The value of non pharmacological and positive psychosocial interventions for dementia are gradually being explored by researchers, and as I find relevant articles, I will add them to my blog.
Rationale for Combined Exercise and Cognition-Focused Interventions to Improve Functional Independence in People with Dementia, J. M. Thom and L. Clare, 2010)
Abstract
Evidence suggests that exercise and some cognition-focused intervention approaches can be used to elicit functional improvements in older people and, to some degree, those diagnosed with dementia. Independently, the two intervention types have been found to improve functional performance in people with dementia. The mechanisms underpinning these improvements come from comparable and diverse pathways. This suggests that it may be beneficial for the two intervention types to be coupled as part of regular care in individuals with a range of cognitive impairments. The aims of this review are threefold. The first aim is to present evidence to support the use for combining exercise and cognition-focused interventions. This will be achieved by reviewing the mechanisms of both approaches in improving functional performance in older people and in people with dementia and summarising recent progress. Read more… exercise and cognitive interventions or dementia
It was a busy morning, about 8:30, when an elderly gentleman in his 80′s, arrived to have stitches removed from his thumb.
He said he was in a hurry as he had an appointment at 9:00 am. I took his vital signs and had him take a seat, knowing it would be over an hour before someone would be able to see him.
I saw him looking at his watch, and decided, since I was not busy with another patient, I would evaluate his wound. On exam, it was well healed, so I talked to one of the doctors, got the needed supplies to remove his sutures and redress his wound.
While taking care of his wound, I asked him if he had another doctor’s appointment this morning, as he was in such a hurry. The gentleman told me no, that he needed to go to the nursing home to eat breakfast with his wife.
I inquired as to her health; he told me that she had been there for a while and that she was a victim of Alzheimer’s disease. As we talked, I asked if she would be upset if he was a bit late.
He replied that she no longer knew who he was, that she had not recognized him in five years now.
I was surprised, and asked him, ‘And you still go every morning, even though she doesn’t know who you are’? He smiled as he patted my hand and said, ‘She doesn’t know me, but I still know who she is’.
I had to hold back tears as he left; I had goose bumps on my arm, and thought, ‘That is the kind of love I want in my life’. True love is neither physical, nor romantic.
True love is an acceptance of all that is, has been, will be, and will not be.
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A lovely story, thanks for sharing it.
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