Challenges & Solutions, Resources, Teepa Snow, Tips, tools & skills, Videos

teepa snow shows how to help someone living with dementia to put on a jacket or sweater without resistance

Image credit: Teepa Snow (screen shot from the video below)

“If only I had known,” is what I say to myself every time I see a Teepa Snow demo I haven’t seen before. This one was no exception when I first stumbled across it.

I had very few problems helping my mom get dressed. But how many times did I watch care workers struggle to do the same? Too many that’s how many! When I saw Teepa demo how easy it can be in the video below, I again wondered why EVERYONE who cares in some way for someone who lives with dementia isn’t trained in Teepa’s practical, positive approaches to care.

People who live with dementia “resist” receiving care for good reason: because, more often than not, we don’t know how to do things in ways that make them feel at ease.

Just watch the five-minute video below on how to help someone living with dementia put on a jacket or sweater in such a way that both care partners can feel good about what’s going on, and see if you don’t agree. I guarantee you will discover something you didn’t know or hadn’t thought of before.

Learn a few dead-easy techniques (including Teepa’s trademarked Hand Under Hand) that may help transform your life from misery to magic:

More here:

10+ Teepa Snow videos on dementia basics

Teepa Snow demos Hand Under Hand™ dementia care to connect, comfort and “control”

Teepa Snow demos 10 ways to calm a crisis with a person living with Alzheimer’s / dementia

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Care Partnering, Challenges & Solutions, Teepa Snow, Tips, tools & skills, Videos

Teepa Snow shares 10 tips to deal with hallucinations

Hallucination surreal scene
People who live with dementia may see “strange” things we don’t

 

It can be disturbing, even frightening, for both a person living with dementia (PLWD) and her or his care partner when the PLWD has hallucinations.

We are taught that hallucinations are abnormal, the hallmarks of “crazy people,” and witnessing someone having hallucinations for no apparent reason is unsettling. It’s important to first check whether the hallucinations may be caused by physical factors such as a urinary tract infection (UTI). They may also be a side effect of a wide variety of medications, a combination of medications, or over medication. Investigate these potential causes.

Also, remember that mistaking one thing for another is not  “hallucinating.” For example, confusing the telephone with the TV remote is not a hallucination–it’s a misperception. If you stay calm and act normally when a PLWD has a hallucination, you can help reduce her or his anxiety (as well as your own) and keep everything on an even keel.

Imagine this for example:

Cricket and her mother Annie are alone in the kitchen of Annie’s house. They’re chopping carrots for supper. Annie is in the “amber” stage of dementia; she turns to Cricket.

“Where did the girls go?” Annie says.

“What girls Mom?”

“The two girls that were here.”

Cricket and Annie have been alone in the house for at least a week; they haven’t had any visitors during that time. “When Mom?” Cricket asks for clarification. “Two or three minutes ago!” Annie sounds annoyed. “Don’t be so stupid Cricket.”

Back in the early days, when Cricket was still a wet-behind-the-ears care partner, she would try to convince Annie that whatever other reality her mother was experiencing was not real. Cricket soon learned this approach didn’t work; it invariably ended in an argument. Cricket decided to change her behaviour. Thus:

“Oh, those girls, now I know who you mean Mom,” Cricket’s tone is calm and even.

“Well, where did they go?” Annie is still annoyed.

“I think they had an appointment. It was kind of rude of them to leave without saying goodbye wasn’t it?”

“It sure was.” Annie shakes her head.

“There’s no accounting for some people’s behaviour eh Mom?”

“No. It’s the last time I invite them here.”

“Good idea, Mom.”

In this example, Cricket defused the situation rather than fuelling it or escalating into an argument. She also turned her mother’s anger away from herself and redirected it toward the imaginary girls against whom she and her mother then became “allies.”

10 tips to deal with hallucinations

Going with the flow works wonders, but it takes awareness and practice. Here are some hands-on tips that can help:

  1. approach the PLWD’s preferred side
  2. verbally greet the PLWD
  3. move into PLWD’s personal space when invited
  4. use Hand Under Hand™
  5. repeat/agree/validate
  6. repeat/agree/validate
  7. take control of the situation
  8. allow the PLWD “off the hook”
  9. go with the flow
  10. repeat/agree/validate as required

Watch  dementia care pioneer Teepa Snow demonstrate in this short video:

 

 

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Challenges & Solutions, Resources, Teepa Snow, Tips, tools & skills, Videos

Teepa Snow demos 10 ways to calm a crisis with a person living with Alzheimer’s / dementia

Teepa Snow calms crisis no video

When people feel trapped and terrified, they get agitated, anxious, and sometimes aggressive. It’s normal behaviour for human beings to lash out when they feel threatened, whether they have dementia or not.

Unfortunately, many people who care for people living with dementia (PLWD), including family, friends, healthcare personnel and caregivers, blame this normal behaviour on the disease rather than finding and addressing the real underlying causes.

More often than not, something in the environment or in the way the person with dementia is being treated or approached prompts the aggressive behaviour, which is in fact a perfectly normal response to something the PLWD may perceive as a threat of some kind.

In the video below, dementia care pioneer Teepa Snow tells the story of de-escalating a situation in which an 89-year-old woman with dementia became violent when care facility staff and EMS personnel tried to get her onto a gurney.

I have personally gone through similar events. At the time, I had no idea what to do. I have since seen others in versions of the same scenario; it’s clear they either don’t know what to do or if they do know what to do they aren’t doing it.

Teepa thin banner

Instead of blaming the PWLD and the disease and then “drugging them up” as Snow says in the video, we need to learn how to:

1) prevent crises from happening in the first place

2) de-escalate if and when they occur despite our best efforts

Here are 10 techniques anybody can use to calm a crisis in which a PLWD becomes distressed and/or aggressive (see disclaimer):

  1. Remove the threat
  2. Create space
  3. Get on her/his side
  4. Get at or below eye level
  5. Use Hand Under Hand™
  6. Breathe in sync
  7. Calm your voice
  8. Relax your body
  9. Attend to her/his needs
  10. Be willing to go where he/she is

Learn how to put the tips into practice by watching this five-minute video with Teepa Snow:

More here:

https://myalzheimersstory.com/2015/06/09/10-teepa-snow-videos-on-dementia-basics/

https://myalzheimersstory.com/2016/12/08/5-surefire-ways-to-stop-anger-and-aggression-in-people-who-live-with-alzheimers-disease-in-the-mid-and-later-stages/

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