Audio Transcript Auto-generated
- 00:01 - 00:01
Hi, I'm here.
- 00:02 - 00:06
Toe speak about a 90 year old female patient who
- 00:06 - 00:10
was diagnosed with Alzheimer's in September of 2015.
- 00:12 - 00:12
Um, named Barbara.
- 00:14 - 00:18
Um, I believe that Barbara is in the repetitive mover,
- 00:19 - 00:21
um, stage of resolution.
- 00:22 - 00:26
Her behavior lines with an individual who would be in
- 00:26 - 00:32
this phase, um, older individuals who are not validated in
- 00:32 - 00:34
the confusion stage, which it doesn't seem that she was
- 00:34 - 00:37
or would have been, um, oftentimes can retreat back Thio
- 00:38 - 00:40
para linguistic movements and sounds which it seems that Barbara
- 00:41 - 00:46
has has done, um, in addition about her ability to
- 00:46 - 00:46
read and write has diminished.
- 00:47 - 00:52
Um, Barbara barely has her eyes open where there usually
- 00:52 - 00:57
closed. And Barbara, there's a lot of rocking Chirac's herself
- 00:58 - 01:00
to sleep just about every night.
- 01:01 - 01:03
Um, as well as failing speech.
- 01:03 - 01:08
Um, initially, um, it was reported by her grandchildren who
- 01:08 - 01:09
are adults.
- 01:09 - 01:14
Um, that her speech, she just had trouble speaking, but
- 01:15 - 01:19
currently, as reported by her son Daniel, who is her
- 01:19 - 01:25
caretaker, Um, she has, uh, regressed completely on.
- 01:26 - 01:27
Doesn't speak in sentences.
- 01:28 - 01:30
That could be that that could be comprehended on.
- 01:32 - 01:32
Really? Just does.
- 01:33 - 01:37
Ah, lot of moaning and high pitched, Uh, Ah, lot
- 01:37 - 01:40
of high pitched screams to communicate with, uh, the individuals
- 01:41 - 01:41
around her.
- 01:44 - 01:45
Oh, mhm.
- 01:48 - 01:52
Um, I would conclude that Barbara is in the moderate
- 01:53 - 01:53
stage of Alzheimer's.
- 01:54 - 01:57
Um, she's unable to speak.
- 01:58 - 01:59
Ah, nde intelligible sentences.
- 02:00 - 02:03
Um lost her ability to read write as well as
- 02:03 - 02:04
toilet herself.
- 02:05 - 02:10
Um, and also her grandchildren reported that she forgets everything
- 02:11 - 02:14
everyday routine things that would be second nature to her.
- 02:15 - 02:17
A ZX Well, a ZX confusion.
- 02:19 - 02:30
Um, in addition to that as well, um, validation therapy,
- 02:31 - 02:34
which focuses on helping people work through the emotions behind
- 02:34 - 02:35
challenging behaviors.
- 02:36 - 02:39
Um, some recommended validation techniques.
- 02:40 - 02:45
Um, I would suggest implementing with Barbara, uh, one, considering
- 02:46 - 02:48
her condition would be centering.
- 02:49 - 02:54
Applying, uh, this technique of centering, um could possibly help
- 02:54 - 02:57
Thio. You know, calm Barbara down.
- 02:57 - 03:01
Whether using sounds, um, that may be common to her.
- 03:01 - 03:04
Familiar to her, um, and would help with her as
- 03:04 - 03:06
well. A ZX um, Daniel, her son, who was our
- 03:06 - 03:07
caretaker Primary caretaker.
- 03:08 - 03:09
Um, would help.
- 03:09 - 03:11
Could possibly help their interactions with each other.
- 03:12 - 03:13
Um uh What?
- 03:13 - 03:15
They're both being calm and having more healthy interactions.
- 03:16 - 03:18
Um, and more common interactions with each other.
- 03:18 - 03:21
Um, touch could also be another technique implemented.
- 03:23 - 03:24
Um, and barbara situation.
- 03:25 - 03:28
Um, the touch could potentially satisfy barbers.
- 03:29 - 03:34
Um, um need to feel important to feel cared for,
- 03:35 - 03:40
um, And then also music, um, music Or just sounds
- 03:40 - 03:43
in general that Barbara enjoys or that are common to
- 03:43 - 03:46
her. Um may help her mood.
- 03:46 - 03:49
Um, if she hears music, maybe that is common tour.
