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Wednesday, August 31, 2011

Advocate for non-pharmacological approaches to helping those with dementia

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two



by Dr. John Zeisel

Dear Mr. President,
Please appoint a champion of non-pharmacological Alzheimer's treatment to the National Advisory Panel on Alzheimer's that you recently established pursuant to the National Alzheimer's Project Act.
Current medications can slow the advance of Alzheimer's disease in some people, but offer no hope of a cure for the estimated 5.5 million people with Alzheimer's or other dementias in the U.S. today, for the many millions more who will soon receive an early diagnosis of dementia, or for the even greater number of people who love and care for them.
Mr. President, like most Americans, you probably know and love someone with dementia and you undoubtedly want a cure to be found for this horrible disease. But do you know that if a drug were discovered today it will not improve the lives of those with dementia now or of those who will soon develop it?
Drug development for dementia has hit a brick wall. The National Institutes of Health Consensus report states: "Currently, no evidence of even moderate scientific quality exists to support the association of any modifiable factor (such as nutritional supplements, herbal preparations, dietary factors, prescription or nonprescription drugs, social or economic factors, medical conditions, toxins, or environmental exposures) with reduced risk of Alzheimer's disease."
The new national policy initiative for early diagnosis will do nothing for the millions of Americans with dementia and those who love them -- unless we can give them a life worth living. The hope to diagnose people earlier, long before there are any symptoms is just that -- a hope -- for our children and their children, but not for anyone with Alzheimer's today. Drugs can't give people with dementia a life worth living. Non-pharmacological interventions can!
The New York Times published an article several months ago about a program at a small nursing home in Arizona that amazingly allows people with dementia freedom to do what gives them pleasure -- even eat chocolate! Readers overwhelmingly responded with joy that in this one case rather than being locked up, stigmatized, and denied their human rights, residents with dementia were treated like people.
We as a society need to make this a reality for all elders, even those who happen to be living with dementia, giving all of them the opportunity to make decisions and to have a dignified and fulfilling life. We as a society need to provide all those with Alzheimer's a life worth living. Drugs alone can't do that. Non-pharmacological approaches can.
New approaches to giving people with dementia access to their communities are emerging. Movie theaters and museums, for example, are opening their doors and providing special programs for people with even advanced Alzheimer's disease. New books are being published about how to engage people with dementia in lives they find satisfying, offering realistic hope for people living with Alzheimer's.
People from all walks of life and professions are crying out: Please do not condemn people already living with Alzheimer's to a life locked up at home or in an assisted living program or in a nursing home. Please give them the access to society they deserve -- give them their human rights -- by investing in non-pharmacological approaches and not just drugs.
I recently circulated a petition to leaders in the field requesting that the National Advisory Panel include an expert who will champion non-pharmacological treatments for dementia. I want that this paradigm be considered seriously by the panel, that the panel promote evidence-based non-pharmacological practice, that research methodologies and methods be included that can capture the effects of these interventions on people with dementia, and that the human rights of both those living with dementia and caregivers be respected. The petition argues that the ethical dilemma of early diagnosis without any medical solution can be resolved through active application of the non-pharmacological approach.
The response was overwhelming in terms of numbers and professional positions of signers.
Let me be clear that we do not oppose research to find drugs that will cure Alzheimer's and other dementias. On the contrary, we hope that new discoveries will be made in time to help our children and our children's children.
But for those suffering now and for the generation of baby boomers, please join us to promote dignity in the lives of people with dementia, reduce the stigma and fear that surrounds Alzheimer's and other dementias, and give hope to the millions of people with dementia today and those who love and care for them.
Mr. President, please heed this call to appoint a champion of non-pharmacological treatments for dementia to your National Advisory Panel on Alzheimer's.
Here is the link to sign the petition to have a champion of nonpharmacological treatments for Alzheimer's appointed to the National Advisory Panel on Alzheimer's of the National Alzheimer's Project Act.

Monday, August 29, 2011

How to become more optimistic

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two



About.com

Optimists enjoy many health and lifestyle benefits, and tend to be happier overall. Optimism is measured by your explanatory style, or how you define events. If you can learn to define positive events as being a) because of something you did, b) a sign of more good things to come and c) evidence that good things will happen in other areas of your life, you’re halfway there. If you can also think of negative events as a) not your fault, and b) isolated occurrences that have no bearing on future events or other areas of your life, you’re the rest of the way there! (Are you an optimist? Take the Optimism Quiz and see!)
Quiz
  1. When something positive happens in your life, stop to analyze your thought process for a moment. Are you giving yourself due credit for making it happen? Think of all the strengths you possess and ways you contributed, both directly and indirectly, to make this event occur. For example, if you aced a test, don’t just think of how great it is that you were prepared, but also think of how your intelligence and dedication played a role.
  2. Think of other areas of your life that could be affected by this good event. Also, think of how the strengths you possess that caused this good thing to happen can also cause other positive events in your life. For example, what other good things can come from your intelligence, dedication, and ability to effectively prepare for tasks?
  3. Imagine what future possibilities could be in store. Because you hold the key to your success, shouldn’t you expect to do well on future tests? Isn’t a successful career a natural result?
  4. When negative events occur, think of the extenuating circumstances that could have contributed to this happening. If you do poorly on an exam, for example, were you especially busy in the preceding week? Were you somewhat sleep deprived? What outside circumstances contributed to your failure? Keep in mind that this isn’t necessarily a reflection of personal weakness.
  5. Also remember that you’ll have endless opportunities to do better in the future. Think of your next potential success, or other areas where you can excel.
Tips:
  1. The key to optimism is to maximize your successes and minimize your failures.
  2. It’s beneficial to look honestly at your shortcomings so you can work on them, but focusing on your strengths can never hurt.
  3. Keep in mind that the more you practice challenging your thought patterns, the more automatic it'll become. Don't expect major changes in thinking right away, but do expect them to become ingrained over time.
  4. Always remember that virtually any failure can be a learning experience, and an important step toward your next success!
  5. Practice positive affirmations. They really work!
What You Need:
  • A willingness to examine your thoughts.
  • A few extra minutes to consistently reexamine your thought patterns.

