Dementia: Improving Communication with Improv | "Yes and..." 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 As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated.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 "Yes and..." technique. Learning the "Yes and..." technique can ultimately improve the quality of life for individuals with dementia and their caregivers."Yes and..." techniqueThe improv - yes and is a communication technique that can be particularly effective when communicating with someone with dementia. This technique involves accepting what the person is saying and building on it, rather than correcting or contradicting them. Here are a few ways in which improv - yes and can be useful when communicating with someone with dementia:Validation: By using improv - yes and, you are validating the person's experience and showing that you are listening and accepting what they are saying. This can help to reduce frustration and increase a sense of connection and understanding.Building on the conversation: Rather than trying to correct or redirect the conversation, using improv - yes and can help to build on what the person is saying and keep the conversation flowing. This can be particularly helpful when the person is struggling to find the right words or is experiencing memory loss.Encouraging creativity and imagination: Improv - yes and can also encourage creativity and imagination. By accepting and building on what the person is saying, you are creating a safe and supportive environment where they can express themselves freely and without fear of judgement.Reducing anxiety: Communication can be stressful and anxiety-provoking for individuals with dementia. Using improv - yes and can help to reduce anxiety by creating a positive and supportive atmosphere, where the person feels heard and understood.Using improv - yes and can be a powerful tool when communicating with someone with dementia. By validating their experiences, building on the conversation, encouraging creativity and imagination, and reducing anxiety, you can help to create a positive and supportive communication environment that can benefit both the person with dementia and their care provider.Teaching someone the improv - yes and communication technique: Explain the concept: Start by explaining what the improv - yes and technique is and how it can be used in communication. Explain that the goal is to accept what the other person is saying and build on it, rather than correcting or contradicting them.Model the technique: Demonstrate the technique by having a conversation with the person, using improv - yes and. Start by saying something and then build on what the other person says. For example, you could say, "I love to dance" and the other person could respond, "Yes, and I love to sing while you dance." Make sure to emphasize the importance of accepting and building on what the other person says.Practice the technique: Give the person the opportunity to practice the technique. Start by having them say something and then respond with improv - yes and. Encourage them to be creative and build on what the other person says.Provide feedback: As the person practices the technique, provide feedback and encouragement. Emphasize the importance of accepting and building on what the other person says and help the person to identify areas where they can improve.Reinforce the technique: Encourage the person to use the improv - yes and technique in their daily communication. Reinforce the technique by reminding them to accept and build on what the other person says, rather than correcting or contradicting them.Teaching someone the improv - yes and communication technique can be a fun and engaging process. By explaining the concept, modeling the technique, practicing, providing feedback, and reinforcing the technique, you can help the person to improve their communication skills and create a more positive and supportive communication environment.Example of using the "yes and" technique with someone with advanced dementia:Caregiver: "Hi there, it's such a beautiful day outside, isn't it?"Person with advanced dementia: "I don't know. I can't see it from in here."Caregiver: "Yes, it's true that we can't see outside from in here, but maybe we can imagine what it looks like. Do you remember a time when you enjoyed being outside?"Person with advanced dementia: "I used to love going for walks with my dog in the park."Caregiver: "That sounds like a wonderful way to enjoy being outside. What kind of dog did you have?"Person with advanced dementia: "She was a black lab. Her name was Sadie."Caregiver: "Oh, I love labs! They are such loyal companions. What did you and Sadie enjoy doing on your walks?"Person with advanced dementia: "We used to play fetch and run around in the park. It was so much fun."Caregiver: "Yes, that sounds like it was a lot of fun. It's great that you have those happy memories to think about. Thank you for sharing them with me."In this example, the caregiver uses the "yes and" technique to validate the person's feelings and experiences, even though they may be experiencing some confusion or disorientation due to their advanced dementia. By acknowledging the person's memories and encouraging them to share more, the caregiver can create a positive and engaging communication environment that helps the person with advanced dementia feel heard and understood. The caregiver also reinforces the person's memories by acknowledging the positive experiences they had with their dog Sadie, which can help to promote a sense of well-being and connection.Using the "Yes and..." 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 | OverviewDementia: Improving Communication with Improv | "Yes and..." TechniqueDementia: Improving Communication with Improv | Mirroring TechniqueDementia: Improving Communication with Improv | Storytelling TechniqueDementia: Improving Communication with Improv | Role-playing TechniqueDementia: Improving Communication with Improv | Musical Improvisation techniqueAuthor: 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/communicationsGoldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.Graff, M. J., Adang, E. M., Vernooij-Dassen, M. J., Dekker, J. H., Jnsson, L., Thijssen, M., ... & Rikkert, M. G. (2006). Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ, 333(7580), 1196.Guzmn, A., & Hegarty, J. (2018). A systematic review of drama therapy interventions for dementia care. Aging & Mental Health, 22(10), 1309-1319.Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J., & Odell-Miller, H. (2018). A thematic analysis exploring group music psychotherapy for people with dementia in the UK. Journal of Applied Arts & Health, 9(1), 75-87.Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical research ed.), 350, h369.Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Villani, D., ... & Stramba-Badiale, M. (2015). Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Disease and Associated Disorders, 29(2), 158-163.Raglio, A., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M. C., Villani, D., & Stramba-Badiale, M. (2016). Effects of improvisational music therapy vs enhanced standard care on symptom severity among patients with Alzheimer disease: The IMT-ALZ randomized clinical trial. JAMA Neurology, 73(7), 797-805.Van't Leven, N., Prick, A. E., Groenewoud, J. G., Roelofs, P. D., de Lange, J., Pot, A. M., & Van't Leven, N. (2013). Communication enhancement between dementia care professionals and dementia patients during daily care. Aging & Mental Health, 17(5), 555-568.

