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Sensory Stimulation: What it is and
how to use it as an Activity
Intervention for Persons with
dementia
               Stephen Vozzella BA ACC
                  Emeritus Pikesville
                Memory Care Director
Expectations
               Do you have any
               questions before we
               get started?
Objectives
 Delineate the process of leading a
 sensory stimulation activity.
 Discuss the benefits of using sensory
 stimulation.
 List successful sensory stimulation
 activities
One activity approach that can benefit the person
with dementia is sensory stimulation as there is an
increasing challenge to identifying appropriate
activities as they decline. The presentation will review
the activity assessment and how it determines
activities, the meaning of sensory stimulation, for
whom it is appropriate, and the benefits. The
speaker will discuss the different ways to implement
sensory stimulation and discuss successful activities
that have utilized in a dementia care setting.
Get to know one of your fellow
         participants!
   Find a partner!!
   Complete Activity Assessment Questions
Sensory Stimulation
 Conveying nerve
 impulses from the
 sense organs to the
 nerve centers
 to arouse or affect
 by a stimulant
Sensory Stimulation
 Group or Individual Activity that is
 directed toward memory impaired
 individuals who have difficulty relating
 to their world.
Who is Appropriate for
Sensory Stimulation?
 Focus on severely
 impaired resident.
End Stage Dementia
 Memory is mostly absent
 Difficulty walking
 Difficulty eating
 Severe communication deficit
Personal History
 Where is the person from?
 Where has the person lived?
 What was the person’s occupation?
 Where did the person go to school?
 How many languages does the person know?
 Was the person in the service?
 Is the person married?
 Does the person have family members that
 interact with him/her?
Personal History - II
 How does the person spend a typical day?
 Does the person like a shower?
 Does the person sleep in?
 How often does the person nap?
 What major events has the person been
 through?
 What was the person’s personality like before
 memory loss and currently?
Medical Information
 Vision
 Hearing
 Hand
 Alcohol/Smoking
 Diagnosis
 Communication
 Ambulation
 Diet
Leisure Interests – Do Not
Make a Checklist
 Reading                   Religion
 Collecting                Volunteer/Clubs
 TV/Movie                  Children
 Music                     Pets
 Art                       Reminiscence/Social
 Gardening                 Events
 Baking/Cooking            Humor
 Sports/Sports Fan         Games/Cards/Bingo
 Travel
   Any Other Categories?
Level of Participation
 Independent
 Dependent
 Observes
   How does he/she observe?
 Unaware
 Minimum assistance to participate
 Moderate assistance to participate
 Maximum assistance to participate
Strengths and Needs
   Review the assessment.
   What are some strengths?
   Example Strengths – He/she is able to follow
   objects with eyes, able to hold objects;
   laughs at times, loves birds, loves music.
   Example Needs - Needs assistance attending
   activities; maximum cueing to be an
   observer; needs to take a nap in the
   afternoon.
   What is the activity plan?
Six Senses
 Smell
 Touch
 Auditory
 Visual
 Taste
 Kinesthetic
Leading Sensory Stimulation
 Group
 Individually
 Simultaneous
 Drop off – Focal
 Point
 Environment
Planning an Activity
 Plan ahead.
 Plan using the person’s interests.
 Have a back up plan.
 Break activity into steps.
 Adapt a favorite activity.
Things to consider when
planning
 Privacy
 Spirituality
 Adaptation
 Musical interventions
Leading an Activity
 Have supplies ready to start.
 Be patient.
 Be aware of how you communicate.
 Have your backup plan ready.
 Be aware of the person’s comfort.
 Use a space the person is comfortable in.
Location
 Resident’s Room
 Quiet place
 Bright place
 Outside
What to talk about?
 What do you see in the picture?
 What does this smell make you think of?
 Did you ever go to…….?
 When you hear this noise what do you think
 about?
 Which way do you like to eat this type of
 food?
 What does that feel like when you touch it?
Evaluation and Documentation
                How did the person
                participate?
                Did he/she need a
                lot of cueing?
                What did you
                observe?
                Tears, smiles?
                Holding objects?
                Any comments?
Costs
        Staff time
        Supplies
        Training and
        education time
Visual Stimulation
 Family pictures
 Familiar objects – go to
 the resident’s room
 Going outside
 Videos
 Animals - Fish Tank,
 Aviary
 Magazines
 Children
Touch Stimulation
 Snow
 Wallpaper books
 Stuffed animals
 Pillows
 Yarn
 Sand paper
 Massages
 Vibration
 Bubbles
Snowball Toss
 Fresh Snow
 Styrofoam Balls
 Hot Cocoa
Wash the Car
 One Day at a Time
 Clean the Hubcaps
 Wax the Hood
 Vacuum the Floor Mats
 Clean out the Trunk
House Chores
 Peeling Vegetables
 Folding Clothes
 Snapping Beans
 Dusting
 Sorting Old Bills
 Wiping Down Tables or Furniture
 Polishing Silver
Taste
        Taste spices
        Taste drinks
        Food reminisce
        Cooking reminisce
        Food party
Potato Chip Sensory
 Different Flavor Chips
 Beer or Soda
 History of the Potato Chip
Mix Pudding
 Good exercise
 Smells good
 They can taste the pudding
 Reminisce about the uses for pudding
 Not a lot of steps
Auditory Stimulation
                 Sound effects
                 Discuss sounds
                 Music
                 Make noise
                 Music trivia
                 Prayers
Hymn Sing
 Traditional Hymns
 Have recording of song if necessary
 Pray together
Smell Stimulation
 Smell spices
 Discuss memories
 associated with
 smells
 Smell quiz
 Paint with spices,
 coffee
 Microwave bacon
 Hand massage
Kinesthetic Stimulation
 Playing bells
 Throwing a ball
 Tossing objects
 Painting
 Petting animals
 Shaping dough
Lets Look at the Survey
 Plan one activity for each sense for the
 person you surveyed
 Lets Discuss
Combine all the Senses
 Ocean City
   Picture of Trimpers Rides
   Rub some sun oil or sub block on
   Fries and Vinegar
   Audio of waves crashing
   Handle some seashells
   Wind string for a kite
Resources
 Activity Assessment
 Internet
 Library
 Second Hand Stores
 Basement/Attic
 Dollar Establishment
What are the Benefits of
Sensory Stimulation?
  Decrease Sensory
  Deprivation
  Opportunity to engage
  environment
  Decrease isolation
  Decrease apathy
  Fun
  Pleasure
  Increase quality of life
  Educate loved ones
Keys to success…….