Saturday, August 27, 2011

Optimism protects against stroke

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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Medscape Today

A recent study shows:

Here are the highlights

  • Study data were drawn from the Health and Retirement Study, which surveyed more than 22,000 people in the United States every 2 years. Study participants were older than 50 years.
  • Study participants were queried regarding psychological status in 2006, and the main outcome of the current study was incident stroke by the end of the study period in 2008. Nonfatal stroke was determined by self-report from participants, and fatal stroke was reported by proxy designees of the study participant. Previous research found excellent validity between the self-reported health data and the medical record in the current cohort.
  • Optimism was measured with the Life Orientation Test–Revised. This testing resulted in a score of 3 to 18, with higher scores indicating higher levels of optimism.
  • The study analysis focused on the effect of optimism on the risk for stroke. This result was adjusted to account for demographic, medical, and other psychological symptoms.
  • 6044 adults provided data for the current study. The mean age was 68.5 years, 58% of participants were women, 79% were white, and 12% were black.
  • The mean score for optimism was 13.57.
  • There were 88 cases of stroke during the 2-year follow-up period.
  • Each 1-point increase in the optimism score was associated with an adjusted odds ratio of 0.91 for incident stroke (95% confidence interval, 0.85 - 0.98).
  • Anxiety, depression, neuroticism, negative affect, and pessimism also were associated with an increased risk for stroke. However, cynical hostility and pessimism were not.
  • These psychological factors did not significantly interfere with the effect of optimism on the risk for stroke. Optimism reduced the risk for stroke beyond any improvement with a positive affect alone.

Optimistic Attitude May Protect Against Stroke Risk in Older Adults

  • A previous study of the Women's Health Initiative cohort found that optimism was associated with lower rates of total mortality as well as lower incidence rates of coronary heart disease. Among black women, optimism reduced the risk for mortality from cancer.
  • The current study suggests that increasing optimism can have a linear effect in reducing the risk for stroke among older adults, regardless of other psychological symptoms.

Since many of the clients or residents you deal with fall into this category, it is important for you to keep them as happy and optimistic as possible

Come back soon for ways to do this

Thursday, August 25, 2011

Managing problem behavior with those who have dementia

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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Inquirer Lifestyle


Alfredo Torres, OTRP, chief occupational therapist of the National Center for Mental Health, has provided a list of behavioral and psychological symptoms of dementia and tips on how caregivers can deal with them.
Anger and Aggression
Assure the angry individual that they’re alright, and that you understand that they can’t help themselves.
Be prepared to receive insults and verbal abuse.
Speak in a well-modulated voice.
Offer food or drink (it is difficult to eat and be angry at the same time).
Sit or stand a little to the side some four to five feet away rather than facing them directly to appear less intimidating
Confusion
Provide a night light to help them see and locate familiar things, prevent falls in the dark and protect against wandering.
Encourage reminiscence.  Gently assist them with keeping facts reasonably accurate and related to the past
Use communication techniques rich in reminders, cues, gestures and physical guide to increase personal awareness.
Provide them personal space filled with familiar things where they can  rest and feel safe and secure.
Ask permission if something must be moved or changed to establish feelings of trust and control.
Hoarding, rummaging behavior
Ignore the behavior if it’s not particularly troublesome or unsafe.
Clean out the person’s collection but leave a few items behind.
Learn the person’s hiding places.
Provide a box or private space that is theirs alone to keep things in.
Sundowner’s syndrome
Set up a rigid daily schedule to reduce their anxiety about what happens next
Alternate activity with programmed rest.
Reduce all stimuli during rest periods.
Prepare the impaired person for special events so they don’t come as a shock.
Suspicion, distrust
Avoid grand gestures and promises that cannot be carried out.
Do not argue about or rationally explain disappearances of the person’s possessions.
Offer to look for items they say  is missing.
Depression
Try to rebuild self-esteem through reminiscence, participation in activities and decisions.
Notice pictures and mementos. Ask about them and listen.
Spend time with them.  Do not ignore quiet, uncomplaining people.
Alert the person’s doctor; medications may help.
How to Facilitate Interaction with an Individual with Dementia
Approach the person slowly from the front, never behind, and give him or her time to get used to your presence.
Maintain eye contact. A gentle touch may help.
Introduce yourself to them daily and call the person by name. Do not ask “Don’t you remember me?”
Treat them like adults and don’t talk down to them.
When possible, attempt all communication in a calm, relaxed and quiet environment using your natural voice. Shouting only agitates them.
Try and talk about feelings rather than arguing over facts.
Invite an individual to an activity using gentle assertion rather than a question that may be easily refused.
Give short simple directions.  Do not overwhelm them with too much information at once.Repeat or rephrase if they don’t understand you right away
Do not rush them. Allow them enough time to answer questions, follow directions and express themselves at a pace they choose and find most comfortable.
Reduce distractions in the environment and tone down radio and TV sets
Too many people in the room can be over-stimulating for them.
If the impaired person seems frustrated and temperamental and you don’t know what he or she wants, try to ask simple questions answerable by “yes” or “no.”

Tuesday, August 23, 2011

Safety & Quality Pay Off

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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Advance for long term care

