Dementia Resilience - 8.12.18

Sunday, August 12th

Jill Lorentz originally hails from the great farm country land of Illinois and has lived in Denver since 1984. When her mom was diagnosed with a form of dementia in the early 90's, Jill dedicated her life to learning about the disease, which lead to her career path of working with families and professionals who need assistance in this area as well. Believing caregivers can hold the key to setting the tone of emotional stability for the person with dementia, Dementia Resilience with Jill Lorentz sponsored by Belleview Heights Alzheimer’s Special Care Center will take an in depth look at how we can strengthen our techniques, strategies, and even our compassion to help people live with this disease; not to struggle with it. Our show's goal is to have a candid conversation about dementia and its effects on those it touches and to ignore ridiculous talk of a stigma attached to Alzheimer's. Resilience is your ability to adapt well and recover quickly after stress, by overcoming obstacles and adversity to find a positive outcome. People who have a resilient disposition are better able to maintain poise and a healthy level of physical and psychological awareness in the face of life's challenges. This 1/2 hour radio show, Sunday mornings from 10:00 -10:30 will explore avenues of intentional care and finding moments of joy while living with dementia. 

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

To dementia resilience we chill arrest sponsored by I tell you how it's alzheimer's special care center. I can't in conversation as we learn about dementia and alzheimer's and its effects on the people we love Jill has years of dedication and experience help you adapt. Can recover and overcome obstacles and help find a positive outcome it's time for dementia resilience within Jill horrendous. Good morning everybody I hope you haven't a wonderful day wherever you are in the world. I am always excited to present a show on strategies because I know. That my caregiver nation out there needs some extra help and my. Folks with diagnosis always like it when their loved ones have some way to. And think about you know trying to have merit there. The people that care for them take good care of them so today's strategy show is going to be about calming difficult behaviors. I know that's always something that people are asking how can I do that. What do I do and my loved one is really upset so last Thursday at present at a lecture and I betcha all the people in the room. At least half of them said if I would have known that long time ago this would have been real tea pots and says okay. What do we do with these difficult behaviors. You're not gonna believe it when I tell yeah. But today is gonna be an eye opening date and not been give you a trick that is now work a strategy that is gonna work in uniting them believe how easy it is. So I repeat myself a little bit today is so that you can get a paper. And pen and write some stuff down that let's start with. How do we calm somebody that is talking in what we call word salad. Having repetitive questions. They're not making sense they seem agitated. So 11 thing I want you did you write off the top. Don't try to explain or reason with that person. About. What is upsetting them try really hard to just. Say what they say and repeat what they say so what is things that we're gonna try to do is we're gonna figure out which hand is that person's dominant. So is that they're left hand or their right hand. Go to that site. And put sure palm. With your with your palm facing straight and here's some kind of stick NL. And then grabbed that person's hand by there with them so you're taking a hand under hand approach okay. And if you can unlock your thumb with their thumb what's your palm up and their fingers over your wrist essentially. Then you can put your other hand on top of their hand when you do that that guy due to a place where you can. If you need to pick up something like a brash or a toothbrush or something like that and help them to. To maneuver that toothbrush you can just pick it up with your fingers. And pat put it right in their hand and then guide their hand up so they can start doing it and then just sliding in their hand. I know that might sound a little bit confusing but it really really works so missing that one more time you put your hand Paul. And then put their thumb and inner locked with yours with their fingers over your wrist. And then you can actually go to pick up whatever then object is they're having trouble with. If it's a tooth brush if it's toothpaste. If it's a pork or something like that. That could be. Really tough for thing for them to do. So you can get them to guide their hand to pick up that object and then right to their head their mouth whatever it is they need. Okay hopefully that will make a little bit a sense. And that can help you to get. Damn calm down. Now you know things at that would also help is if that person is saying something like I I I can't find I can't find. I I I can't find Mike Mike Mike come home you do say so you can't find your home. You repeated. After them don't try to reason with them by saying something like. What do you looking for. What would you need what can I help you with that's trying to use judgment and reasoning with the person