               Assessment
               Patience and
               understanding
               Adapting activities
               Breaking them into
               steps
               Observing the
               person’s response
References

Peter Rabins, MD, MPH, Constantine Lyketsos, MD, MPH,
and Cynthia Steele, RN, Practical Dementia Care, New York,
Oxford, Oxford University Press, 1999

http://www.m-w.com/dictionary/sensory

Carol Bowlby Therapeutic Activities with Persons Disabled by
Alzheimer's Disease and Related Disorders, Gaithersburg
Maryland, Aspen Publishers 1993

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Sensory stimulation what it is and how to use it as an activity intervention for persons with dementia handouts [compatibility mode]

  • 1. Sensory Stimulation: What it is and how to use it as an Activity Intervention for Persons with dementia Stephen Vozzella BA ACC Emeritus Pikesville Memory Care Director
  • 2. Expectations Do you have any questions before we get started?
  • 3. Objectives Delineate the process of leading a sensory stimulation activity. Discuss the benefits of using sensory stimulation. List successful sensory stimulation activities
  • 4. One activity approach that can benefit the person with dementia is sensory stimulation as there is an increasing challenge to identifying appropriate activities as they decline. The presentation will review the activity assessment and how it determines activities, the meaning of sensory stimulation, for whom it is appropriate, and the benefits. The speaker will discuss the different ways to implement sensory stimulation and discuss successful activities that have utilized in a dementia care setting.
  • 5. Get to know one of your fellow participants! Find a partner!! Complete Activity Assessment Questions
  • 6. Sensory Stimulation Conveying nerve impulses from the sense organs to the nerve centers to arouse or affect by a stimulant
  • 7. Sensory Stimulation Group or Individual Activity that is directed toward memory impaired individuals who have difficulty relating to their world.
  • 8. Who is Appropriate for Sensory Stimulation? Focus on severely impaired resident.
  • 9. End Stage Dementia Memory is mostly absent Difficulty walking Difficulty eating Severe communication deficit
  • 10. Personal History Where is the person from? Where has the person lived? What was the person’s occupation? Where did the person go to school? How many languages does the person know? Was the person in the service? Is the person married? Does the person have family members that interact with him/her?
  • 11. Personal History - II How does the person spend a typical day? Does the person like a shower? Does the person sleep in? How often does the person nap? What major events has the person been through? What was the person’s personality like before memory loss and currently?
  • 12. Medical Information Vision Hearing Hand Alcohol/Smoking Diagnosis Communication Ambulation Diet
  • 13. Leisure Interests – Do Not Make a Checklist Reading Religion Collecting Volunteer/Clubs TV/Movie Children Music Pets Art Reminiscence/Social Gardening Events Baking/Cooking Humor Sports/Sports Fan Games/Cards/Bingo Travel Any Other Categories?
  • 14. Level of Participation Independent Dependent Observes How does he/she observe? Unaware Minimum assistance to participate Moderate assistance to participate Maximum assistance to participate
  • 15. Strengths and Needs Review the assessment. What are some strengths? Example Strengths – He/she is able to follow objects with eyes, able to hold objects; laughs at times, loves birds, loves music. Example Needs - Needs assistance attending activities; maximum cueing to be an observer; needs to take a nap in the afternoon. What is the activity plan?