By Sanjaya Kumar, MD

Safe, high-quality care is an imperative in the evolution of health care. Everyone involved in the care process, from patients to providers to payors agree on this point.
No matter what payment system, billing process or reimbursement policy is implemented, top-notch care is becoming the focus. At the core of a superior care environment is a consistent experience based on best practices and actionable knowledge.
Yet, as the entire industry is rapidly moving from process to outcomes-based metrics, most health care executives and senior staff are still ill equipped to make prudent decisions that help improve care while ensuring their efforts are operationally and fiscally sound.
Today providers make these decisions using a combination of partial data, past experience and trial and error. However, with technological advancement, better methods of decision-making are coming to the forefront. If implemented appropriately, these methods can rapidly change the paradigm of care and the overall performance of the health care enterprise.
One main barrier to this is that performance-enhancing, actionable knowledge resides within silos of data scattered throughout the health care IT environment. Integration of this information through business intelligence systems will enable health care executives to more effectively direct resources to improve patient safety and care based on hard evidence.
Out of Functional Silos, Integration of Clinical and Financial MetricsToday, clinically relevant data can more easily be associated with financial metrics. For example, pressure ulcers have always been considered a drain on resources, but proving this was cumbersome. Software enables patient populations to be easily separated into different cohorts (e.g., various stages of pressure ulcers). Likewise, analytics built into software enables length of stay (LOS) and costs incurred by each group to be analyzed.
The differences between the groups are typically wide, with extended stays and higher costs associated with those who have stage III and IV pressure ulcers. And if these are acquired while in the hospital, Medicare reimbursement is at risk. This of course is in addition to the burden on the patient, many of whom must subsequently be cared for in a rehab or skilled nursing facility.
There are many other examples of how integrated data can clarify and "prove up" where and to what extent investments in patient safety and quality should be allocated. High-risk, problem-prone activities, as well as those that are covered under accreditation standards, can be used as variables in the prioritization process. Research can also support decision-making regarding investment decisions.
An analysis of insurance claims data completed by the consulting firm Milliman for the Schaumburg, IL-based Society of Actuaries (SOA) revealed that five common medical errors accounted for 55 percent of total medical error costs in 2008:
  • Pressure ulcers, $3.86 billion ($10,288 total cost per error)
  • Postoperative infections, $3.66 billion ($14,548 per error)
  • Mechanical complications of devices, implants, or grafts, $1.13 billion ($18,771 per error)
  • Postlaminectomy syndrome, $1.12 billion ($9,863 per error)
  • Hemorrhages complicating a procedure, $960 million (12,272 per error)
Access to cross-domain, interrelated information on demand, with presentation in a context that makes sense based on the decision-maker's roles and responsibilities, is critical to supporting executive decision-making, the launch of improvement goals and the measurement of results. Analytics and reporting support teams as they delve into the processes and systems that need to be revised or redesigned.
In addition, the quality effort must be applied consistently across the entire organization to allow performance improvement to be measured enterprise-wide and across all domains.
Understanding the Technological FundamentalsHealthcare executives have long dealt with large budgets for IT systems, software and hardware. Today's newer technologies will support not just an individual organization, but also the healthcare continuum. To be prepared to review and evaluate these technologies, leaders must be have a basic understanding of the following concepts:
  • Cloud computing: this term refers to hosted services over the Internet and is broadly divided into three categories: platform-as-a-service (PaaS), infrastructure-as-a-service (IaaS), and software-as-a-service (SaaS). Among many advantages, these services provide access to a wide variety of service options and applications, the latest advanced application developments at a fraction of the cost of in-house development, and hosting on the most advanced platforms with the greatest computing power.
  • Integration and its complexities: With cloud computing services and their new, flexible and highly sophisticated technologies, the time-consuming and expensive task of integrating data across multiple tasks becomes considerably easier. This scheme provides match data types for the business owner with a map in place across all data types.
  • Role-based application architecture: Operating on the many-to-many principle, this architecture distributes data to many individuals from multiple sources. Each individual develops specific profiles with data access and permissions. To monitor metrics important to their role across clinical, operational and financial domains, users have the ability to customize their environment. This empowers and guides healthcare executives to make the most financially prudent and clinically sound decisions.
Next Steps for a Creating Clinical Business Intelligence EnvironmentNavigating the ever-changing tides of the health care environment and making driving a profitable, high-quality end result is not an easy task. Yet health care organizations have the data required to optimize performance and manage a financially and operationally efficient enterprise. As health care providers look to harness the power of business intelligence there are some key factors that deserve consideration. They include:
  1. Start with the end in mind. Setting a concrete vision for how a health care organization plans to implement and use a business intelligence system is critical to its success. Lack of vision will lead to numerous missteps and poor investment decisions.
  2. Choose the right technology platform. Health care providers need to review their environment and make sure the technology supports the overall vision. Technology for technology's sake will not yield the results desired from a business intelligence and decision support system.
  3. Drive cultural change. Ultimately, business intelligence solutions are used by staff to make critical decisions. Health care organizations need to ensure their organizations are prepared to take action with this knowledge. Clarity of roles and responsibilities and a supportive environment that encourages responsibility and accountability accelerate adoption and usage of this newfound intelligence.
  4. Implement checks and balances. Any decision support system needs constant monitoring to validate the use of the system and the decisions being made. Business intelligence is not a magic bullet to solve all your organizational issues. It is a systematic means of making informed decisions that should be monitored in terms of financial and clinical outcomes.
  5. Expect to fine-tune as you go. Implementing a business intelligence system is the start of a journey. Once the initial implementation takes place, health care providers will see a hundred other areas where business intelligence can be applied. They should expect this and make sure the technology used has the ability adapt and evolve with the needs of the organization.
Health care is at a crossroads. The intersections are safe, high-quality care, efficient operations and financially prudent decisions. Business intelligence, the technology, people and processes deployed will determine the level of organizational success in this endeavor. Every day health care providers wait to get moving is another day where profits and quality care are at risk.
Resources
1. Davis, C. (2010). Medical errors: Pressure ulcers and postop infections 

Sunday, August 21, 2011

I love New York

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two

I love New York

  • The oldest cattle ranch in the U.S. was started in 1747 at Montauk, L.I.?

  • The Adirondack Park is larger than the Yellowstone, Yosemite, Grand Canyon, Glacier, and Olympic National Parks combined?

  • New York was the first state to require license plates on automobiles?

  • Kingston was the first capital of New York State?

  • The first Saranac Lake Winter Carnival, still popular today, was held in 1897?

  • Sonnenberg Gardens in Canandaigua has nine formal gardens and one of the largest displays of roses in the state?

  • It took 31 years, from 1867-1898, to build the State Capitol Building?

  • New York State has 1,300 museums and galleries, 64 performing arts centers, and 230 theaters?

  • There are more than 400 golf courses and 55 downhill ski areas in New York State?

  • The New York State Canal System is 524 miles long and has 57 locks?

  • The Seaway Trail covers 454 miles along scenic vistas of Niagara Falls and the Thousand Islands, along with grape-growing vineyards and apple orchards?

  • The Hudson River was named an American Heritage River by the U.S. government in 1998?

  • In 1885 New York State acquired property around Niagara Falls and established the first state park in the U.S.?

  • In 1892 Ellis Island opened in New York Harbor as the primary immigration depot in the U.S.?

  • The Statue of Liberty was dedicated in New York Harbor on October 28, 1886

  • Friday, August 19, 2011

    Statue of Liberty

    Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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    Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two

    It's been over a hundred years since the Statue of Liberty found her home in the harbor of New York and it has become an important part of American culture. But would you believe that Lady Liberty was actually a gift from the French? Read on for more fun facts on the Statue of Liberty.