- 03:50 - 03:53
It could, uh, potentially change the overall mood for the
- 03:53 - 03:54
better A ZX.
- 03:54 - 03:57
Well, as could potentially help with her rocking, um, that
- 03:57 - 03:58
she does as well.
- 04:07 - 04:12
Um, some interventions I would consider for sure.
- 04:13 - 04:15
Um, any kind of sensory therapy?
- 04:15 - 04:19
Um um, definitely stimulating.
- 04:20 - 04:24
Uh, Barbara Barbara senses, um, the use of light, sound
- 04:24 - 04:27
or sense, Um, and even music, as I mentioned before.
- 04:28 - 04:32
Um Thio help relax, Barber to help put her in
- 04:33 - 04:35
a better mood, Um, and promote her overall well being,
- 04:36 - 04:39
um, is definitely a technique that would that could possibly
- 04:40 - 04:45
work. Especially considering the fact that her, as mentioned before,
- 04:45 - 04:48
before she usually has Her eyes are always open.
- 04:49 - 04:54
Um, eso stimulating her other senses outside of, um, just
- 04:54 - 04:57
her site could definitely serve to be helpful.
- 04:58 - 05:03
Ah, nde with her condition also, uh, reminiscence therapy, Um,
- 05:04 - 05:08
therapies, uh, known as also known as life review therapy.
- 05:09 - 05:10
Um, it's a form of talk therapy.
- 05:11 - 05:16
Um, that helps with patients, um, dealing with alzheimer's and
- 05:16 - 05:19
dementia, Um, and reminiscence therapy.
- 05:20 - 05:23
Uh, essentially just using props as well.
- 05:24 - 05:28
A ZX, um, stimulating other senses for the individual to
- 05:29 - 05:33
help spark memories that may be be comforting to them.
- 05:33 - 05:38
Eso more specifically, um, scrapbooking could definitely work.
- 05:38 - 05:42
Um, having up if there was ever an opportunity to
- 05:42 - 05:46
help to have Barbara Maybe, um, look over some pictures
- 05:47 - 05:49
or old pictures, old photos of her family members.
- 05:50 - 05:53
Um, it could help draw and bring back comforting memories
- 05:54 - 05:56
to her, which could help her mood help her interactions.
- 05:57 - 06:00
Because it is also mentioned, um, in her case, that
- 06:00 - 06:02
she doesn't remember faces.
- 06:03 - 06:05
Um, she often forgets faces, but she does recognize the
- 06:05 - 06:07
voices of her family members.
- 06:07 - 06:09
So maybe seeing those pictures could maybe draw some memories
- 06:10 - 06:13
and, uh, bring back some memories and help with that
- 06:13 - 06:17
recognition that face recognition, Um, as well as just comfort
- 06:17 - 06:21
her overall, Um, and in storytelling, um, again, scrapbooking, maybe
- 06:21 - 06:25
a reach with the consideration that her her eyes aren't
- 06:26 - 06:29
always open Eso storytelling could definitely be effective in Barbara's
- 06:30 - 06:34
case, um, for the fact that, um, an individual probably
- 06:35 - 06:37
Daniel her son, who is her primary, um, caretaker.
- 06:38 - 06:42
Anybody in the family just telling old stories, especially, uh,
- 06:43 - 06:46
understanding the fact that Barbara does recognize voices eso any
- 06:47 - 06:50
any of those family members telling stories could definitely, uh,
- 06:51 - 06:56
you know, bring out positive reactions, positive emotions, um, and
- 06:56 - 06:58
promote an overall good mood for Barbara.
- 07:09 - 07:14
Um, culture change eso I researched the Alzheimer's Association.
- 07:15 - 07:20
Um, and they are an organ organization that primarily focuses
- 07:21 - 07:27
on, um, promoting, um uh uh promoting or just the
- 07:27 - 07:35
progression overall of Alzheimer's and promoting, um, things like funding,
- 07:36 - 07:40
uh, treatments and fund and trying to promote better overall
- 07:41 - 07:44
protocols to help deal with, um, individuals who are dealing
- 07:45 - 07:45
with these conditions.
- 07:46 - 07:52
Um, this quote, um from is directly from their website
- 07:53 - 07:54
on is their mission statement.
- 07:55 - 07:59
The Alzheimer's Association leads the way toe and Alzheimer's and
- 07:59 - 08:04
all other dementia by accelerating global research, driving risk reduction
- 08:05 - 08:09
and early detection, and maximizing quality care and support.
