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Piper DoeringCSD 754: Acquired Cognitive DisordersReminiscence SessionDate: December 17, 2013Time: 2:30 - 4:30 p.m.Place: Lobby of Point Place Nursing HomeResidents: Patty, Sheila, Sue, Sharon, Debbie, Julia, Al, FrankStaff: Jim (Sue’s husband), Suzie (Al’s wife), Kristie (Recreational Therapist)Outline of ActivitiesThe theme of this week’s reminiscence session will be The Holiday Season. With the holidays just around the corner, all attendees to this reminiscence session will be submersed within topics, smells, objects, and events of the holidays.A Holiday DessertIt’s time to decorate the sugar cookies. Residents and staff will spend some time decorating cookies to be enjoyed during the session. Residents will be split up into pairs, so fewer distractions are on each table. Kristie, Jim, and Suzie will each sit at one of the tables to prompt conversations about favorite holiday desserts and meals. All decorated cookies will be placed on one large tray and the residents can show the rest of the group which cookies they decorated. Then, it will be time to enjoy some cookies and refreshments. Incorporating food will help to create a social atmosphere.Holiday VideoTwo 3-minute video clips will be shown by projecting the videos on a large wall. Videos will include Miracle on 34th Street and It’s a Wonderful Life. Residents and staff will spend some time reminiscing about favorite holiday movies. Suzie volunteered to bring in a few holiday video cassettes from home, which can be used as props/visuals to support conversation.Cold Weather NewsA short news story about the snow storm of 1973 will be projected onto a wall. The residents and staff will each receive a copy of the news story, which will be printed in large font. Since reading remains intact for many patients with dementia, this will be a language activity all members can participate in (Bayles & Tomoeda, 2007). Residents and staff will take turns reading a small part of the article. Once the article is complete, residents will be asked to share their memories of past snow storms.Shared StoriesAfter staff members provide examples of holiday stories using props (e.g., ornaments, photographs, mittens), each resident will be prompted to share holiday stories from the past. Recalling good memories will provide residents with something to be happy about. Stories will be supported through photographs in a show-and-tell fashion. Many residents will have their Life Books to use for this activity, but Jim and Suzie will also be bringing in classic holiday photographs. When one group member shares a memory, it stimulates memories in other group members (Bayles & Tomoeda, 2007).Holiday TunesTalking Mats (Murphy, 2009) will be used to structure a conversation about favorite holiday music. Each member will hear his/her favorite holiday music played. A computer connected to the internet and speakers will be used. Residents will be prompted to talk about why the songs resonate with them, who the songs remind them of, and where they have listened to holiday music. Music has been shown to reduce agitation, loneliness, and depression for individuals with dementia (Bayles & Tomoeda, 2007). DancingA turntable and a collection of records will be brought in by Jim. Jim’s collection consists of tunes from the 1940s - 1960s. From Elvis Presley to Bing Crosby, Jim has them all. Holiday songs will be played as the residents spend the remaining time dancing or tapping their feet to the music. Frank is known for his dancing skills here at Point Place Nursing home. He will kick off dancing time with some of his most famous moves. Don’t Forget the Family Christmas CardsJust before ending the session, each resident will be provided with a Christmas card to sign. A letter will be included within each Christmas card, providing the highlights of this reminiscence session (e.g., pictures and stories). The letter will also include some information about reminiscence therapy and its importance to individuals with dementia. These cards will be sent to the close family members of each resident. The more informed and engaged the residents’ family members are, the better group will become. One goal of this group is to send photographs and newsletters on a regular basis.Staff Training and Carryover of LeadershipIt will be the role of the resident speech-language pathologist (SLP) of Point Place Nursing Home to invest time with the recreational therapist, Kristie, as well as any other relevant staff members, family members/caregivers, and paraprofessionals. Kristie will be provided with knowledge to guide others, as she has agreed to be a consistent staff member for future reminiscence sessions.Kristie already has strong interaction and group management skills. However, it will be important to provide Kristie with information on working with individuals with mild to moderate dementia, with primarily episodic memory impairments. Information will be organized by the stages of dementia, emphasizing mild and moderate dementia types. Just as much information will be provided to Kristie on dementia as will be provided on reminiscence activity suggestions. Kristie will be provided with written handouts regarding the significance of reminiscence therapy to individuals with dementia. Educational materials will discuss how presenting individuals with dementia with multi-sensory experiences of a specific theme (which may include: pictures, articles, videos, clothes, props), allows personal memories come to mind (Bayles & Tomoeda, 2007). In addition, when group therapy sessions are personally relevant, the engagement, motivation, and participation of group members increase. Having this knowledge will allow her to be flexible during sessions in order to accommodate to all group members.This reminiscence group was recently formed, so little information is currently known about the residents that participate in the group activities. The staff members, family members/caregivers, and other paraprofessionals associated with Point Place Nursing Home will be sent a newsletter of the newly formed reminiscence group. This newsletter will include information about what reminiscence therapy is, why it promotes communication and cognition, and how they can contribute to the goals of group. This newsletter will prompt individuals to contact Kristie regarding personally relevant activities and interests of each group member. In order to facilitate the group’s success, objects and activities will need to have emotional significance to the members. Emotionally significant or memorable objects and activities will facilitate learning and positive interactions (Bayles & Tomoeda, 2007). Once initial information is sent out to all applicable individuals, a one-hour training session will be held. The resident SLP and Kristie will lead the training session to share knowledge on dementia and the importance of reminiscence therapy. Allowing Kristie to co-teach the newly learned information will help to solidify her knowledge of the topic. This training session is necessary since engaging the partners of the residents will help support and foster future communicative and cognitive success of these residents. When partners are engaged, and provided with the tools to be successful, these sessions will become increasingly beneficial. ................
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