    Building Lady Liberty

    The Statue of Liberty was built by French sculptor Auguste Bartholdi, with the help of tons of workers working ten hour days, seven days a week for nine years! The statue was finally finished in 1884 and presented to America on July 4th. It didn't arrive in the United States until many months later though, cuz all 350 individual pieces of the statue had to be packed into 214 crates for the long boat ride from France to New York.

    The Statue of Liberty Comes to America

    It was on Bedloe Island that the Statue of Liberty was reconstructed in America - the island is now called Liberty Island and is only accessible by ferry. Auguste Bartholdi thought that the New York harbor was the perfect setting for his masterpiece because it was "where people get their first view of the New World." The statue was to be a symbol of welcome for all immigrants coming to America, as well as a universal symbol of freedom.

    Statue of Liberty Poem for Kids

    Paul Perro, a children's writer, has written a great poem about the Statue of Liberty. You can read it online at History-For-Kids.combirthday on October 28th in honor of the day she was officially accepted by the president of the United States in 1886.!


    Statue of Liberty Quick Facts

    • The Statue of Liberty celebrates her
    • Visitors must climb 354 stairs to reach the Statue of Liberty's crown (or take an elevator to a lower lookout point).
    • There are 25 windows in Lady Liberty's crown.
    • The seven spikes on the Statue of Liberty's crown represent either the seven oceans or the seven continents.
    • The statue is made of copper and is now green in color because of oxidation (a chemical reaction between metal and water) from evaporation of the seawater surrounding it.
    • The Staue of Liberty weighs 450,000 pounds (204, 100 kilograms).
    • The Statue of Liberty has size 879 sandals that are each 25 feet (7.6m) long.

    Wednesday, August 17, 2011

    Roman calendar facts

    Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

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    webexhibits

    The Romans borrowed parts of their earliest known calendar from the Greeks. The calendar consisted of 10 months in a year of 304 days. The Romans seem to have ignored the remaining 61 days, which fell in the middle of winter. The 10 months were named Martius, Aprilis, Maius, Junius, Quintilis, Sextilis, September, October, November, and December. The last six names were taken from the words for five, six, seven, eight, nine, and ten. Romulus, the legendary first ruler of Rome, is supposed to have introduced this calendar in the 700s B.C.E.
    According to tradition, the Roman ruler Numa Pompilius added January and February to the calendar. This made the Roman year 355 days long. To make the calendar correspond approximately to the solar year, Numa also ordered the addition every other year of a month called Mercedinus. Mercedinus was inserted after February 23 or 24, and the last days of February were moved to the end of Mercedinus. In years when it was inserted, Mercedinus added 22 or 23 days to the year.

    Roman Fasti
    FastiSome 200 fragments of Roman calendars have been found so far, and they are collectively known as Fasti.

    What did a Roman calendar look like?

    The Roman calendar used a system of months, and special days in each month. Some calendars were carved in marble or stone, but many were painted on walls for decoration.
    Different geographical areas often held different gods in special esteem, and this led to regional variations in calendars. This doesn’t seem so strange when one considers that even within the US, Mardi Gras often appears only on Southern calendars, and Lincoln’s birthday sometimes does not.
    In 45 B.C.E., Romans modified their method of marking time to keep it in phase with seasons, but not require intercalation of an extra month. They accomplished this with the Julian Calendar. Month lengths were extended to bring the calendar’s total to 365 days, making it truly solar. This change was accompanied by addition of an extra day every fourth year (after February 23rd) because of the almost six extra hours beyond 365 days in a tropical year.

    How do you read the calendar?

    In the calendar of the ancient Romans, the months contained three primary markers – the Kalends, the Nones and the Ides. The Kalends were always the first day of the month. The Nones were usually the 5th but sometimes the 7th, and the Ides were the 15th but sometimes the 13th. All the days after the Ides were numbered by counting down towards the next month’s Kalends. The holidays were generally bunched together to form continuous celebrations, and the remaining days of the month were usually nondescript workdays.
    The days were each identified with certain letters and names. The Kalends were always identified as shown in the diagram at right. The archaic form of the K, for Kalends, was used in front of the name of the month. The first letter was called the Nundinae ("nine day") , or the Nundinal letter, and it represented the market day. Every 9th day (counting inclusively) was a market day, but as it shifted every year, a designated letter between A and H would represent the market day for that year. The final letter identifies the type of day for purposes of religious observance or legal business.
    kalends
    kalends
    kalends
    kalends
    kalends
    kalends
    The top diagram shows a typical non-holiday. The first letter is the nundinal letter for the market day. If the market day for this year was E then this would be a market day. The second letter signifies the type of religious or legal observance required or permitted on this day. In this case the letter C represents dies comitiales, days when committees of citizens could vote on political or criminal matters. The other letter designations :
    1. F stands for dies fasti, days on which legal action is permitted.
    2. N stands for dies nefasti, which meant that no legal action or public voting could take place on this day.
    3. EN stands for endotercisus, or intercisus, which were "in-between" F or C days in which mornings and afternoons had different designations.
    4. NP, the combination of N and P, represented some important type of religious observance of which all records have disappeared. However, they all seem to be directly associated with major holidays.
    5. FP also represented some religious holiday, but no definition survives for this abbreviation.
    The center diagram is a typical festival, or feriae. On these days the day letter follows the holiday name, which is abbreviated in these calendars. These holidays are explained in the write-up for each day.
    The Romans enjoyed more holidays than the number of our holidays and weekends combined. Roman taxes were also only a tithe, or 10%. One of the hallmarks of progress seems to be that the populace is always made to work longer and, on top of it all, they are taxed more.
    moonphase

    What were the Roman weekdays?

    The Romans did not have weekdays in the same sense as our Monday, Tuesday, etc., however, they did have a defined markers within each month. Originally, the month and the markers were based on the moon.
    At the time of their early kings, Roman months were of a length identical to the lunar cycle. Each month was divided into sections that ended on the day of one of the first three phases of the moon: new, first quarter or full. All days were referred to in terms of one of these three moon phase names, Kalends, Nones or Ides.
    At that time a pontifex (priest) was assigned to observe the sky. When he first sighted a thin lunar crescent he called out that there was a new moon and declared the next month had started. For centuries afterward, Romans referred to the first day of each month as Kalendae or Kalends from the Latin word calare (to announce solemnly, to call out). The word calendar was derived from this custom.

