Communication
Connecting Through Reading Together: Wisdom from Anne Vize
Connecting through reading together has always been part of my life, starting with my mother reading me Mother Goose and Grimm’s Fairy Tales. Even when Mom was living with dementia and could no longer track a Shakespearian play or a complicated novel, she loved holding books and she enjoyed hearing lyrical poetry. I was excited when I discovered the work of Anne Vize, Curriculum and education writer, instructional designer, and author of ‘Reading in the moment – activities and stories to share with adults with dementia’ published by Speechmark.
Anne graciously shared her insights for this blog.
Connecting Through Reading Together: Wisdom from Anne Vize
Why is reading together so important?
Reading is a powerful but sadly often forgotten tool for supporting people who have dementia. Sometimes people worry that they might not read fluently enough, or they might make mistakes when they read, and so avoid doing it all together. But people have been reading together throughout time, and the idea of sharing pose, poetry and stories is an integral part of who we are as people. Just because someone has dementia does not mean they are unable to benefit from the joy of sharing a moment in time, with a great book or piece of text.
How do you get started?
Start small and keep the reading sessions to around 10-15 minutes to begin with. Plan ahead so you know what you are going to read and the sort of ‘voice’ you will use to read it. Some texts are more suited to a bouncy, entertaining voice while others are better suited to a slow, lyrical, smooth reading style. Pick the one that suits the piece you are reading, as well as the one that suits who you are as a reader.
How do you set the scene?
Sometimes a sensory experience to begin with can be useful, or a brief discussion about the personal experiences of the listener that might relate to the story. You can make a link with seasonal activities such as Easter, Christmas, Passover, Independence Day or Anzac Day, but be aware that these festive or commemorative times might trigger particular memories for some people that might be unintended. Be sensitive and make sure you know a little about the piece you have chosen and the person you are reading to.
What kinds of stories/books do you suggest?
Read something you are comfortable with. Avoid texts with long, complex sentence structures or multiple characters, as these can be difficult for the person living with dementia to follow. Focus on stories you can read in a single session, with a limited number of characters, and a plot that only moves in a forwards direction (not something that jumps from one period of time to another, as sometimes happens in the short story genre).
How do you use the stories as conversation catalysts?
You can link what you read with a discussion, activity, or sensory experience, if it seems appropriate. For example, you could read the Australian bush poet Banjo Patterson and then combine this with a sensory experience looking at photos of the Australian bush, exploring plants, and leaves outdoors or listening to the sounds that horses hooves might make on the ground. If you are comfortable wearing a bush hat (called an Akubra in Australia) and a check shirt as you read some bush poetry, all the better!
How do you make the experience meaningful and fun?
Use your judgment and knowledge of the person you are reading to. Think about her needs and personal comfort and monitor how she is faring during your reading session. Think about sensory elements in the room that might interfere with your reading, such as outside noises, distractions outside the window, people moving in and out with meals or drinks, and the like. These can all take away from your reading experience.
Reading has a tendency to create a feeling of peace, calm and harmony for people and can be a trigger for more conversation and interaction. Even if the person does not recall the reading experience after you have finished, they will retain the mood and feeling that the piece has created for them and this may well last for long after the actual reading experience has ended.
To learn more about Anne, please visit, https://www.facebook.com/pg/Anne-Vize-Writing-Services-126820110730385/posts/?ref=page_internal
Reading in the Moment: Activities and Stories to Share with Adults with Dementia
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Dementia Journey: Planting Seeds and Growing Engagement
I met so many inspiring people when I was writing Connecting in the Land of Dementia. Activities director Lori Condict, from Chestnut Glen Assisted Living by Americare in St. Peters, Missouri, created an inspiring program focused on planting seeds and growing engagement. Whether you’re a family care partner or you work in a facility, you’ll learn from Lori’s project.
Planting Seeds and Growing Engagement
“Mable, I could use your assistance this morning,” Lori Condict says. “The tomatoes are ripe and I need help picking them. Are you available?”
Mable nods. Lori waits while Mable puts on her gardening hat and gloves. Then they join others from the memory care community outside in the garden.