Join Seniors Blue Book & The Caregiver Support Program, as we explore some of the physical and psychological aspects that effect intimacy as we age. Learn ways to increase intimacy, when sex is no longer an option in your relationship. Event Speakers: PAM MICKENS, MS Long-Term Care Ombudsman | The Senior Source TANGINIKA-SIMONE CUASCUD VEGA, PHD Clinical Sexologist, Sexual Health Consultant EMILIJA ROSENTHAL, FNP-C Nurse Practitioner | Prism Health North TexasVIEW THE PRESENTATION HERE!Intimacy refers to a close feeling shared between 2 people, based on knowledge of and familiarity with the other person. It includes emotional, social, and physical intimacy. Our desire for intimacy does not decrease with age, and there is no age at which intimacy, including physical intimacy, is inappropriate.Physical, emotional and psychological changes that may occur as we age, can interfere with developing and maintaining intimacy in our relationships. Ultimately changing the way intimacy is expressed.It is important to note that sexual intercourse is not the only way that we express intimacy. Behaviors, such as touching, hugging and kissing, trust, respect and compatibility become equally and at times more important as we age.Additionally, intimacy in a relationship, can assist in preventing depression, as well as improve self-esteem and physical health.We have a great panel of speakers today with expertise in the area of older adults & intimacy.We thank you forjoining Seniors Blue Book & The Caregiver Support Program, as we explore some of the physical and psychological aspects that effect intimacy as we age, and learn ways to increase intimacy in our relationships, especially when sex is no longer an option.I'd like to share a little about each of our panelists with you.Pam Mickens will be the moderator for todays program. Pam has been a Long-Term Care Staff Ombudsman in Dallas County for over seven (7) years. The Long-Term Care Staff Ombudsman Program for Dallas County is housed at The Senior Source. Pam advocates for frail, elderly, disabled and residents with mental illnesses in Dallas County nursing home settings.She attended the University of North Texas at Denton where she earned her Masters Degree in Criminal Justice and Rehabilitation Counseling. Her background also includes many years in the public & private sectors as a manager of social service programs. Shes a strong advocate for quality services for persons with mental health challenges. Pam is also a proud Great-Auntie of Caleb & Bryson, thanks to her niece Eboni!Emilija Rosenthal will share her expertise on the physical aspects that affect intimacy. Emilija is a certified family nurse practitioner who specializes in HIV medicine. She received her bachelor of science in nursing degree from the University of Texas at Arlington in 2010. Emilija then worked as a registered nurse for eight years prior to going back and attaining her master of science degree from Texas Womans University. She is about to celebrate her three year anniversary working at Prism Health North Texas.Dr. Tanginika-Simone Cuascud Vega (Dr. Tangie) will share her expertise on the psychological aspects that affect intimacy in aging adults. Dr Tangie is a clinical sexologist, sexual health educator and surrogate partner therapy facilitator; and founder and principal of Texas Sexual Health in North Texas.She is board certified by the American College of Sexologists, is a member of the World Association on Sexual Health and an ambassador of the American Sexual Health Association.She has been a media commentator and a contributor for several print and online publications and her works about sexual health have been translated and published all over the world.Dr.Tangie is an advocate for sexual rights, including the right to sexual satisfaction, throughout the lifespan.I want to thank each of our panelists for joining us today. With that I ask Pam to guide you as we continue. CLICK THESE WORDS TO VIEW THE PRESENTATION HERE!CLICK THESE WORDS TO VIEW THE PRESENTATION HERE!

