • 15-25 Diamonds with Sapphire moments © Positive Approach to Care® – to be reused only with permission. 12 4 #4 Assigning Tasks • 1st Activity -Kids-focused activity • Kids’ job to show the elders • Elder watch and comment • Assesses who are your Watcher/Doer/Go-away • 2nd Activity • Co-activity – Elders to ‘help’ the kids • Kids informed ahead of time of how it will go • 1-1 Elder-kid. Tables by GEMS State • Leader to use props to show/guide w/o touching other’s stuff • 3rd Activity –Transition activity • Everybody has their place to be. • Kids have to go with a song • Elders transition to song to come down… © Positive Approach to Care® – to be reused only with permission. 13 #5 Running the Program • 1st Activity -Kids-focused activity • Kid-friendly, GEMS State abilities appropriate • 2nd Activity • Activity related to what the kids did! Builds upon. • Avoid activities where you recreate something demo’d (There’s no right or wrong, then!) • Each person can build upon a larger collective OR take their own piece home • 3rd Activity –Transition activity • Everybody has their place to be. • Kids have to go with a song • Elders transition to song to come down… © Positive Approach to Care® – to be reused only with permission. 14 Give Simple Information: - Use Visual Cue (gesture/point) combined with a Verbal Cue: -“Its about time for… “ -“Let’s go this way…” -“Here are your socks…” - Don’t ask questions you don’t want to hear the answer to! - Acknowledge the response/reaction to your information - Limit your words and keep it simple - Wait! © Positive Approach to Care® – to be reused only with permission. 15 5 Positive Action Starters (PAS) 1. Help – Be sure to compliment their skill in this area, then ask for help. “I could use your help…” 2. Try – Hold up or point to the item you would like to use, possibly sharing in the dislike of the item or task, “Well, let’s try this.” 3. Choice – Try using visual cues to offer two possibilities or one choice with something else as the other option. “Coffee or Tea?” “This? Or something else?” 4. Short and Simple – Give only the first piece of information, “It’s about time to …” 5. Step by Step – Only give a small part of the task at first, “Lean forward….” © Positive Approach to Care® – to be reused only with permission. 16 Teepa’s Engagement Rules 1. Use Music at least once a program – as the activity, as the transition 2. Something Productive for each Sapphire, Diamond, Emerald, Amber & Ruby resident 3. Play with people but keep it adult for anyone 14 and over! 4. Smooth out Transitions – (See #1! ☺) 5. If they can DO something support their doing it 6. Encourage helping and ALWAYS say THANK YOU 7. Respect space preferences – introverts/extroverts 8. Match Sensory Experience to Preferences -Sight, sound, smell, touch, taste © Positive Approach to Care® – to be reused only with permission. 17 The GEMS… Sapphires: True Blue – Healthy Brain Diamonds: Routines & Routines Rule - Clear/Sharp Emeralds: Green/On the Go with Purpose– Naturally Flawed Ambers: Caught In a moment of time – Caution Required Rubies: Deep & Strong – Others stop seeing what is possible Pearls: Hidden in a Shell – Beautiful Moments to Behold © Positive Approach to Care® – to be reused only with permission. 18 6 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 © Positive Approach to Care® – to be reused only with permission. 19 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 -Misplace things and can’t find them -Resent takeover or bossiness -Notice other people’s misbehavior and mistakes -Vary in lack of self-awareness -Use old routines and habits -Control important roles and territories, use refusals © Positive Approach to Care® – to be reused only with permission. 20 Supporting Diamonds: - Encourage continued participation with choice to assist with set up and running - Give another ‘job’ when taking one away - Make it temporary with “Let’s just try…” - Share responsibility, not take over - Give up being ‘right’ in discussions - Apologize when you upset them, even when you did not do anything ‘wrong’ © Positive Approach to Care® – to be reused only with permission. 21 7 Diamond Interests: - What they feel competent at - What they enjoy - Who they like - What makes them feel valued - Where they feel comfortable but stimulated - What is familiar but intriguing - What is logical and consistent with historic values and beliefs - Whoever is in charge © Positive Approach to Care® – to be reused only with permission. 22 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 © Positive Approach to Care® – to be reused only with permission.
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