who cannot use that. So what we wanna do is we wanna try to just repeat what they save mimic or mirror what they say. So. So having. I just like a mirroring process with them really really works OK so for example you'd say if they say. I IE I'm going I'm going I'm going over so you just say. Are you going over there. Are you going over there yes yes yes you're going over there. We tried this technique a W heights the other night and a person that has frontal temporal who is often really really upset. Came up I was standing by mean he wanted to talk to his wife. And he was saying. Where is she where is she where where where where where is she and I said where is she. And he said yes I said where's where's your wife yeah that's. It's a bush she's right there she's right there she's right there he calmed right down it was like watching. Somebody's tension go from a one to a TNN right back down to. A one again. And and it really really help to get him calmed down. So and that was just a really good way to work on. You know mirroring what someone says and then holding their hand with their Paul up. Donna is locked with their fingers over your wrist really really tried that and just repeat what a person is saying. Do not try to reason with them don't try to ask him for more information because it probably can't do that. That may seem like. One of the simplest things you never heard and my Guinness says seems absolutely ridiculous. But I promise you if you try that when a person has upset. And you are trying really hard to. Understand what they warned that will help you enormously. Okay. So I always loved these strategy shows I think it helps and the enormous amount only to find ways to work with. Agitation. When people are upset when we can't seem to calm them. Oftentimes it tell me more theory will work. So if you are are trying all those sayings and York. I'm working with repeating what they say back. And that isn't necessarily working try to get them to tell you more thought as an example they're looking for somebody who's passed away and they seem upset. So now we've got a different type of vegetation going on what if we said to them. So you miss your husband. What what would you say to him if he were here is somebody is saying. Where's my husband. Where's my wife I can't find them I need to miss he'll work weary busy week here this a lot and security of our nation I know you do. So instead of saying he's passed away your he's not here he's at work he's not coming back just say something like Madden. Tell me more about him. When was the last time you saw him. Did you like the way he gave you hugs. Was he a personally Gaby sweet kisses. What how long were you married tell me more tell me more tell me more these theories will help you enormously when somebody is seriously agitated. If it if it's something else and you just really can't calm them down to think she could try just walk out of the room for five minutes that there are safe. Let them keep calm their own spirits get their Arab get themselves come down and then come back chances are they won't even remember that. You. We're headed in the room talking German they were upset and also look for things like urinary tract infections look for. And ears that are clogged up maybe they've got. Their dentures are bidding all right they've got a headache. Do they have a pain point so just assess them over their body does something or hurt you can do that just like. Reaching for an arm and see if they can't reach out or Winston anyway agitation has caused. By a lot of different things. So. Will try to get tough all of those today as much as we possibly can. It's kind of fun today I have my grandchildren in the studio with me today after my little guy just celebrated his first birthday and you got a little bit of a cough so. It's sad it's going to be an interesting day here in the studio but it's really fun Sharon what I do with my young grandkids and had I look forward to helping. With more Eric. And you're agitation and delusions and dipped book called behaviors today so will become our break let's talk about delusions. What are they what causes them. And how can we work with them when we don't understand what's going on we'll be right back. Making the decision to place your loved one in the care of others is one of the most difficult decisions you'll ever have to make if that's someone special is in your life and is needing memory care. Bellevue heights as the place to call home. Bellevue tights Carter did GA's senior living Stanley is deeply committed to serving people living with alzheimer's and other related dimensions. Living with purpose and meaning is the best reward at Bellevue heights alzheimer's special care center. Your loved one will live life to its fullest licensed nurses aren't step 24 hours a day. Compassionate caregivers. Three well balanced meals and three healthy snacks are a few key elements of the G-8 eat a difference. We also offer fully furnished private and semi private groups and meaningful activities and scheduled outings. Called Bellevue heights at 3036900700. To learn more about the high standard of individualized care they can offer your loved ones. Bellevue heights alzheimer's special care center. Is located at 14 or 500. East Bellevue avenue in Aurora visit JEA senior living dot com. Or call 