Elder abuse is on the rise, and COVID-19 is to blame | Aging in Style with Lori WilliamsElder abuse is on the rise - in large part thanks to COVID. Nowadays, many seniors are isolated or lack the social support they've had in the past. Plus, many caregivers are simply not equipped to be caregivers, and there are fewer that remain in the workforce. Without the right care, seniors are vulnerable to abuse such as verbal, emotional, and even financial abuse like scams.Abuse can happen anywhere: not only in senior living, but often with family as well. Thats why its important to become aware of the signs. Senior Services Expert Lori Williams has tips to help you learn:- What elder abuse is- The different types of elder abuse- How we can prevent it- How to report it when we see itAnd more.Its also important to be aware that elder abuse is changing with the times. There are many predatory tactics happening with technology too. It's critical information for you and your senior loved ones to know.Topics discussed:- Elder abuse- Types of abuse- Caregivers- Scams- COVID isolation- Ombudsman- Dementia- Adult protective servicesTakeaways from this episode:- 60% of cases of elder abuse happens at the hands of a family member.- The best way to prevent abuse is to educate others and talk about it. Also, be sure to check in on older adults and caregivers you may know.- If you suspect elder abuse, call Adult Protective Services or a local long-term care ombudsman.- Help your senior loved ones set their social media to private and let them know about the types of social media, phone call and text message scams.- A common red flag in scams is if anyone asks you to wire money or send gift cards.Resources mentioned in this episode:Adult Protective Services (located in all states)Texas Adult Protective Services:http://www.dfps.state.tx.us/Adult_Protection/The Role of the Ombudsman in Advocating for Seniors' Safetyhttps://www.loriwilliams-seniorservices.com/aging-in-style-podcast/episode/79a3922f/036-the-role-of-the-ombudsman-in-advocating-for-seniors-careTexas Ombudsmanhttps://apps.hhs.texas.gov/news_info/ombudsman/How seniors can protect themselves against identity theft and scamshttps://www.loriwilliams-seniorservices.com/aging-in-style-podcast/episode/7900734e/044-how-seniors-can-protect-themselves-against-identity-theft-and-online-scamsUpdated list of current scams to be aware of:https://oig.ssa.gov/scamListen to the podcast HERE

What Is the Difference Between Dementia and Alzheimers?Kim Trevey on Oct 22, 2023 | Bader House of Plano BlogThe words Alzheimers and dementia are often used in the same sentence and even interchangeably, as if theyre the same disease.But this isnt true.In fact, one of these isnt a disease at all.What is dementia?Dementia is not a disease in and of itself but rather a word that describes a group of symptoms related to neurodegeneration, which is a deterioration of cells in the brain. Symptoms of dementia include memory loss; difficulty with reasoning or judgment; changes in thinking skills, language and behavior; and a decrease in the ability to focus.Several conditions can cause dementia, including Alzheimers disease, which would be considered a type of dementia.Other types of dementia include:1. Huntingtons diseaseHuntingtons Disease is a type of dementia is hereditary and usually shows up earlier in life, between the ages of 30 and 50.Along with impairing memory and cognitive function, the first symptom of Huntingtons disease is often uncontrollable movement in the upper body.2. Lewy body dementiaLewy bodies are abnormal deposits of protein in the brain that cause hallucinations, imbalance in the body and attention issues.3. Vascular dementiaVascular Dementia is a type of dementia represents 10% of all dementia cases.It is caused by restricted blood flow in the brain due to blockage in the blood vessels and can lead to stroke or brain bleeds.4. Parkinsons disease dementiaThis type of dementia occurs in those with Parkinsons disease who also experience a decline in thinking and reasoning skills.5. Mixed dementiaWhen the changes in the brain are caused by multiple types of dementia, this is known as mixed dementia.The most common form of mixed dementia is caused by conditions related to Alzheimers disease and vascular dementia.Dementia is more than the natural decline that comes with aging. Dementia signifies damage that has been done to the brain cells to the extent that it is interfering with a persons cognitive function and abilities.What is Alzheimers disease?Named after physician Alois Alzheimer, who was the first to link memory loss symptoms with changes in the brain, Alzheimers disease is the leading disease that causes dementia, causing 60-80% of cases.Alzheimers is a degenerative brain disease that affects cognitive functions such as memory, learning new information, thinking, reasoning, and logic. Symptoms increase and worsen over time.An estimated six million Americans are living with Alzheimers today, most of whom are over the age of 65. About 200,000 Americans under the age of 65 have younger-onset Alzheimers.Is it Alzheimers disease or another form of dementia?Alzheimers disease can be diagnosed through a series of tests conducted by your doctor, whether thats your primary care physician, a neurologist, or a geriatrician. These tests include mental status testing and neuropsychological testing.Mental status testing tests your thinking and memory skills. Your doctor can score how well you do on these tests to determine your level of cognitive impairment.Neuropsychological testing is often conducted by a neuropsychologist. This series of tests will also test your memory and thinking skills but will additionally test if youre able to perform daily functions normally and if another mental condition, such as depression, could be causing your memory loss.Your doctor will also conduct tests to rule out any other factors that could be resulting in Alzheimers-like symptoms, including:brain tumornutritional deficiencyautoimmune diseasemetabolic imbalancereaction to medicationan infectionsubstance abuseYour doctor may also interview family members or people close to you to discuss any changes in your behavior theyve noticed.The bottom line is extensive testing is available that can give you a proper diagnosis of Alzheimers disease or another form of dementia. You can even get tested before you start showing symptoms with the use of MRIs, genetic testing and testing of the liquid around your brain and spinal cord. Your doctor can determine if you are a good candidate for early testing.Understanding the world of neurodegeneration can feel overwhelming, but knowing the difference between Alzheimers disease and dementia can help you determine what symptoms you or a loved one are experiencing and how to approach your doctor.With extensive and ongoing research, specialists have been able to identify the numerous forms of dementia, their causes and possible treatments that wont necessarily cure dementia but can help curb symptoms and improve the quality of life for patients and the loved ones who care for them.