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Slide 1
How Does the Environment
Affect Someone with Dementia?
Learn to Explore Using ALL Your Senses
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Slide 2
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Look, Listen & Feel
• What’s Happening Here???
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Slide 3
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Put Yourself in the Other Person’s SHOES
• Be that person….
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Slide 4
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
To Be That Person…
• What do You KNOW about their past?
• What type of Dementia do they have?
• What else do they HAVE?
• What Level are they at?
• What is NOT the same as usual… be specific!!!
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Slide 5 Positron Emission Tomography (PET)
Alzheimer’s Disease Progression vs. Normal Brains
G. Small, UCLA School of Medicine.
NormalEarly Alzheimer’s
Late Alzheimer’s
Child
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 6
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Brain Changes with Dementia
• From Alzheimer’s: A Broken Brain
Tuscaloosa, AL: Dementia Education and Training Program, 1999.
used with permission from Alzheimers:TheBroken Brain, 1999 University of Alabama
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Slide 7
Normal Brain Alzheimers Brainused with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 8
Learning & Memory Center
HippocampusBIG CHANGE
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 9
Understanding Language – BIG CHANGE
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 10
Hearing Sound – Not Changed
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 11 Sensory StripMotor Strip
White Matter Connections
BIG CHANGES
Formal Speech & Language
CenterHUGE CHANGES
Automatic Speech
Rhythm – Music
Expletives
PRESERVED
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 12
Executive Control Center
Emotions Behavior JudgmentReasoning
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 13
Vision Center – BIG CHANGES
used with permission from The Broken Brain: Alzheimers, 1999 University of Alabama
used with permission from Alzheimers:The Broken Brain, 1999 University of Alabama
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Slide 14
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
EXPLORE the WORLD
• A Couple of EXAMPLES
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Slide 15
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Is This An Unmet Need?
• Quick Cheat Sheet
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Slide 16
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Unmet Needs
• Physical Needs• Hungry or Thirsty
• Tired or Energized
• Elimination needs
• Too hot or Too cold
• IN PAIN
• Emotional Needs• Angry
• Sad
• Lonely
• Scared
• BORED
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Slide 17
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
How Can You Tell?
• Check It Out!
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Slide 18
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Look, Listen Feel…
• Sight or Visual cues
• Verbal or Auditory cues
• Touch or Tactile cues
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Slide 19
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Look, Listen & Feel
Looking at the Role the Environment Has on Abilities &
Behavior
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Slide 20
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supportive Environments
• Include 2 Factors
– What you LIKE…
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Slide 21
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supportive Environments
• Include 2 Factors
– What you LIKE…
– What’s GOOD for you!
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Slide 22
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supportive EnvironmentsThe 3 Positive P’s
• Physical Environment
• People—the ways they act and respond
• Programming
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Slide 23
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Finding Balance
• Support or impair
• Too much or too little
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Slide 24
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
The Supportive Sensory Environment
• What you Hear
• What you See
• What you Smell/Taste
• What you Feel
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Slide 25
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
What you Hear
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Slide 26
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supports Impairs
• Quiet
• Purposeful music
• Familiar cues
• Positive human sounds
• Constant background noise
• Intrusive sounds
• Care noise
• Negative human noise
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Slide 27
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
What we See
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Slide 28
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Can you See?
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Slide 29
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supports Impairs
• Bright light
• Non-Glare light
• Directed at work area
• Directed up-diffused
• Dim light
• Inconsistent light
• Glaring light
• Light in eyes
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Slide 30
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
What can you SEE?
• Visual Cues
• Too much
• Too little
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Slide 31
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Visual Cues
• Where to be
• What to do
• Orienting to place
• Orienting to task
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Slide 32
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Too Much
• Dangerous items
• Clutter
• Too Busy
• Where’s the focus
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Slide 33
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Too Little
• Sterile or Cold
• Hidden cues
• Lack of contrast
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Slide 34
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
What we Smell/Taste
• Affects…
– Appetite
– Social interactions
– Quality of life
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Slide 35
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Support Impair
• Food
• Calming scents
• Stimulating scents
• Waste odors
• Medicinal odors
• Cleaning odors
• Perfumes
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Slide 36
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
What you FEEL
• Temperature
• Surfaces
• Spaces
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Slide 37
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Temperature
• Very individual
• Older/colder?
• Disease states
• Type of activity
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Slide 38
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
SurfacesSupport Impair
• Safe and stable
• Right height
• Flexible
• Activity based
• Very mobile
• Dangerous to touch
• “Functional”
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Slide 39
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Spaces
• Familiar
• Friendly
• Functional
• Forgiving
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Slide 40
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Supportive Environment
• What you LIKE
• What you NEED
• Would you?
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Slide 41
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Can You See Why….
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Slide 42
© Teepa Snow, Positive Approach, LLC – to be reused only with permission.
Environments Can Be Used to Support & Engage in Life!
• Use It Wisely
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