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Dementia: Improving Communication with Improv | Mirroring Technique is part of a six-part series. Dementia is a degenerative neurological condition that affects millions of people worldwide. As the disease progresses, individuals with dementia may experience difficulties with communication, including problems with memory, language, and understanding. This can make it challenging for caregivers and family members to connect with their loved ones and provide the best possible care. However, there is a promising solution to this challenge: improv. In this six-part series, we will explore how improvisational theater techniques can be used to improve communication and connection with individuals with dementia. By tapping into the power of improv, caregivers can learn how to communicate more effectively, build rapport, and create meaningful experiences with their loved ones.
Dementia is a debilitating condition that affects millions of people around the world. It is a progressive disease that affects memory, thinking, behavior, and the ability to perform daily tasks. As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated. However, with the right approach and support, individuals with dementia can still achieve good quality of life.
One approach to supporting individuals with dementia is to meet them where they are at. This means that care providers should strive to understand the individual's unique perspective, experiences, and needs. This approach can help to reduce frustration, confusion, and anxiety and promote a sense of well-being and connectedness.
To meet individuals with dementia where they are at, care providers can use a range of strategies. One of these strategies is the Mirroring technique. Learning the Mirroring technique can ultimately improve the quality of life for individuals with dementia and their caregivers.
Mirroring technique
The mirroring technique is an improvisation technique that involves reflecting the body language, facial expressions, and verbal communication of another person to build rapport and establish a connection. The goal is to create a safe and comfortable space for communication by demonstrating empathy and understanding.
When using the mirroring technique, the caregiver or healthcare provider closely observes the person with dementia and mirrors their movements, posture, facial expressions, and vocal patterns. This technique can help the person with dementia feel validated and understood, even if they are unable to express themselves verbally.
The mirroring technique involves the following steps:
By using the mirroring technique, caregivers and healthcare providers can establish a connection with the person with dementia, creating a safe and comfortable space for communication and building trust. This technique can help improve communication and reduce feelings of frustration or anxiety for the person with dementia.
Teaching The Mirroring Technique
Teaching someone to use the mirroring technique can be a helpful way to improve communication with someone with dementia. Here are some steps you can follow to teach someone how to use the mirroring technique:
Example of how the mirroring technique can be used with someone with advanced dementia:
Imagine a caregiver is visiting a person with advanced dementia in a care facility. The person with dementia is sitting in a chair, looking down and not engaging with the caregiver. The caregiver wants to try the mirroring technique to build rapport and help the person feel more comfortable.
The caregiver approaches the person and sits down in a chair across from them. The caregiver notices that the person is frowning, so they mirror this facial expression by furrowing their own brow. The caregiver then slowly begins to shift their facial expression to a more neutral one, and they notice that the person with dementia begins to relax their own facial expression as well.
The caregiver continues to mirror the person's body language and facial expressions as they interact. When the person leans back in their chair, the caregiver does the same. When the person leans forward, the caregiver follows suit. As they continue to mirror each other, the person with dementia begins to make eye contact with the caregiver and smile.
The caregiver then uses this positive engagement to begin a conversation with the person, asking open-ended questions and using the "yes, and" technique to build on their responses. Using the mirroring technique, the caregiver was able to build rapport and create a positive and engaging environment for the person with advanced dementia.
Using the mirroring improv technique in caregiving can greatly enhance the caregiver's relationship with their loved one with dementia. By accepting and validating the individual's experience, caregivers can build trust, improve communication, and increase their loved one's sense of safety and comfort. Improv also allows for creative problem-solving and flexibility, which can be crucial in adapting to the individual's changing needs and abilities. Ultimately, incorporating improv as a form of communication can lead to a more positive, meaningful, and fulfilling relationship between the caregiver and their loved one with dementia.
Read all of the articles in this six-part series on Dementia: Improving Communication with Improv
Dementia: Improving Communication with Improv | Overview
Dementia: Improving Communication with Improv | "Yes and..." Technique
Dementia: Improving Communication with Improv | Mirroring Technique
Dementia: Improving Communication with Improv | Storytelling Technique
Dementia: Improving Communication with Improv | Role-playing Technique
Dementia: Improving Communication with Improv | Musical Improvisation technique
Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/
References:
Alzheimer's Association. (2021). Communication and Alzheimer's. Retrieved from https://www.alz.org/help-support/caregiving/daily-care/communications
Goldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.