“What are you thinking about Mable?” Lori asks, handing her a small bucket.
“My first bite of summer tomato.”
“Let’s try one of these,” Lori says. She knows that Mable and her husband used to have a vast vegetable and flower plot.
Mable plucks a cherry tomato off the vine and pops it into her mouth. Slowly, she picks another and plops it in her bucket. Others in her community are also harvesting the tomatoes.
“We’ll be sharing our vegetables with the food bank, so others less fortunate will enjoy this fresh produce, “Lori reminds her.
“That’s good,” Mable says. “Everyone needs to taste these tomatoes.”
Mable lives in the memory care unit in Chestnut Glen Assisted Living by Americare in St. Peters, Missouri. She is one of the 15 residents working on the Operation Riverfront gardening project. Lori, the activities director in the care facility, is a city girl. But she knew she’d have plenty of help from her residents. She also knew that they would thrive knowing they had a purpose and were giving back to their community.
Seeding Empowerment
Lori started simply, with a bunch of tomato, cucumber, squash, peppers, and pea seeds, pretty and colorful vegetables that would remind residents of their home gardens. Lori had tasks for all abilities: some held little containers while another filled them with dirt; some tamped in the seeds and others labeled them. Lori provided everyone with special hats and gloves.
While they worked, they reminisced, talking about favorite tomato dishes and summertime activities.
Sharing the Bounty
When it was time to share with the local food pantry, the residents did the harvesting and packing.
“We had planters, pickers, packers, counters, and a watering crew,” Lori says. “People who’d been depressed and disengaged got involved. Through working on the project, they felt alive and useful; they had a purpose.”
Want to grow plants, connections, and a sense of purpose? Here are some tips:
- Select flowers, plants, vegetables, and herbs that are pretty, colorful, easy to grow, and have some meaning to the person living with dementia.
- Create small tasks that are interesting and pleasurable.
- To increase the sense of purpose, find ways to share blooms, cuttings, vegetables, and herbs with family, friends, and community members.
- For those who can’t go outdoors, bring the plants to them in containers.
- Infuse the work with opportunities for conversation.
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Redefining Dementia and Focusing on Wellbeing
Several months ago, I was delighted to write an article highlighting some of the American leaders in dementia care. I will be occasionally spotlighting luminaries from that article who are redefining dementia and focusing on wellbeing.
A version of this piece appeared in Signpost Journal: Journal of Dementia and Mental Health of Older People. This excellent journal from Wales, UK, offers a variety of informational and inspirational articles. I am honored to be a contributor.
Redefining Dementia and Focusing on Wellbeing
Late every afternoon, Roger paces the corridors, pausing at the locked door, fiddling with the keypad, sometimes even setting off the alarm before he resumes his pacing. Instead of labeling Roger’s behavior as “sun downing,” Allen Power, MD, teaches practitioners to ask themselves: Which vital element of health and happiness is missing from Roger’s life: identify, connectedness, security, autonomy, meaning, growth, and joy. By doing this, Dr. Power is redefining dementia and focusing on wellbeing.
Dr. Power is a geriatrician and educator on transformational models of care, with a focus on people living with changing cognitive abilities. He is also the author of two groundbreaking books, Dementia Beyond Drugs and Dementia Beyond Disease: Enhancing Well-Being.
He defines dementia as, “A shift in the way people experience the world around them.”
“I believe that most of people’s on-going distress is due to the erosion of one or more aspects of well-being, from the care environment, and/or the person’s cognitive changes. Imagine these domains of wellbeing as seven glasses being emptied. Start filling the glasses and notice the results.”
As Dr. Power trains and consults with memory care communities around the world, he sees meaningful results from this compassionate approach. Suddenly, Mary is not constantly calling out night and day. Bill is not hitting the aides when they take him to the shower. Roger is not setting off the alarm or trying to open the exit door.
“There’s no sure answer,” Dr. Power says. “You need to understand the individual and experiment until you reach the root of the problem. People may be looking for connectedness. They may feel anxious and insecure. They may be bored.”