- 08:10 - 08:13
Um, and this was a group founded by a group
- 08:14 - 08:14
or excuse me.
- 08:14 - 08:16
This is an organization founded by a group of caregivers.
- 08:17 - 08:23
Um, and they just promote the overall, um, well being
- 08:23 - 08:27
for people who are dealing with Alzheimer's A ZX.
- 08:27 - 08:31
Well, as the research to help, um, help treat, um,
- 08:32 - 08:34
uh, these diseases as well.
- 08:35 - 08:38
Um, some of the things that lets me know that
- 08:38 - 08:44
they are are promoting, um, this kind of or encouraging
- 08:44 - 08:46
this kind of progression in this area.
- 08:47 - 08:49
Um, they offer education programs for the general public.
- 08:50 - 08:55
Um, they provide clinicians with tools, uh, to diagnose Alzheimer's
- 08:56 - 08:57
and educate people with the disease.
- 08:58 - 09:01
Unavailable. Um, therapies and resource is s a lot of
- 09:01 - 09:04
people that are dealing with these or people's or the
- 09:04 - 09:06
family members of people dealing with Alzheimer's.
- 09:06 - 09:10
Um, they definitely provide, um, a lot of lot of
- 09:10 - 09:13
resource is, um and how twos and steps and of
- 09:14 - 09:17
the protocols in the steps they should take in order
- 09:17 - 09:20
to, um, combat their conditions.
- 09:22 - 09:23
Um, they conduct awareness campaigns.
- 09:24 - 09:27
Ah, lot of awareness is what I found consistent with
- 09:27 - 09:28
this with their organization.
- 09:29 - 09:34
Just upon review of their website, they definitely promote a
- 09:34 - 09:36
lot awareness, do a lot of research, and they also
- 09:37 - 09:42
find, um ah, they fund other programs that do research.
- 09:43 - 09:49
Um, in order to combat, uh, this this disease?
- 09:51 - 10:04
Um, overall, I personally, um, think that have seen a
- 10:04 - 10:05
culture change in effect.
- 10:06 - 10:11
Um, uh, and in my own personal life, in my
- 10:11 - 10:15
own personal experiences, I work in patient service is on
- 10:16 - 10:17
first select physical therapy.
- 10:18 - 10:23
Um and so although, um, not many we do have
- 10:23 - 10:26
a couple of patients that may have some on early
- 10:27 - 10:30
onset, uh, alzheimer's or dementia.
- 10:31 - 10:35
Um, but just patients in general, I personally have seen,
- 10:36 - 10:38
um, like our physical therapist at our clinic.
- 10:39 - 10:40
Um, do it.
- 10:41 - 10:43
Use a lot of person 1st, 1st language.
- 10:44 - 10:48
And they kind of, uh, Seimas, though they understand, Um,
- 10:49 - 10:50
a lot of the stigmas and a lot of the
- 10:51 - 10:57
mis informed, uh, pains and expressions that individuals use and
- 10:57 - 11:02
just the overall dialogue and how people converse all together
- 11:03 - 11:04
when it comes to this topic.
- 11:05 - 11:09
And, um, people in this topic on DSO I personally
- 11:09 - 11:11
have seen a lot of personal first language.
- 11:12 - 11:14
I've seen a lot of unheard of a lot of
- 11:15 - 11:18
dialogue that I personally feel, I have learned has have
- 11:19 - 11:20
learned that is appropriate.
- 11:21 - 11:25
Um, I think, um, as a society, um, as a
- 11:25 - 11:28
whole. I definitely think that there's a lot more progress
- 11:29 - 11:33
that needs to be made a lot more, Um, people
- 11:33 - 11:35
that need to be educated, a lot more awareness that
- 11:35 - 11:38
needs to be spread so that we, as a society
- 11:39 - 11:42
continue to push, uh, person, first language.
- 11:43 - 11:47
Um, but overall, like I said, with my personal experience,
- 11:47 - 11:52
I have experienced, um, a culture change heading in the
- 11:52 - 11:58
correct direction, Um, specifically, when dealing with people, individuals with
- 11:58 - 11:59
any kind of disability.
- 12:02 - 12:03
So I wanted to say thank you.
- 12:04 - 12:07
I definitely appreciate you guys this time.
- 12:08 - 12:11
And, um, thank you for watching.