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Caring for a loved one with Alzheimer's can be challenging, but Alzheimer's and dementia care offers vital support and resources as the disease progresses. It can be difficult to care for a loved one who has Alzheimers, especially when the disease progresses, and behavioral changes become more obvious. When this happens, relying on Alzheimers and dementia care can provide much-needed support and resources. Identifying Behavioral Changes The hallmark of Alzheimers disease is a progressive loss of cognitive function, which frequently results in profound behavioral and personality changes. These changes may include the following: Aggression and Agitation: Unexpected bursts of rage, irritation, or unease are not uncommon. This could be the result of annoyance, confusion, or a poor ability to express needs. Wandering: Seniors who have Alzheimers disease may wander off from their house, frequently as a result of confusion or a wish to return somewhere they know well. Alzheimers and dementia care tips can assist family members in knowing what modifications they can put in place to make sure seniors are safe. Repetition: Repeating questions, phrases, or actions is a habitual behavior. Seniors may use this repetition as a coping mechanism for fear or memory loss. Sundowning: Sundowning is the term for heightened agitation, disorientation, or restlessness in the late afternoon and evening. It can make things especially difficult at night. Paranoia and Delusions: Seniors may start to believe things that arent true, like that someone is trying to break into their home or that family members are out to get them. Depression and Withdrawal: As the disease progresses, apathy, a loss of interest in activities, and social withdrawal are possible outcomes. Understanding Behavior Triggers Certain triggers frequently cause behavioral reactions in seniors with Alzheimers disease. Understanding these triggers and utilizing tips from Alzheimers and dementia care providers will assist loved ones in controlling and minimizing problematic habits. Typical triggers might include the following: Environmental Factors: Disorientation and uneasiness might be brought on by crowded areas, loud noises, or strange environments. Physical Discomfort: Anger or agitation may be brought on by pain, hunger, thirst, or exhaustion. Communication Issues: Being unable to communicate needs or understand others can be upsetting. Routine Changes: When everyday routines are disturbed, it can lead to anxiety and disorientation. Overstimulation: Excessive activity or stimulation can be exhausting, particularly in large gatherings. Techniques for Handling Behaviors with Alzheimers and Dementia Care Behaviors related to Alzheimers disease need to be managed with tolerance, adaptability, and understanding. The following techniques may be useful: Maintain a Regular Schedule: Seniors with Alzheimers disease may feel more secure when their environment is predictable and structured. Loved ones should make an effort to maintain regular daily schedules for meals, activities, and bedtime. Simplify Communication: Its important to speak slowly and in plain, simple terms. Additionally, dividing tasks into manageable steps and providing moderate direction can make a big difference. Redirect Attention: If loved ones start to show signs of agitation, attempt to divert their focus to another task or subject. For instance, offer to take them for a walk or have them go through a photo album if they are frustrated about not being able to discover what they are looking for. Focus on Compassion: Even if their concerns are unwarranted, family members should acknowledge seniors emotions and provide comfort. For example, if they are concerned that someone might take their possessions, gently assist them in locating a secure location to store those items. Alzheimers disease naturally causes behavioral changes. While these changes can be difficult to manage, knowing what triggers them and using helpful coping mechanisms will greatly improve the standard of care seniors are given. Working together with the resources from Alzheimers and dementia care and loved ones can make things easier for seniors as the disease progresses. If you or an aging loved one are considering Alzheimers and Dementia Care in Lakewood, CO, please contact the caring staff at Talem Home Care & Placement Services today. Call (720) 789-8529 At Talem Home Care of Broomfield, we provide passionate, understanding, and flexible caregivers in Broomfield, Arvada, Aurora, Boulder, Brighton, Commerce City, Denver, Erie, Firestone, Lafayette, Lakewood, Longmont, Louisville, Northglenn, Sherrelwood, Thornton, Welby, Westminster, Wheat Ridge and surrounding areas in Colorado.