If someone is repeatedly trying to leave the building, Dr. Power might ask: Are they feeling insecure? Are they feeling lonely and trying to reach someone they love? Are they yearning to connect with an important part of their identity, such as a beloved garden, horse, dog, or pick up truck?
Working toward an Inclusive Future
Dr. Power uses a strength-based approach to work on enhancing wellbeing. He encourages developing “brain ramps,” cognitive supports that help people move through the day in meaningful ways.
“With this positive approach, I can now look at a challenging scenario and offer insights,” Dr. Power says.
Beyond the care of the individual, Dr. Power believes in examining ingrained rituals and routines of institutionalized care, including all meals at a certain hour, with an aim of moving to a more individualized and meaningful mode of care.
“We can make mundane activities such as bathing or getting ready for bed more meaningful and relational than we normally do in long-term care,” he suggests.
“We need to support people instead of dehumanizing them,” he says. “We need to be inclusive and try harder to understand them.”
Dr. Power believes integration into society is a basic civil right.
“Imagine if people who lived with cancer, arthritis, or diabetes could only live with others who shared their medical condition. There’s a problem with seeing the disease instead of the people,” he says.
Dr. Power is contributing to a future where all communities are dementia inclusive and where dementia is just viewed as another way that people see the world.
For more about Allen Power, MD, internationally known geriatrician, educator, and author , please visit:
Website: http://www.alpower.net
Dr. Power is participating in Dementia Action Alliance’s Reimagine Life with Dementia Conference, June 25-27.
http://daanow.org/wp-content/uploads/2016/10/DAA-Conference_042817.pdf
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Laughing During the Dementia Journey: A Map to Increased Health and Happiness
“I feel so much better after all this laughing,” our friend told us. “My brain fog has lifted. I feel myself again.” Our friend has been struggling with memory issues and a dimness in her thinking. We had a wonderful time practicing laughing exercises with her. The more we laughed together, the easier and more spontaneous our laughter flowed. Laughing during the dementia journey left us all feeling healthier, happier, and more energized.
As I develop my own laughter practice, I wanted to know more from someone who’s really integrated laughing into her life. I asked Amy Kuth to share her insights. Amy is a Health & Wellness Coach at Mayo Clinic’s Dan Abraham Healthy Living Center in Rochester, MN. She has been practicing laughter for several years and has created an on-going Laughter Club for Mayo employees. She recently completed a five-day teacher training course. Here is my Q and A with Amy.
What benefits have you seen from your laughter yoga practice?
Laughter yoga helped me discover my playful side again after it had gotten buried under life pressures and self-criticism. Since I started leading laughter yoga and having a regular laughter practice I have become more confident, creative, and playful at home and in my workplace. Laughter brings me into the present moment, creates harmony in my mind/body/spirit, connects me to those that I am laughing with, and always puts me in a good mood! I also set a daily intention to bring extra laughter into my specific work unit, outside of the laughter yoga sessions. Doing this elevates our mood, encourages playfulness, increases creativity, and brings us closer together as a team.
How has your team, working in Employee Health at Mayo, benefitted from the extra laughter? 
In the weekly Mayo Clinic Laughter Club, we do a one word check-in at the end of our laughter yoga sessions. Words include: relaxed, energized, calm, happy, stress-free, , warm, peaceful, and grateful. These sessions are a great way for participants to take a break from work and other responsibilities, and to refresh and reset. The benefits of these sessions are then carried into the rest of their day.
What are some quick ways to add a splash of laughter into your day?
Plenty of haha’s a day keep the doctor away!
Here are a few ideas for adding a quick splash of laughter to your day:
- Surround yourself with positive people and things.
- Laugh in your car while you are driving to work.
- Affirm yourself with a smile and laughter while looking in the mirror.
- Smile at someone else and see what happens.
- Attend a laughter yoga club.
- Add humor to your day through media, fun activities, and social connections.
- Have a laughter buddy.
- Laugh into your cell phone, even if nobody is on the other line.
- Join a live laughter party on the phone.
- Set a timer for one-minute and just laugh until the time is up.