3036900700. To schedule a tour coming into Stanley come home to Bellevue heights. Welcome to dementia resilience with the chill arrest sponsored by building heights alzheimer's special care center. I can't in conversation as we learn about dementia and alzheimer's and it's effects on the people we love Jill has years of dedication and experience so do you adapt. Recover and overcome obstacles and help find a positive outcome it's time for dementia resilience within Jill our friends yeah. 08. So today is our strategy today and I always like China offers some good. Techniques for you if you're struggling with something going on. And it's a day I wanna talk about in this segment. Distressing beliefs. People with alzheimer's and Lou we've body and even Parkinson's disease and various dementia is. Will seat things hears things that are not there. And why did they have these hallucinations. And delusions. They might. They might feel something that's not real they might smells something that's not real. Or here's something that's not real sounds somebody's talking to them. Somebody's sitting in the room with them they can see a person walking through the living room or something like that. And trying to persuade them that that person out there. Is not going to work you're going to have more. Tree problems. And more behaviors and reactions to what you're trying to do to relieve that so let's not do that okay. Off the person and really thinks that that's a listener hallucination or delusion is real so cool with that. Try to make it as none scariest possible so there's kid's not running through the house. All lesson to be quiet. Because those. Delusions and hallucinations. Can be very disruptive to that person. Maybe they're just. A little freaked out because they didn't know kids were running through the house when they're not really there suggest. Comment on that say does that bother you when their running through the house we'll have to go on ask him to Saddam conflict quietly with some toys. Do that. I have a firm believer. In use zine. What we call therapeutic bids for people. Because it do you say there's no children running through here that person's is gonna get angry. They're gonna think that they're crazy. A lot of different things can go to their mind in terms of emotional turmoil. And so trying to act try to work with that is that she can't here's some of the triggers that can cause that. Dark rooms. Shadows. On the wall. And other welcoming environments that has uneven lighting where there's a little bit light over here and there's a little bit of darkness over here. The curtains blowing if you have them open the windows open. And that can be scary to somebody so Adam. Maybe somebody doesn't realize bring DR Beebe just for a second they've forgotten. What room of the house Syrian or or what what placed there in. If you've disrupted. Familiar routine flight maybe you've always taken a walk it 10 AM. And today it's rainy or snowy year whatever it is and you can't go for a walk. And that person. It's all freaked out they get a little unsettled. Because they don't have some other stimulation. Seek to replace. What is missing in that routine so you might have to work a puzzle you might have to look. And clean house a little bit make some breakfast. Have a couple hot teach. I try I try to things like that to replace what's missing in that routine. Other common triggers could be side effects. Of medications. Or unfamiliar people may be brought a friend or somebody over to the house or a relative who hasn't been there for a long long time. And all of a sudden they see. A brother or a son her grandchild or something that they haven't seen in the year two and they start calling them by the wrong name. Those kinds of things happen all the time they may not necessarily be delusions. But. Just going back in time aimed. In their mind to many many years ago one might think that that green and child is their brother. Or. Something like that so we know that people do go back in time a lot. And that becomes a real problem for them. OK so try to keep the noise and activities down and things like that. Wins somebody's having a lot of problems okay now what kind of strategies can use ignore. Those hallucinations and delusions if they're not a problem does not bothering the person is just something. That. They're talking about like oh I just saw my husband a few minutes ago or just talked to him on the phone really what did you talk about when you're. When you were talking that's really cool must've been great to chat with him for awhile not just go with that person don't argue with them about what they saw or what they didn't see because that's not going to help but it's just gonna. Make him a little bit more upset. They probably. Will look at the television that's another. Issue they'll see something on the television. Like cowboys and Indians show and all of a sudden thing that cowboys and Indians are shooting arrows at them and things like that or there's horses were kicking and that's at ups. And so. If you seat things like that just turn off the television set especially its violent. Or. Oh. A political things. People get very charged. And there's a lot of tension. When they're watching shows that are talking about politics these days nothing eBay's agreeing on anything right now. And