Family caregivers can quickly find themselves overwhelmed and need more support than they have available. Home care can offer that support. Some family caregivers have a ton of support from family and friends. Unfortunately, thats not the case for everyone. Family caregivers who dont get the support they need can quickly feel overwhelmed and overloaded. Caregiving brings with it a lot of responsibilities and demands on top of the ones that exist with daily life alone. Home care services offer the support that family caregivers need to offer the best care possible to the seniors they love. Family Caregiving Challenges First, it helps to understand the types of challenges that seniors and family caregivers face. So many family caregivers juggle many different roles, which leaves little or no time for them to care for themselves. There is a big emotional toll in caregiving, too. Watching a beloved family members life and circumstances change dramatically can lead to depression, anxiety, and other emotional issues. Caregivers worry a lot about their seniors, too, which adds up over time. If seniors experience mobility challenges or other needs that require more physical effort, family caregivers can experience serious physical demands, too. Respite Care One of the solutions that can help immediately is for family caregivers to take respite time. This occurs when home care providers step in for a few hours so that family caregivers can step away to take care of other needs. Professional home care providers can handle a variety of different situations, allowing family caregivers to feel confident that everything will be okay while they are gone. Emotional Support Both family caregivers and seniors experience some big emotional challenges related to caregiving. It can be tough for seniors to acknowledge that theyre experiencing big changes that require them to need additional help. For family caregivers, there is a lot of stress related to wanting to do the right thing. Home care providers understand and offer emotional support to everyone involved. They also spend time with seniors, offering companionship that makes a true difference. Delegating Responsibilities It can be complicated for family caregivers to let go of some of their responsibilities, even when theyre feeling overwhelmed. Home care providers make it easy for family caregivers to delegate and pass along some of their responsibilities. Home care services can help with light housekeeping tasks, transportation, meal preparation, and so much more. Benefiting the Entire Family Integrating home care assistance into caregiving routines helps families find more balance. They can focus on the issues that truly matter rather than worrying about how theyre going to get everything done. Seniors get personalized attention, and family caregivers feel more confident in their own abilities. Home care services offer critical support for family caregivers and seniors. Professional caregivers reduce the workload for family caregivers while making sure seniors are both comfortable and safe. This allows family caregivers to have a much different experience with family caregiving than they might have had up to this point. Being able to focus on self-care gives family caregivers the space they need to fully show up for beloved family members. If you or an aging loved one are considering Home Care in Denver, CO, please contact the caring staff at Talem Home Care & Placement Services today. Call (720) 789-8529 At Talem Home Care of Broomfield, we provide passionate, understanding, and flexible caregivers in Broomfield, Arvada, Aurora, Boulder, Brighton, Commerce City, Denver, Erie, Firestone, Lafayette, Lakewood, Longmont, Louisville, Northglenn, Sherrelwood, Thornton, Welby, Westminster, Wheat Ridge and surrounding areas in Colorado.
In a world that is constantly evolving, the holiday season serves as a powerful reminder of the significance of human connection. For seniors, these connections offer profound emotional and psychological benefits. This discussion explores the joy of maintaining relationships, the challenges faced by older adults, and strategies to ensure their holidays are filled with a sense of belonging, remembrance, and shared experiences.The Importance of Connection for SeniorsEmotional and Psychological BenefitsHuman connection is essential throughout life, and its importance grows as individuals age. Seniors experience numerous benefits from social interaction, including improved mental health, better cognitive functioning, and a heightened sense of purpose. Meaningful relationships create a support network that can help alleviate feelings of isolation and depression, promoting overall well-being. Engaging with family and friends fosters a sense of belonging and self-worth, while participation in conversations and activities can enhance emotional stability and reduce the risk of cognitive decline.Loneliness During the HolidaysWhile the holiday season is often associated with joy and togetherness, it can also amplify feelings of loneliness for seniors. Many may face the loss of loved ones or find themselves separated from family due to distance. Such circumstances can heighten emotions of isolation, especially during a time when connection is most valued. The holidays can serve as poignant reminders of lost connections, intensifying nostalgia and grief.Challenges in Staying ConnectedSeveral obstacles can hinder seniors from maintaining connections during the holidays. Geographic distance can prevent reunions with family and friends, while health issues may limit mobility and travel options. Additionally, technological barriers can complicate digital communication, leaving some seniors feeling disconnected in an increasingly digital world.Emotional FactorsGrief and depression can significantly impact seniors desire to connect. The holiday season may magnify feelings of loss, making it difficult for individuals to engage in celebratory activities. Recognizing these emotional challenges is crucial for facilitating meaningful connections.The Role of CaregiversCaregivers play an essential role in supporting seniors during this time. By understanding the emotional hurdles that may arise, they can offer companionship and empathy. Caregivers can also assist with practical needs such as technology use, transportation arrangements, or organizing inclusive celebrations that accommodate health considerations.Practical Ways to ConnectIn-Person ConnectionsHoliday Visits: In-person gatherings bring warmth and meaning to seniors' lives.Shared Meals: Enjoying favorite holiday dishes together fosters conversation and bonding.Participatory Activities: Engaging in festive tasks like decorating or baking creates joy and involvement.Remote ConnectionsVideo Calls: These allow seniors to see loved ones faces, enhancing feelings of connection despite distance.Letter Writing: A heartfelt letter or card can convey emotions that transcend technology.Online Games: Simple games or trivia challenges provide fun interaction opportunities from afar.Adapting Holiday TraditionsTo include seniors in holiday traditions:Involve Them: Encourage their input in planning to shape traditions that suit their preferences.Modify Activities: Adapt events to accommodate mobility and energy levels.Storytelling: Invite seniors to share stories from their past to enrich the holiday experience.Technology as a BridgeUser-friendly technology options like smartphones and tablets can facilitate communication for seniors. Simplified apps designed for ease of use can enhance their ability to stay connected with loved ones. Teaching them how to use these technologies through patient instruction and hands-on demonstrations can help build their confidence.Navigating Emotional ChallengesSeniors may face various emotional difficulties during the holidays:Grief: The absence of loved ones can be particularly poignant during this time.Depression: Feelings of sadness may intensify due to health struggles or social isolation.Isolation: Distance from family combined with limited mobility can exacerbate loneliness.Supporting Emotional HealthEncouraging open communication allows seniors to express their feelings. Setting flexible expectations for participation in holiday activities helps reduce pressure. Engaging them in joyful activities enhances their experience during this festive season.Professional ResourcesIf needed, professional support such as therapy or counseling specializing in geriatric care can provide seniors with tools to navigate their emotions. Support groups offer community understanding for those dealing with grief or depression. Helplines are also available for immediate emotional support.As we navigate this holiday season together, let us remember that nurturing connections enriches the lives of seniors. Emphasizing compassion and care across generations reinforces our shared spirit of togetherness during this special time.