Why is adding laughter to our day important?
In a typical day, laughter is usually sporadic and short lived. In order to gain the most benefit from laughter it needs to be long and deep, stimulating the diaphragm. Intentionally adding laughter to our day helps us receive these benefits. The benefits of laughter can be summarized simply by remembering the 5 H’s, which I learned in my teacher training.
Happy : Laughter makes us happier by elevating our mood and attitude. We do better in life with a improved mood and attitude.
Healthy: Laughter improves our immune system and physical health. When we are healthier we can do more.
Harmony: Laughter oxygenates and creates harmony in our body and brain. What we do is more effective and efficient.
Heartfelt: Laughter enriches our relationships and creates connection with others and with our self. Laughter is a universal language that breaks down barriers and causes judgment and self-criticism to fade.
Hopeful: Laughter increases resilience. We bounce back better from adversity.
For more information about Laughter Yoga and about laughing during the dementia journey, please visit: www.laughteryoga.org or http://robertrivest.com
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Laughing Increases Happiness and Health: Enriching the Dementia Journey
Ever since I interviewed Dr. Madan Kataria, the founder of Laughter Yoga, I’ve wanted to learn more and laugh more. That’s because laughing increases health and happiness.
There are no Downward Facing Dogs, Warriors, or other traditional yoga postures in the laughter practice. Instead the focus is on gentle breathing exercises, easy movements, and, of course laughing. Dr. Kataria researched the science of laughter and learned that the body does not differentiate between intentional and real hilarity.
Dr. Kataria believes that laughing is a skill anyone can master and laughter yoga is ideal for people living with dementia. He says: “Laughter Yoga is an aerobic workout that helps uplift your mood within minutes by releasing endorphins from your brain cells. You often remain energized, relaxed, and in good spirits throughout the day. Laughter also makes your immune system stronger and lowers your blood pressure. Plus laughing with others builds a social bond and reduces feelings of isolation.”
Several weeks ago, Ron and I journeyed to Ferryville, Wisconsin, to study laughter with the esteemed Master Trainer, Robert Rivest. We are now Certified Laughter Yoga Leaders. Delightfully, laughing increases happiness and health and over the next months, we’d love to share some of the benefits and joys of intentional laughing with you.
It’s easy to add splashes of laughter throughout your day. Here’s an idea from Robert for getting started: VIDEO
Robert taught us the exercise The Wall and we shared it with our friends Vicki and Saundra. Vicki is so inspiring the way she manages her many physical challenges, which include early onset dementia. She is the best laugher. After a couple of attempts to laugh our way through our imaginary boundaries, we all felt lighter, happier, and more connected: VIDEO
For more information about laughter yoga, visit RobertRivest.com
Also enjoy LaughterYoga.org
You’ll find lots of videos to lure you into laughing. And stay tuned to this blog, for more moments of ha-ha-ha-ing.
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Make Dreams Come True
All her life, my mother dreamed of visiting Japan. She loved Japanese art, food, and culture. But she thought such a trip was too expensive and complicated. Even as Mom struggled with cognitive impairment, her yearning of Japan remained. Then my brother moved to Tokyo and prepared to make dreams come true. He arranged for business class travel for Mom and Dad. He squired my parents everywhere and even set up a meeting with a Japanese master potter. He documented it all with photographs so we could all share in the joy.
Recently Ron and I visited Edencrest at Green Meadows in Johnston, Iowa, to learn more about their memory care work. When Nick Lensch, Assistant Manager, and Susan Babcock, Life Enrichment Coordinator, told me about their Dare to Dream program, I wanted to learn more.
“This program brings happiness to the dreamers living with dementia, their families, the staff, and other members of the memory care community,” Susan told us.
As Susan gets to know each resident, she usually uncovers an unfulfilled dream. She brainstorms on how she can carry out the dream, including who can help from the community.
“Bringing the community in on the dream is wonderful for all of us,” she says.
Once she has the dream planned, she talks to the family. Often the dream experience is one the family treasures. Here are two of the dreams they orchestrated :
Joe had been a star baseball player in high school and a minor league player for a couple of years. He loved all things baseball.