    Day of Kalends

    Of the three sections, Kalends was the longest – it had more days than the other two combined. That’s because it spanned more than two lunar phases, starting from the day after full moon and continuing thru its last quarter and waning period, then past the dark new moon until another lunar crescent was sighted. The day of Kalends itself began a new month. It was dedicated to Juno, a principal goddess of the Roman Pantheon.
    Unnamed days in the early Roman month were assigned a number by counting down following the day of each named phase, day by day, ending with the next of those three phases. The first numbered day in each section had the section’s highest value. Each succeeding day was one number lower than that of the day before. (Similar to the modern count-down when coordination of a group of people is required for a complicated activity such as launching a rocket.)
    Latin for "the evening before" is "Pridie," a word that was used to refer to the day before each of these named phases. So Pridie was always the day that would otherwise have been numbered two. The count-down was inclusive; the day from which they started as well as that of the moon phase to which they were counting down, day one, were both included.

    Day of Nones

    Nones (Latin nonus or ninth) was originally the day when the moon reached its first quarter phase. When the pontifex initially saw the lunar crescent he noted its width and, using empirical knowledge, calculated the number of days that were expected to elapse between then and the first quarter moon. He then specified that number after he announced the new crescent. If he called out the number six, the day following Kalends would be referred to as the sixth day before Nones.
    In any given year, the second day of Martius might well have been designated as the sixth of the Nones of March: "ante diem VI Non. Mart." If this were the case, Nones would be the seventh day and Ides would be the 15th day of that month. The difference between these two dates, eight days, was always the length of the Ides section.
    Use of the word "Nones" (nine) was intended to express the inclusive number of elapsed days between first quarter and full moons. Actually, the time between moon phases now averages about 7.4 days, but they sometimes occur eight days apart. Eight-day separations of first quarter and full moons now usually come grouped in consecutive lunations. They then give way to mostly seven-day periods.
    Six of the first seven lunations of 1997, for instance, had their first quarter and full moon phases eight days apart (inclusive nine-day spans). Also, July 1 of 1998 had a first-quarter moon followed by a new moon on July 9, a nine-day period. This helps explain why the unlikely term of Nones, meaning ninth, was used to designate one fourth of the moon’s period that now averages about 29.53 days.

    Day of Ides

    Ides, dedicated to Jupiter, was originally the time of the full moon. Because a full moon comes halfway thru each lunation, its day was called Idus in Latin from an Etruscan word meaning "divide."
    After Ides, the next new moon was expected to appear in from 15 to 17 days. Variations in the length of time before another new moon can be sighted is due to constantly changing positions of moon and Earth relative to the sun.

    When did they stop using the moon for months?

    Romans separated their months from the lunar cycle in the fifth century B.C.E. Month lengths then became fixed. At that time, Ides was assigned as the 15th day in all months given 31 days in length – March, May, July and October. It was designated as the 13th day in all other months. As a result, from then on the Kalends section had from 16 to 19 days, the Nones section had either four or six days and the Ides section, as before, always had eight days.
    Sometime after Kalends, Nones and Ides were fixed on predetermined days of the month rather than being defined by phases of the moon, Romans used letters A thru H on the left side of each month’s calendar column to indicate days of their eight-day marketing week. The first day of each new year was represented by the letter "A."

    When did the early Roman calendar begin?

    The early Roman calendar originated as a local calendar in the city of Rome, supposedly drawn up by Romulus some seven or eight centuries before the Christian Era. The year began in March and consisted of 10 months, six of 30 days and four of 31 days, making a total of 304 days: it ended in December, to be followed by what seems to have been an uncounted winter gap. Numa Pompilius, according to tradition the second king of Rome (715?-673? B.C.E.), is supposed to have added two extra months, January and February, to fill the gap and to have increased the total number of days by 50, making 354. To obtain sufficient days for his new months, he is then said to have deducted one day from the 30-day months, thus having 56 days to divide between January and February. But since the Romans had, or had developed, a superstitious dread of even numbers, January was given an extra day; February was still left with an even number of days, but as that month was given over to the infernal gods, this was considered appropriate. The system allowed the year of 12 months to have 355 days, an uneven number.

    When did the Roman republican calendar begin?

    The so-called Roman republican calendar was supposedly introduced by the Etruscan Tarquinius Priscus (616-579 B.C.E.), according to tradition the fifth king of Rome.
    The Roman republican calendar was a dating system that evolved in Rome prior to the Christian era. According to legend, Romulus, the founder of Rome, instituted the calendar in about 738 B.C.E. This dating system, however, was probably a product of evolution from the Greek lunar calendar, which in turn was derived from the Babylonian. The original Roman calendar appears to have consisted only of 10 months and of a year of 304 days. The remaining 61¼ days were apparently ignored, resulting in a gap during the winter season. The months bore the names Martius, Aprilis, Maius, Juniius, Quintilis, Sextilis, September, October, November, and December–the last six names correspond to the Latin words for the numbers 5 through 10. The Roman ruler Numa Pompilius is credited with adding January at the beginning and February at the end of the calendar to create the 12-month year. In 452 B.C.E., February was moved between January and March.
    By the 1st century B.C.E., the Roman calendar had become hopelessly confused. The year, based on cycles and phases of the moon, totaled 355 days, about 10¼ days shorter than the solar year. The occasional intercalation of an extra month of 27 or 28 days, called Mercedonius, kept the calendar in step with the seasons. The confusion was compounded by political maneuvers. The Pontifex Maximus and the College of Pontiffs had the authority to alter the calendar, and they sometimes did so to reduce or extend the term of a particular magistrate or other public official. Finally, in 46 B.C.E., Julius Caesar initiated a thorough reform that resulted in the establishment of a new dating system, the Julian calendar.
    He wanted the year to begin in January since it contained the festival of the god of gates (later the god of all beginnings), but expulsion of the Etruscan dynasty in 510 B.C.E. led to this particular reform’s being dropped. The Roman republican calendar still contained only 355 days, with February having 28 days; March, May, July, and October 31 days each; January, April, June, August, September, November, and December 29 days. It was basically a lunar calendar and short by 10¼ days of a 365¼ -day tropical year. In order to prevent it from becoming too far out of step with the seasons, an intercalary month, Intercalans, or Mercedonius (from merces, meaning wages, since workers were paid at this time of year), was inserted between February 23 and 24. It consisted of 27 or 28 days, added once every two years, and in historical times at least, the remaining five days of February were omitted. The intercalation was therefore equivalent to an additional 22 or 23 days, so that in a four-year period the total days in the calendar amounted to (4 x 355) + 22 + 23, or 1,465: this gave an average of 366.25 days per year.
    Intercalation was the duty of the Pontifices, a board that assisted the chief magistrate in his sacrificial functions. The reasons for their decisions were kept secret, but, because of some negligence and a measure of ignorance and corruption, the intercalations were irregular, and seasonal chaos resulted. In spite of this and the fact that it was over a day too long compared with the tropical year, much of the modified Roman republican calendar was carried over into the Gregorian calendar now in general use.