If You Have A Hearing, Vision Or Mobility Problems Accessing Or Using A Telephone - You May Qualify For A Free Telephone! 4 out of 5 Americans over the age of 60 have some hearing, vision or mobility loss. There is help however and it is paid for by you through a government program called STAP, Specialized Telecommunications Assistance Program, by a small charge each month on your telephone bill. Why not take advantage of a benefit youre paying for already? Contact Laura Carr, STAP to learn more about this program and show you what equipment youre eligible to receive FREE OF CHARGE! To qualify, you must be a Texas resident with a problem with vision, hearing or mobility. You are entitled to one FREE phone every 5 years. You can get a cell phone, landline, smartphone or tablet, depending on your disability. Must provide proof of residency. Acceptable forms of residency include:* Texas Drivers License* ID card with address* Voters Registration card* Letter from facility on their stationery* Utility Bill (current - showing address)* Vehicle registration card* Medicaid ID* Medicare Summary This program is for any Texas Resident that has a Vision, Hearing, Mobility- including cognitive problems. They are entitled to FREE telephone equipment (just the device) and they have to pay their monthly charges to their telephone service provider. Depending on their impairment, they may qualifiy for a Landline Telephone with a medical alert system; a Regular Cell Phone (where they can make calls, text, take photos including a medical alert button on the back. If they have a hearing problem, they can receive a 2-way texting device - an Android Smart Phone or Android Tablet. They have to provide their proof of residency for the State of Texas: a current drivers license, Texas ID, Voters Registration Card or a Utility bill showing their name & current address & date. Laura can assist with completing an application, take a photo of their proof of residency - attach to their signed application & send it to STAP headquarters in Austin, Texas. The State processes their application & mails the Voucher for the equipment, directly to the Resident. Once they receive the Voucher, they contact Laura and she will deliver the equipment that is authorized on the voucher to the Resident. NO MONEY CHANGES HANDS. Laura Carr, STAP Specialist has worked with this program for 16 years.Contact Laura at 214-388-0088 or LauraCarr@prodigy.net
Dont Let a Stroke Ruin Your RetirementYour risk of stroke and cardiovascular disease increases as you age. But the good news is 80% of stroke and cardiovascular disease CAN be prevented.1 If you are age 50 or older, you should be screened.Often there arent any symptoms of a stroke before it occurs, in fact for 4 out of 5 people who have a stroke the first symptom of any illness is the actual stroke.2 But, you can take steps to find out if youre at risk.Life Line Screening is a premier provider of preventive screenings for stroke and cardiovascular disease risk. A simple appointment can identify your risk factors and provide peace of mind or early detection.Screenings are easy, painless, non-invasive and dont require any messy prep work.Life Line Screening has over 14,000 locations across the United States so you can find one close to you.Getting screened is affordable. The most popular package at Life Line Screening includes 5 screenings in 1 appointment for $149.Get the most out of your life! Find out your stroke and cardiovascular disease risk with Life Line Screening so you can be in control and do something about it.***CLICK HERE*** to schedule your appointment! A simple screening can be worth a lifetime.1 American Heart Association https://www.heart.org/en/get-involved/advocate/federal-priorities/cdc-prevention-programs2 Hackam DG, Karpral MK, et al. Most stroke patients do not get a warning, a Population Based Cohort Study. Sept. 2009. Neurology, 73, 1074-1075.