“I wish my sons and grandson could have seen me play ball,” Joe often said.
Susan heard the wistfulness in his voice and created a plan. Partnering with the Iowa Cubs, she arranged for Joe to throw out the first ball during one of their games. Both his sons were there to witness their father, one son flying in from Japan for the event! Joe’s grandson stood by his side for the grand pitch, cheering him on. Then the entire family enjoyed watching the game together. #
Marianne loved to sing and often reminisced about times she and her father sang together.
“I wish I would go on the road and sing,” she often said.
Nick and Susan had an even better idea. They contacted a local singing group and asked if Marianne could perform with them. They were delighted to be part of her dream. Marianne selected favorite tunes. Her face shone with joy as she and the group performed to an enthusiastic audience, including her grateful daughter.
“We believe in embracing the moment,” Nick says. “Making dreams come true creates a string of treasured connective moments.”
To make dreams come true, here are a few tips:
- Listen to each person’s stories and notice favorite ones. Ask yourself, is there a wish or dream tucked into one of those tales?
- Double check with another family member or friend, to see if you’re on the right track.
- Brainstorm ideas to fulfill the dream. What do you need in terms of people, venues, witnesses? Who would enjoy helping?
- Put together a small team and set the time and place. Have someone ready to photograph and video the celebration.
For more ideas on how to make dreams come true, visit:
Nick and Susan
seniorhousingmanagement.org
Don’t forget your own dreams!
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Adapting Hobbies to Meet Changing Abilities
Years ago, I worked as an activity director at a county home in Butler, Mo. There I learned about adapting hobbies to meet changing abilities. Albert taught me that even when you can’t grip a domino, you can still enjoy the game. Every Wednesday, we dropped him off at the town square for his weekly session. A friend helped him place the pieces and he often won. Sadie taught me the power of memorizing poetry. Though she could no longer see the world around her, she enriched her inner world by memorizing dozens of verses. Visiting her was like opening a book of best-loved poems. The residents all taught me the joy of sitting around a table together, working on a project. Even if the project didn’t work out the way we envisioned, the energy and camaraderie did.
Earlier this year, we had the opportunity to offer a presentation on engaging through creative activities for the National Association of Activity Professionals. These professionals are so vital in helping people stay creative and connected throughout the dementia journey. We were inspired by their depth of knowledge, compassion, and eagerness to learn.
As part of our presentation, we discussed adapting hobbies to meet changing abilities. We shared ideas from Connecting in the Land of Dementia, and our participants offered ideas from their experiences. Here are some tips for adapting hobbies:
Ask yourself: What does the person love most about doing this activity? What are the most important components for them?
For example, for gardeners, is it the feel of their hands in the soil? Is it producing flowers or harvesting vegetables? Is it having something to take care of? Or is it the ritual coffee and cookies enjoyed after the work is done?
For those who like quilting, is it the finished product or making the squares? Is it the companionship with other quilters? Or the texture and colors of the fabric?
For scrapbookers, do they enjoy looking through photos or gluing pictures on the page? Do they like leafing through magazines and cutting out pertinent words and pictures or adding stickers and other playful accents. Or maybe it’s the companionship of working together.
By gathering answers to these types of questions, you can break down the activity’s components and encourage people living with dementia to keep pursuing their interests.
If you have ideas for adapting activities, we’d love to hear about them. For more information on the NAAP, visit https://naap.info/
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Widening the World Through Travel
As the waiter served dessert, Lori La Bey looked around the table at her family and smiled. She couldn’t believe she had pulled this off — her children, her siblings and their children, and her parents all enjoying a Caribbean cruise together. Her mother was living with Alzheimer’s and her father had brain cancer: they had assumed they wouldn’t get to travel again. They were beaming and Lori knew all her planning had been worth it. She was widening the world through travel.
She still treasures the family pictures from this trip. This meaningful travel experience inspired Lori, founder and host of Alzheimer’s Speaks, to orchestrate a cruise for people who are living with dementia and their families.