  • 16. Six Senses Smell Touch Auditory Visual Taste Kinesthetic
  • 17. Leading Sensory Stimulation Group Individually Simultaneous Drop off – Focal Point Environment
  • 18. Planning an Activity Plan ahead. Plan using the person’s interests. Have a back up plan. Break activity into steps. Adapt a favorite activity.
  • 19. Things to consider when planning Privacy Spirituality Adaptation Musical interventions
  • 20. Leading an Activity Have supplies ready to start. Be patient. Be aware of how you communicate. Have your backup plan ready. Be aware of the person’s comfort. Use a space the person is comfortable in.
  • 21. Location Resident’s Room Quiet place Bright place Outside
  • 22. What to talk about? What do you see in the picture? What does this smell make you think of? Did you ever go to…….? When you hear this noise what do you think about? Which way do you like to eat this type of food? What does that feel like when you touch it?
  • 23. Evaluation and Documentation How did the person participate? Did he/she need a lot of cueing? What did you observe? Tears, smiles? Holding objects? Any comments?
  • 24. Costs Staff time Supplies Training and education time
  • 25. Visual Stimulation Family pictures Familiar objects – go to the resident’s room Going outside Videos Animals - Fish Tank, Aviary Magazines Children
  • 26. Touch Stimulation Snow Wallpaper books Stuffed animals Pillows Yarn Sand paper Massages Vibration Bubbles
  • 27. Snowball Toss Fresh Snow Styrofoam Balls Hot Cocoa
  • 28. Wash the Car One Day at a Time Clean the Hubcaps Wax the Hood Vacuum the Floor Mats Clean out the Trunk
  • 29. House Chores Peeling Vegetables Folding Clothes Snapping Beans Dusting Sorting Old Bills Wiping Down Tables or Furniture Polishing Silver
  • 30. Taste Taste spices Taste drinks Food reminisce Cooking reminisce Food party
  • 31. Potato Chip Sensory Different Flavor Chips Beer or Soda History of the Potato Chip
  • 32. Mix Pudding Good exercise Smells good They can taste the pudding Reminisce about the uses for pudding Not a lot of steps
  • 33. Auditory Stimulation Sound effects Discuss sounds Music Make noise Music trivia Prayers
  • 34. Hymn Sing Traditional Hymns Have recording of song if necessary Pray together
  • 35. Smell Stimulation Smell spices Discuss memories associated with smells Smell quiz Paint with spices, coffee Microwave bacon Hand massage
  • 36. Kinesthetic Stimulation Playing bells Throwing a ball Tossing objects Painting Petting animals Shaping dough
  • 37. Lets Look at the Survey Plan one activity for each sense for the person you surveyed Lets Discuss
  • 38. Combine all the Senses Ocean City Picture of Trimpers Rides Rub some sun oil or sub block on Fries and Vinegar Audio of waves crashing Handle some seashells Wind string for a kite
  • 39. Resources Activity Assessment Internet Library Second Hand Stores Basement/Attic Dollar Establishment
  • 40. What are the Benefits of Sensory Stimulation? Decrease Sensory Deprivation Opportunity to engage environment Decrease isolation Decrease apathy Fun Pleasure Increase quality of life Educate loved ones
  • 41. Keys to success……. Assessment Patience and understanding Adapting activities Breaking them into steps Observing the person’s response
  • 42. References Peter Rabins, MD, MPH, Constantine Lyketsos, MD, MPH, and Cynthia Steele, RN, Practical Dementia Care, New York, Oxford, Oxford University Press, 1999 http://www.m-w.com/dictionary/sensory Carol Bowlby Therapeutic Activities with Persons Disabled by Alzheimer's Disease and Related Disorders, Gaithersburg Maryland, Aspen Publishers 1993