Category: Person-Centered Care

Whether you are introvert, extrovert, caregiver or care recipient one variable that proves powerful in health research is social support. As the national and international discussion swirls around the dangers of the “lone wolf” the value of spending time with select others is reiterated. In Alzheimer’s research this has been particularly emphasized. Alzheimer’s caregivers who have social support report higher confidence in their caregiving and higher life satisfaction. Yet having been a family caregiver, I have experienced the drop-off of friends and family when I needed them the most. How do I gain or maintain social support in the face…

Traditionally January is a month of reflections on the old year and resolutions for the new. Fitness and nutrition are key elements of many resolutions. But families caring for a loved one with dementia are often overwhelmed, particularly after the holidays. Research shows that both Alzheimer’s caregivers and their loved one with dementia greatly benefit from twenty to thirty minutes of moderate intensity walking five times a week. Benefits of this simple plan include: • decreased caregiver stress, burden, depression • a slowing of Alzheimer’s disease in the early stages • improved overall quality of life A similar study looked…

Well, I humbly come to you no longer from the sidelines but from the field. Dr. Cate, Dementia Coach has been forced to put on a helmet and uniform. Yet even as I write this I question if indeed I am exaggerating. Just because my spouse has said for the past three years that he is having processing problems. Just because he emits off the scale anxiety around any new process, including opening a new piece of equipment . . . I do not have a diagnosis. Maybe it is all in our heads. Maybe he is just crying wolf…

We were recently referred to a neurologist based on my husband’s feeling that he was losing his memory. At the age of 64, his general practitioner agreed that it was an issue worth investigating. This is a life curve that provides me with an insider view resulting in quandary and possibly denial. It is like walking through steady fog, I think I see clearly but maybe I do not. So the dementia coach in me was in absentia when I scheduled the second neurology appointment in three years. Despite the many family caregivers who had expressed that the best evaluation…

As I sat in the plane flying back to our boat, I thought back on the last five days.  Five days spent at the Homestead with my youngest daughter and son-in-law prepping for my first grandchild.  It had been a great visit, as they always are.  I reviewed the time, much like a shell collector, sorting the best, turning them to see each facet and marvel at their beauty, rejecting the damaged or incomplete.  Classifying memories. It occurred to me how universal this process is.  Probably each individual on the plane was going through the same process in some manner. …

  Dr. Cate, Dementia Coach has been on a bit of a sabbatical, in the Caribbean. It has been life-changing in many ways. The deficit of internet, the influx of foreign culture, new languages, and the rigors of some tough sailing days have taken precedence. It has, in many ways, been an out-of-my-world experience with a total immersion in living moment by moment. After six years in the academic environment coupled with four years in a fast-based memory care admissions role, I have been thrust into a very physical and survival-based present. One that has been far from any idea…

Dandelions, daffodils and dreary days.  Each of these images recalls a sensory experience recorded in my primal memory.  Each impacted my life in a particular way from early childhood.  As a child growing up in the suburbs of Baltimore, dandelions were summer flowers that played at my feet as I swung high in the sky on my rope and board swing.  I picked them for my mother, and made them into chains.   They remind me of good simple warm times . . . even when my mind is not really at work.  It’s a primal sensory memory. Likewise daffodils are…

Sensory pleasures are individual and based in our history and heritage.  It is sensory pleasures that enrich our offices, homes, sick rooms.  As we encounter illness, it is often the sensory pleasures that define “comfort”.  In the continuing exploration of the power of the senses, C is for comfort.  For me personally, sensory comforts come in the taste and smell of corned beef and cabbage; the smells of coffee and creosote; the beauty of cruising and calico.  Quite an eclectic list, right?  Taking it one comfort at a time:  Corned beef and cabbage plays a key role in my adult…

“You are not going to do all 26 letters of the alphabet are you?”  my husband asks as I write this post.  I was annoyed, here is Mr. Metric nay saying a rational outline to explore sensory preferences.  I considered dropping him from my email list . . . but of course, I am going to continue to use the alphabet as my foundation for exploring the value of knowing one another’s sensory preferences.  “Why,” you and he might ask?  In the words of Sherlock Holmes, “It’s elementary, my dear Watson”.  When things are going poorly, whether it be in…

Each of us has our own unique fingerprint as well as our own unique sensory preferences.  With our fingerprint, we can be universally identified often for less than positive reasons.  With our unique sensory preferences we can be universally pleased with an experience or universally displeased.  The range of response is based on our ability to communicate due to illness, dementia.  Regardless of health, our sensory preferences remain. If it is an unpleasant sensory stimulant, we will “communicate” our distaste by some type of negative behavior.   Those closest to us are more likely to know what sensory stimulant triggers…