“Travel is a normal part of life,” Lori says. “When you stop traveling, your world becomes smaller.”
From her years caring for her mom, Lori understands how easy it is to feel isolated and stuck. She also understands the joy of engaging in the world, trying new things, and meeting new people. Her trip enriched her family and she wants to offer others that gift of connection and adventure.
Lori also learned some tips from traveling with her parents. Here are a few ideas for creating a smooth traveling experience for yourself and for someone who is living with dementia:
Create a flexible travel experience. Lori chose cruising because it can be reasonably priced, you can unpack once and stay in the same room the entire trip, and there’s lots of flexibility with eating (including free room service), activities, and touring. Cruising is also ideal for the intergenerational experience, offering activities for all ages.
Make the person living with dementia part of planning the trip. Discuss the trip with all involved, asking for feedback and talking about what each person really wants to do. Incorporate those dreams into the trip.
Empower your travelers. Lori packed all her parents things into one giant suitcase. Her father had always been the one managing the luggage and he really wanted something to carry. “I hadn’t thought to pack a couple of small bags so he and my mom could feel like regular travelers,” Lori says. “People want something to be in charge of so they don’t feel left out.”
Work with a travel agent and make your life easier. Plan in advance for noise, long transfers, layovers, long car rides, and other chaos. If flying, call the airport if you need to arrange for wheelchairs or other inner airport transportation. To mute noises, bring earplugs. Carry along items that soothe and comfort each of us, including favorite music and head phones. If you’re cruising, talk to the cruise lines in advance, discussing special needs, including dietary, medical, and any mobility issues.
Take pictures and videos and document these precious moments. You’ll enjoy looking through these memories again and again together.
“Travel is about being together and widening your world,” Lori says. “It’s a wonderful way to build those moments of magical and meaningful connection.”
For an amazing way to widen your world, consider Lori’s upcoming November Dementia Friendly Conference and Cruise. Lori and a team of educators, including a panel of inspiring people who are living with dementia, have planned a nurturing, connecting, educational, and inspiring Caribbean trip. For more information, visit, https://alzheimersspeaks.com/cruise-with-us
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Engaging during the Dementia Journey: One Story and Six Tips
My satchel was packed with potential connectors, not the electrical type, but the emotional, engaging type. I had a sheaf of favorite poems, an Audubon bird book, a list of songs Mom and I liked, some bright red Mardi Gras beads, several colorful scarves, and some paper and markers. I was eager to see what Mom might fancy and I felt prepared for any creative impulse. But as usual, my mom surprised me. When I walked into her room in the memory care community, she was sitting on the bed, fiddling around with a blanket. She smiled and held out her hands. I sat beside her, held her hands, and smiled at her. She laughed. I laughed. She made a little funny face. I mirrored her. I followed her lead until she suddenly gripped my fingers and closed her eyes. I closed mine, but kept sneaking peeks at her. She was asleep, a lazy smile on her face, so I closed my eyes and rested with her. This was one of many ways of engaging during the dementia journey.
Spontaneity and surrender were two of the many lessons my mom taught me during her dementia journey. I loved preparing for our time together, cobbling together ideas to engage us both. Sometimes we sat quietly, leafing through magazines. Other times, I sang Mom show tunes. Still other times, I simply went with the flow and enjoyed Mom’s energy and spontaneity.
My mom has since passed away but her spiritual and emotional gifts linger on. When I visit friends who are living with dementia, here are a few ideas for connecting.
- Choose a quiet space relatively free of distractions.
- Select a time of day when you both have lively energy.
- Bring a project (or projects) you’d both enjoy.
- If the person is shy about creative projects, issue a low-key invitation, such as, “Want to help me with this project?”
- Allow the activity to unfold at its own pace, offering support as necessary and encouragement along the way. Enjoy the process.
- If the activity doesn’t go as planned, don’t worry. Go with the flow and relish your time together.