    What were the Roman months?

    Much of the knowledge we now have about early Roman calendars came from Ovid, a Roman born in 43 B.C.E., and from Plutarch, a Greek biographer who wrote between C.E. 105 and 115. Both of them had access to historical documents that are no longer extant. Ovid claimed that his information was "dug up in archaic calendars," so it was already ancient over two thousand years ago.
    We can assume that the Roman calendar was brought from their birthplace by Rome’s original citizens. Initially, it contained only ten months. It has been suggested that those month lengths reflected growth cycles of crops and cattle. When compared with the solar year, it had an uncounted winter period of approximately sixty days.
    Plutarch said that months at the time of Rome’s founding were of varying lengths, some as short as twenty days and others with thirty-five or more in what early Romans believed was a year of three hundred and sixty days. Romulus, the legendary first king, was said to have made extensive changes to those month lengths, assigning twenty-nine days to some and thirty-one to others.

    March (the first month)

    Both Ovid and Plutarch said that Martius, originally the first month, was named after Mars, the Roman god of war. Six of the other original ten were simply numbered as Quintilis thru Decembris (fifth thru tenth) but there were already disagreements when Ovid wrote, two thousand years ago, as to the sources of names for what were originally the second thru fourth, Aprilis, Maius and Junius. These disagreements continue to the present time.

    April

    When writing about April, Ovid said "I have come to the fourth month, full of honor for you; Venus, you know both the poet and the month are yours." It was later said that "April was sacred to Venus, and her festival – the Festum Veneris and Fortuna Virilis – occurred on the first day of this month." Apparently Aprilis stems from aphrilis, corrupted from Aphrodite, a Greek name for Venus. Jakob Grimm, a later authority, opposed this stating it may have originated from the name of a god or hero named Aper or Aprus."

    May

    Maius was said by some to be named after the goddess Maia, a daughter of Atlas, and Junius "is indirectly named after the goddess Juno, the Roman equivalent of Frigga." But Ovid suggested that names of months we now call May and June possibly refer not to sky-gods but rather to elders and young men.

    January (at the end of the year)

    There was also disagreement in Ovid’s day as to the sequence and time at which Januarius and Februarius were added to the original ten months. Januarius became part of the calendar within half a century after Rome was founded because Plutarch said that Numa, the king who followed Romulus, made it the first month of the year and made February the last. One historian assigns that action an exact date by stating that "January and February were added to an original Roman calendar of only ten months in 713 B.C.E."
    January was named after Janus, a sky-god who was ancient even at the time of Rome’s founding. Ovid quoted Janus as saying "The ancients called me chaos, for a being from of old am I." After describing the world’s creation, he again quoted Janus: "It was then that I, till that time a mere ball, a shapeless lump, assumed the face and members of a god." A Lydian named Joannes identified Janus as a planet when he wrote: "Our own Philadelphia still preserves a trace of the ancient belief. On the first day of the month there goes in procession no less a personage than Janus himself, dressed up in a two-faced mask, and people call him Saturnus, identifying him with Kronos."
    Early Romans believed that the beginning of each day, month and year were sacred to Janus. They thought he opened the gates of heaven at dawn to let out the morning, and that he closed them at dusk. This eventually led to his worship as the god of all doors, gates, and entrances.
    Some say Februarius got its name from a goatskin thong called a februa ("means of purification.") On the 15th day of this month Romans observed the festival of Lupercalia. During the festival, a februa was wielded by priests who used it to beat women in the belief that it would make a barren woman fertile. However, there’s a Latin verb februare, meaning to "expiate" or "purify." It seems more reasonable to assume the purification people had in mind when naming the month was that of the calendar year’s length, not that of women upon whom the thong was applied.

    Februrary (at the end of the year)

    Apparently Februarius, when adopted, had but 23 days – traditionally the 23rd day of that month was the end of the calendar year. That indicates Februarius was observed in pre-Romulan times when months had as few as twenty days. Also, adding five days at year-end (to extend February’s length to 28) is similar to the change made by many other peoples who, around the time of Rome’s founding, added five days to their own calendar, but considered them to be unlucky and not part of the normal year.

    Why is our leap day in Februrary, not the end of the year?

    Romans always reconciled differences between calendar and solar year lengths during the "Month of Purification." Whenever and however Roman calendars were modified to correspond to year length, it was always done after the 23rd day of February, traditionally the last day of the year. Even in our time, leap year is observed with a 29-day February. To purists, "leap day" is February 24, not the 29th.
    Plutarch wrote: "Numa...added an intercalary month, to follow February, consisting of twenty-two days, and called by the Romans the month Mercedinus. This amendment, however, itself, in course of time, came to need other amendments." (When observed, that leap month always immediately followed February 23.)
    According to historian Livy, Numa divided the year into twelve months, corresponding to the moon’s revolutions. But as the moon does not complete thirty days in each month, and so there are fewer days in the lunar year than in that measured by the course of the sun, he interpolated intercalary months and so arranged them that every twentieth year the days should coincide with the same position of the sun as when they started, the whole twenty years being thus complete. He also established a distinction between the days on which legal business could be transacted and those on which it could not, because it would sometimes be advisable that there should be no business transacted with the people.
    Others claim that it wasn’t until 452 B.C.E. that a month named Intercalaris was added to the Roman calendar in order to add those days required to bring calendar length back into phase with the solar year. This month also began after the 23rd day of Februarius. It was observed every second year and was said to have had a length of either 22 or 23 days, with the remaining five days of Februarius added after them.