that will still true to that person they will feed off of that energy and that can create an allusion or hallucination. That everybody's fighting around them and that they've got to box people are they've got to take up this fight so you don't. Wanna do that if you don't have to okay. We tried go to work on those kind of things somebody asked me the other day my husband keeps trying to pick things up off the floor. And I can't figure out what he's doing. And I said well does he think he's working ask him what he's looking for is he looking for a tool is he looking for. A screwdriver. What is he looking for. And so as to which he came into the room this was and the election than I had the other night at W hides. I she went over and he started trying to pick things up off the floor and I said oh. I think it's over here and we just put a piece of paper down on the floor and he went to pick it up and he was satisfied. So sometimes people see variations in the carpet. The carpet. Or Florida you'll have a different pattern. And they go to touch it to see if it's real or it's something that is sitting on the floor like a screw or pencil or something like that. Don't think too hard about things like that. If they're looking for something and it seems like you're just grasping at things puts something on the floor so they grab it it's a pretty easy picnics. I know these kind of things sound simple five. But I don't really mean Ford to look that way we're gonna take a break and we'll be right back. Living and working with alzheimer's and other dimensions can often be challenging. Some are resilience training provides education and utilizing non medical approaches for those who worked with our friends are affected by dementia. Delete delete delete one on one assistance we provide clashes which helps them understand diseases affecting their love ones. Different strategies and techniques for success with the activities of daily living and working with confusing behaviors. And we offering in home sustenance education programs and killing a person centered care philosophies are offered professional caregivers working communities and homes and which can be customized for their staff. And training is also available for first responders. We are passionate that people would dimensions and such as alzheimer's parkinson's and others are approached with compassion and understanding and those who work without pay. All the tools they need for six us. Call us at some resilience training 3034206988. To schedule a class or in home assessment. Visit our website at summit resilience training dot com for more information. Welcome to the mental resilience we chill arrest sponsored by a million high alzheimer's special care center. I can't in conversation as we learn about dementia and alzheimer's and it's effects on the people we love. Jill has years of dedication and experience and so do you adapt to recover and overcome obstacles and held a final positive outcome it's time for dementia resilience within Jill our friends. OK so we've been talking about calming challenging behaviors today and it. Getting back to the delusions and things like that. If Pete's are becoming disruptive to your person with diagnosis. You might want to call your doctor and see if there's some change in medication that be could be causing hallucinations. Sometimes that can happen. There can be underlying medical causes like I said in the first part. Where they could ever urinary tract infection they could have. Hearing problems. An ear infection and different things like that. So. If it. All things seem like systems third go and that person is just having some difficulty with the environment. Try age moving to another room if that room is destructive that person. Maybe going to the kitchen going to calmer area of bedroom ask him to lay down for a little bit. Just did distract them with another topic a change of topic start talking about the weather start talking about. Current events start going through photo albums in looking at pictures. Things like that to just try to read direct them to a place it's calmer for them. And that would be a lot more fun for them okay so I'm. Now I would give you a worksheet. An idea about a worksheet. That you can use so that if you are really struggling with it and you can't seem to find a way to get that person calmer. If you can't understand what's going on and I want you to tried this and it. All else fails on what you call immediate 3034206988. And I won't help you walk through. Maybe what that challenging behavior is okay but this is what I want you to do on a piece of paper and I'm gonna repeat this twice. I want you to write and make yourself a little grid and write the date. Describe what the behavior is my husband started yelling and pounding on the table. What time of day did it occur that will be the next thing that your right down list that time of day that this behavior occurs. In the next call will be what happens. Before the behavior occurred so did something change. Did the phone rings. Did a commercial come on that scared the person. Did the wind started blowing and all the sudden it started. Making net curtains blow in knock something over it was a dog barking happened. Before that behavior occurred. Did you try to rush to person through the activity that you're