(A version of this story was originally published in eCareDiary)
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Art as a Creativity Catalyst: Featuring Grace and Spencer Townley-Lott
How do we keep our sense of connection and creativity through the caregiving journey? That was a question I often asked myself. I wanted to share this story of an extraordinary couple– artist, dementia advocate, and social worker Grace Townley-Lott and her husband, puppeteer, actor, and playwright, Spencer Townley-Lott. Both use art as a creativity catalyst in their work and throughout their lives.
Their elders inspired them. Grace and Spencer were teenagers when her grandmother and his great-grandmotherwere going through a dementia journey. The experience was difficult and impactful.
Grace became a social worker, specializing in older adults and learning how to communicate with people who were living with dementia, often through art.
“It’s incredible how the arts open people up,” Grace says. “Someone who hasn’t painted in 20 years picks up a brush and creates something beautiful. Someone who hasn’t spoken in ages delivers a zinger of a one-liner. Every day, I see how creative people are and the connections that are still possible.”
As Grace unfurled her work experiences, Spencer gained a new understanding of his great-grandmother’s last years. He used those insights to create a critically acclaimed play, Blossom. This play, which utilizes puppets, was funded by a Jim Henson Foundation Grant. It focuses on James Blossom, a retired painter who is living with dementia and his family’s changing relationships.
Caregivers often wonder: “How do we keep creativity alive?” Grace and Spencer were kind enough to share some ideas.
Engaging in New Endeavors: Grace
Try to be in the moment, despite your list of tasks. Respond to and validate emotions. Be willing to go with the flow so you can allow creative sparks.
Pay attention to facial expressions as you invite your loved one to engage. If you start dancing, do their eyes light up and do they laugh? If you offer watercolors and cue your partner to touch the brush to wet paper, does he respond with joy when the color blooms on the page? If you’re having a hard time getting your partner to take a shower, croon a song and waltz with him into the shower. If it doesn’t work, that’s okay, too! But if it does work, it’s a lovely and practical way to connect, create, and take care of physical needs as well.
Sometimes it takes reframing the situation to view the possibilities. An outside person or idea can often expand your thinking.
Creativity Tips for the Care Partner: Spencer
Sometimes, physical actions can help release tension to allow for more creative thinking. Deep breaths and stretching can help you loosen up at first. In the theater world, we start every rehearsal with a physical game or action to help us get focused and leave our stress at the door. Try wiggling and shaking your feet and hands, giving yourself a brief facial massage, stretching as tall as you can, and twisting gently left and right. You’re getting the blood flowing, leaving the worried part of you in the hallway, and getting ready to create.
Allow room for surprises. Try to set the tone by modeling joy and openness. Be willing to try again.
Connecting through Art: Grace
I love viewing art with people who have dementia. Art is so subjective, so there’s no wrong answer to the question, “What do you see?” You can take that first question and lead it along into a fascinating conversation, one question at a time, building a fulfilling conversation with an individual or a group.
In these art viewings, a discussion about a painting can tap into emotions that would otherwise be left undiscussed, or it could lead into a beautiful conversation about the person’s childhood, for example. You never know where the conversation will lead! This creates a failure-free situation where a person with dementia can excel and their answers are valued.
Connecting through Puppets: Spencer
Puppets offer a level of separation for the care partner. For people living with dementia, a puppet’s cues may be simpler to decode, dramatically expressing joy or sorrow. The puppet can place a hand on a shoulder and offer many opportunities for sensory engagement.
Puppets can also encourage intergenerational play, creating connections between family members who may be unsure who to communicate with their loved one with dementia.
Keeping Your Creative Flow: Spencer and Grace
“Creativity is inherent in all of us,” Spencer says. “It’s a muscle you can strengthen. Be patient with yourself. The first day, you can only do one push-up. The second day, you can accomplish two or three. That’s what creativity and artistry feels like. Start small. You are laying the foundation. And it gets easier.”
“Be present and be ready for anything,” Grace says. “By asking your loved ones for advice, truly listening to them, and just being with them, you can form beautiful interactions throughout life.”
To learn more about Spencer, visit
To learn more about Grace, visit
gracetownley.com and theartfuloven.com
Grace is the Director of Truly Inspired Outreach and Education for True Care Home Health.
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