    Beware the Ides of March!

    SOOTHSAYER.Caesar!
    CAESAR.Ha! Who calls?
    CASCA.Bid every noise be still.–Peace yet again!
    [Music ceases.]
    CAESAR.Who is it in the press that calls on me? I hear a tongue, shriller than all the music, Cry "Caesar"! Speak, Caesar is turn’d to hear.
    SOOTHSAYER.Beware the Ides of March.
    CAESAR.What man is that?
    BRUTUS.A soothsayer bids you beware the Ides of March.
    CAESAR.Set him before me; let me see his face.
    CASSIUS.Fellow, come from the throng; look upon Caesar.
    CAESAR.What say'st thou to me now? Speak once again.
    SOOTHSAYER.Beware the Ides of March.
    CAESAR.He is a dreamer; let us leave him. Pass.
    [Sennet. Exeunt all but BRUTUS and CASSIUS.]
    If you’ve heard the warning, "Beware the Ides of March," then it’s probably due to the works of William Shakespeare. The Roman ruler, Julius Caesar, was assassinated on the Ides of March - March 15, 44 B.C.E. In Shakespeare’s play Julius Caesar, (I, ii, 33), a soothsayer tells Caesar who is already on his way to the Senate (and his death), "Beware the Ides of March."
    Caesar asks him to come closer and repeat what he has just said. He studies the man’s face, listens to the warning again, but decIdes, "He is a dreamer, let us leave him. Pass." There is irony here, because the audience knows (from history) that Caesar will be killed on the Ides, and that he is exercising poor judgement in dismissing this prophecy. Later, when he meets the Soothsayer again on the way to the Senate, he confidently says to him, "The Ides of March have come." But the Soothsayer reminds him, "Ay, Caesar, but not gone." There will be other warnings to Caesar from different people, which he will ignore, and go off to meet his death. The phrase "Beware the Ides of March" is one of the most remembered lines of Shakespeare’s plays.
    The unidentified soothsayer from Shakespeare’s play may have been a Roman astrologer by the name of Spurinna. According to to historical writer C.J.S. Thompson (and confirmed in Plutarch’s account of the story written in 75 C.E.) it was reportedly sometime prior to the fateful day of March 15 that Spurinna had first given Caesar the famous warning to "beware of the Ides of March." The astrologer, Spurinna, had previously warned Caesar that on the Ides of March, he would be in great danger. If, however, Julius Caesar took care on that one day - then all would be well.
    According to Plutarch, Caesar had previously made the wise decision to stay within the safety of his bedroom chambers on the 15th of March. However, Caesar’s "friend" Decimus (Albinus) Brutus (not Marcus Brutus) managed to convince him that the astrologer’s warnings were nothing more than superstitious foolishness. So Julius Caesar decided to attend the Senate on the 15th of March. On his way to the Senate, Caesar "accidentally" met up with the astrologer, Spurinna. Caesar then told the astrologer "The Ides of March are come." Spurinna answered, "Yes, they are come, but they are not past." Later that day - on March 15, 44 B.C.E - Caesar’s enemies assassinated him in the Pompey theater, at the foot of Pompey’s statue, where the Roman Senate was meeting that day in the temple of Venus.




    Monday, August 15, 2011

    Roman history facts

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    World History and Geography: Ancient Rome
    a. Geography of the Mediterranean Region
    i. Mediterranean Sea, Aegean Sea, Adriatic Sea
    ii. Greece, Italy (peninsula), France, Spain
    iii. Strait of Gibraltar, Atlantic Ocean
    iv. North Africa, Asia Minor (peninsula), Turkey
    v. Bosporus (strait), Black Sea, Istanbul (Constantinople)
    vi. Red Sea, Persian Gulf
    b. Background
    i. Define B.C. /A.D. and B.C.E. /C.E.
    ii. The legend of Romulus and Remus
    iii. Latin as the language of Rome
    iv. Worship of gods and goddesses, largely based on Greek religion
                                                                                   . The Republic: Senate, Patricians, Plebeians
    vi. Punic Wars: Carthage, Hannibal
    c. The Empire
    i. Julius Caesar
    a) Defeats Pompey in civil war, becomes dictator
    b) "Veni, vidi, vici" ("I came, I saw, I conquered")
    c) Cleopatra of Egypt
    d) Caesar assassinated in the Senate, Brutus
    ii. Augustus Caesar
    iii. Life in the Roman Empire
    a) The Forum: temples, marketplaces, etc.
    b) The Colosseum: circuses, gladiator combat, chariot races
    c) Roads, bridges, and aqueducts
    iv. Eruption of Mt. Vesuvius, destruction of Pompeii
    v. Persecution of Christians
    d. The "Decline and Fall" of Rome
    i. Weak and corrupt emperors, legend of Nero fiddling as Rome burns
    ii. Civil wars
    iii. City of Rome sacked
    e. The Eastern Roman Empire: Byzantine Civilization
    i. The rise of the Eastern Roman Empire, known as the Byzantine Empire
    ii. Constantine, first Christian emperor
    iii. Constantinople (now called Istanbul) merges diverse influences and cultures.
    iv. Justinian, Justinian’s Code

    Saturday, August 13, 2011

    Poetry can stir memories in those with dementia

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    Wisconson State Journal

    Poetry touches a deep place in the human psyche — and that might be what makes Alzheimer's Poetry Day work.

    "With dementia, you might have people who might not recognize a grandchild who comes to visit," said Gary Glazner, a Brooklyn-based poet and founder of the national Alzheimer's Poetry Project. "But through doing poems with them, you can have this kind of connection with them that is so strong and so powerful. As our population ages, it's going to be more and more needed."
    Glazner developed the Alzheimer's Poetry Project after working with dementia patients in 1997 in Northern California.
    "I didn't know very much about Alzheimer's or dementia, but I hit upon the idea of using classic poems that they might have learned as kids," he said.
    "In a workshop, the real moment of inspiration for me came from a man who was in the group. His head was down, he wasn't participating at all, and I would say he was completely unaware of his surroundings. I said a line from a Longfellow poem: ‘I shot an arrow in the air.' The man's eyes popped open and he said, ‘It fell to earth; I know not where.'
    "And suddenly he was participating, he was back with us. It was a real heartfelt moment for me as a poet," he said.
    Glazner has been conducting poetry workshops at assisted-living and adult day care centers in Wisconsin for the past two years through a grant from the Helen Bader Foundation in Milwaukee.