doing. Did you need to get somewhere and didn't plan quite enough timing you saw that that's what upset them so they couldn't. They couldn't get in a good zone and calm enough for use tried again to where they were going so what happened before the behavior occurred. And then finally the last columnist what happened after the behavior occurred did they calmed down. Did he get worst did it escalade. Worthy yelling more did they start cry or did they come down with something that you did if effective. Did you talk to them in a calming voice. Did you made it put on some soothing music. Did you close the wind and so the wind wasn't blowing through so much. If we work to these worksheets. And tried I didn't by the underlying causes of the behavior. I think to be more successful at trying to. Modify or change that behavior so that you don't have that happen again okay. So I'm gonna say that one more time make age sheet you could take a piece of paper. And if it's an eight and a half by eleven turn it sideways but first call will be the date when did it happen. The second column will be described the behavior what happened what went on with the behavior how was the person re acting. Were they crying or they screaming more than laughing were the upset. What happened this the third column lists at times a day that the behavior curse. And the fourth column will be what happened before the behavior occurred. The fifth column will be what happened after the behavior occurred. Why this is important is because if you happen this worksheet and you can use this worksheet. To help you figure out what happened and what was go and then you can have such a better time. Trying to work through this behavior modify it and have. Everybody happy in com. Remember people the biggest things you can do is using a calm voice use as mini. Why aiding techniques as you possibly can. Have a few engagement pieces around your house so that you can look for something that you can grabbed could be a magazine could be proposal. Could it be just something soft a ball that they can play with this gain in the armed something like that. To calm that person if all else fails put on some music take them to a different room of the house. Get them a couple of hot tea or coffee. A cold drink whatever it is take them for a walk outside. Calming behaviors. Is not always the easiest thing to do but if we can we need to try because a stress level for our caregiver nation. When they're working with somebody who's upset yeah. Goes up and up and up and we know that people that are caring for their loved ones who have some type of cognitive impairment. Or severe memory loss. It is disrupt TV it is hard to deal with it creates enormous amount of stress. On you physically and mentally and emotionally. So let's do we can to try to calm those behaviors. I hope this session today has been helpful to you again if you have any questions go to my website summit resilience training dot com. Or. Calm me 3031406988. And you could always come back and revisit these podcast. By going to cruise and Cruz and 14:30 AM you can find it online at Denver crews in 1430. Go to the weekend programming and scroll down and on Sundays Josie dementia resilience with children's. And you can listen to these so turnover so that you can listen to them more slowly you can stop them composite image you want. She can write down the information I gave you earlier today OK so don't be overwhelmed as they go oh my gosh I didn't get all that written down how can I get it back again. So again crews and 1430. If you are going online on WW Debbie he can also put in Denver crews in 14:30 AM just so you can make sure you get to it okay. Also I reload my podcast. On several different entities. ITunes apple stitcher sound cloud Spotify. Google play and tune in. Please go on those apps. And if you like my eight. Shows police rolled out and give me a five star rating and I who just went on the other day and real ice I have worldwide. Listeners. I have 600 subscribers right now Justin's two months of watching those on those. Apps and I love that so those of you are listening in. The UK in Canada in Algeria. Denmark Sweden. All around the world love love love it I hope that you find something interesting on the show. Now next week I'm gonna try to have another strategy show. And I would love to see what you email me or tell me each that you need me to talk about and then in two weeks. I'm gonna have a doctor Samantha hold non nor have a great conversation. About. One sorry its next week next week amid have Samantha hold nod and we're gonna talk about Louis body and she has some new. Innovative approaches for this really disruptive. Type of cognitive impairment dimension. But everybody is a real real tough one so again caregiver nation and people would diagnosis out there I love via I hope you have a good week. And go on and listen to me. And again on knee crews of 1430 and we will see you next week on demand your resilience with chiller. You've been listening to dementia resilience with the chill horrendous sponsored by a billion price alzheimer's special care center. Visit the website I had so little resilience training dot com. To learn more and join us next week as we learn more about dementia alzheimer's and overcoming obstacles for the positive outcome. See you next time.