    Thursday, August 11, 2011

    Playing Crazy Eights:A Fun Activity for Long Term Care Residents

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    What you need: Two or more players and a deck of playing cards.

    How to play: One player, chosen as the dealer, deals out five cards (seven cards if only two are playing) to each player. The rest of the cards get placed face down as the stock pile. The top card on that pile is turned over face up beside the pile to start the discard pile. The game goes clockwise from the dealer, and the first player must play a card on the discard pile or take one from the stock pile. The game keeps going until someone gets rid of all of his or her cards.

    The rules: To be able to play a card on the discard pile, the card must match either the number or the suit of the card on top of the discard pile. For example, if the queen of diamonds is on top, the card to be played must be either any queen or any diamond. All eights are "crazy," meaning you can play them anytime. However, you must say which suit will be played next when you play the eight card.

    How to win: Be the first player to get rid of all of your cards.

    What else you need to know: In a variation of this game, score penalty points for all cards left in your hand after someone wins. Face cards count as 10 points; eights count as 50 points, and all number cards count as face value. Play until someone gets 500 penalty points.

    Tuesday, August 9, 2011

    Access your easyceu or Certification courses on your mobile device!

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    If you're as busy these days as I am, you know how great it is to be able to get some of the "to-dos" off your list while waiting in line, on the train or bus, or in those few minutes between appointments.easyceu

    I've come to LOVE my iPad and iPhone for this purpose.  I can read a few pages of the novel I'm really into, grab a couple of emails on the go, catch up with work or agonize about yet another obscure NY Times crossword clue.  One thing is for sure - I'm wired in and loving it! easyceu

    If you're nearing your renewal month for your CEUs, take a minute of your time - from your desktop or your mobile - to check out all the new courses we offer on EasyCEU.com . easyceu  We've added a significant number of new, leadership level courses through a recent acquisition - I know you'll find them interesting, useful and value-priced, too!

    We're also VERY excited about the new Certificate courses we've added, including:
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    Nursing Facility Administrator in Training
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    And try getting your easyceu on your mobile phone, iPad or other on-the-go device today!

    Sunday, August 7, 2011

    Reminiscing and dementia

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    What is reminiscing?

    Reminiscing Manual version 1,
    The benefits of reminiscing
    Someone with dementia may only give you a small piece of themselves – all
    there is, and enough, at that moment. That small piece is precious and may
    become a strand or thread woven into your life as well. The fragments may,
    like the creation of a mosaic, gradually be pieced together and something new
    is created (Coaten, 2001, p 21).
    Outcomes for the older person: one-on-one
    When reminiscing celebrate the richness of life experience, allowing in the
    process and the voice of the person to be communicated, however it is
    expressed (Coaten, 2001, p19).
    Involving an older person in reminiscing has many benefits for that person.
    Some of these benefits are:
    Increase the ability to communicate and practice self expression.
    Increase social interaction through the sharing of experiences.
    Increase feelings of belonging and togetherness.
    person.
    Emphasise the individual identity and unique experiences of each
    their experiences.
    Allow the older people to take on a teaching role through the sharing of
    Help people to come to terms with growing older.
    times.
    Encourage older people to regain interest in past hobbies and past
    Encourage creativity.
    Increase self worth and provide a sense of achievement.
    people.
    Reduce apathy and confusion, especially in confused or disorientated
    (St George Museum, 2004, pp 4-5)
    Alleviate depression.
    Increasing life satisfaction.
    Improving self-care.
    (Jones, 2003, p 27)
    Helping older people deal with crisis, losses and life transitions.
    (Wareing, 2000, p 22)
    Meeting psychological and emotional needs.
    interaction.
    (Spencer and Joyce, 2000, p 20)
    Involvement in a meaningful and pleasurable activity and positive
    The Benevolent Society, 2005,
    ABN 95 084 045
    5
    Reminiscing Manual version 1,
    Outcomes for the older person in a group
    There are some unique outcomes for people who participate in reminiscing as
    part of a group. Some of these outcomes are:
    individual member and of the personal effectiveness and significant
    contribution of each participant
    Increase awareness among group members of the uniqueness of each
    and concerns
    Increase realisation that other group members may share similar problems
     
    and achievements
    Gain knowledge and understanding about the older person’s life, history
    behaviour
    Find links between the older person’s past experience and present
    understanding more about a person can facilitate more meaningful contact
    Assist the relationship between older people and their carers, asProvide.....more next time

    Benefits for the carer, family and volunteer

    Reminiscing not only benefits the older person but the carer, family member
    and volunteer who may be engaging the older person in the activity. Some of
    these benefits are:
    Increase the sense of belonging and acceptance by the group

    Sometimes we remember because our memories have been triggered
    involuntarily by a favourite song or tune and sometimes we remember on
    purpose. Reminiscing gives us a pleasure and a sense of relatedness and
    connection with what has gone before (Coaten, 2001, p 19).
    Reminiscence allows us to relive events from our past. It is a process which
    focuses on the personal way we experience and remember events, rather
    than on chronological or historical accuracy. When we reminisce we don’t
    simply recall random events in a cold factual way. With reminiscing we are
    able to relive the experiences that are personal to us in a way that is vivid and
    engaging.
    Reminiscing encourages older people to become actively involved in reliving
    and sharing their past with others. Although reminiscence involves recalling
    past events it encourages the elderly to communicate and interact with a
    listener in the present. Reminiscence groups can operate on different levels.
    Groups can be run with older people and with a range of competencies
    including those who are confused.
    As a recreational activity reminiscence can provide occupational and leisure
    activities for older people. As a means of psychological support reminiscence
    is aimed at generating self-esteem and the expression of individual identity.
    Reminiscence can also be used as a therapeutic tool to aid the life review
    process.
    Reminiscing kits can contain items from the past that will be of significance to
    the lives of elderly people. Interaction with objects from the past is an
    important way of stimulating responses and can provide a focus for the
    recollection of deeply embedded memories. As memories can be triggered by
    a variety of different senses people will respond to the objects differently. The
    use of objects as prompts for memories is especially useful when working with
    people who have dementia.
    (St George Museum, 2004, pp2-3)

    The Benevolent Society, 2005,
    ABN 95 084 045
    4