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Benefits of Art Interventions for Individuals with Dementia Remi Koffs 5755 Prescott Ct Bensalem, PA 19020 (215)-313-2311 [email protected]

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Page 1: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Benefits of Art Interventions for Individuals with Dementia

Remi Koffs5755 Prescott Ct

Bensalem, PA 19020(215)-313-2311

[email protected]

Page 2: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Dementia

A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry out basic daily activities.

(Alzheimer’s Association)

Page 3: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Diagnostic Groups of Dementia

Alzheimer’s Type Vascular Dementia Lewy Body Dementia Frontal Lobe Dementia Substance-induced Dementia Picks Disease Mild Cognitive Impairment (MCI) Delirium

(Best-Martini, Weeks, Wirth, 2011)

Page 4: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Early Signs of Dementia

Loss of short-term memory Language problems Mood Swings Personality changes Difficulty completing daily activities Impaired abstract thinking, insight, and

judgment The disease may further limit the person’s

functional ability causing Agnosia, Apraxia, and Aphasia.

(Merck Manual)

Page 5: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Intermediate Signs of Dementia

Inability to recall and learn new information Reduced memory May need assistance with ADLs Progressing personality changes Complete loss of sense of time and place Ambulatory Possible hallucinations, delusions, and paranoia

(Merck Manual)

Page 6: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Late (severe) Dementia

Inability to walk, feed self, swallow, or do any other ADLs

Incontinence Recent and remote memory is completely

lost Eventually mute

(Merck Manual)

Page 7: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Why Is Art Used As An Intervention?

Facilitates reparation and recovery Form of nonverbal communication of

thoughts and feelings Encourages personal growth

(Malchiodi, 2012)

Page 8: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Art and Brain Functioning: Image Formation

Art making is an experience that can simultaneously engage many parts of the brain› Cortical› Limbic› Midbrain› Brain Stem

“Bilateral Art Making”

(Malchiodi, 2012)

Page 9: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Art and Brain Functioning: Image Formation

Reframes how individuals feel Allows them to respond to an event or

experience Helps them work on emotional or behavioral

change Art making allows individuals to actively

try out, experiment with, or rehearse a desired change through a drawing, painting, or other type of craft

(Malchiodi, 2012)

Page 10: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Therapist Vija Lusebring believes that images are a bridge between body and mind

Our bodies respond to images as if they are reality

(Malchiodi, 2012)

Page 11: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Evidence Based Practice Interventions Supporting Self and Identity in

People with Dementia: A Systematic Review (Caddell & Clare, 2011)

› Group setting› Paints, pastels, pencils, clay› Priorities

To support independence and a homely atmosphere To focus on patients remaining strengths and abilities To improve self esteem To offer opportunities for socialization, expression, and

spasticity

Page 12: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Interventions Supporting Self and Identity in People with Dementia: A Systematic Review(Caddell & Clare, 2011)

› Results: Participants claimed that art

interventions as a form of RT felt more meaningful and valuable than other interventions since it allowed them to form a scenario that was free from expectations and constraints

Gave them an opportunity to

“hold onto themselves a little while longer”

Helped express the remaining strengths of the participants

Offered an opportunity for communication

Allowed them to cope with an environment that has become frightening

Allowed them to temporary consolidate themselves and gain a sense of control

Enhanced: Motivation, Confidence Ability to overcome isolation

Page 13: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Creative Opportunities for Patients’ Wellbeing(Holford, 2011)

Benefits› Feel happier and more positive about self and situation› Feel less isolated and more connected with other people and the

outside world› Gain a sense of purpose and meaning› Improve their self-confidence, empowerment, self-esteem, and

social inclusion› Gain a sense of choice and control over their lives and daily

activities› Improve their physical fitness, sensory awareness, and physical

dexterity

“Deep lasting effects, helping people not only adapt and respond to changes in their health, but even transform their attitudes to their conditions and their lives”

Page 14: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Recreation Therapy Program Ideas

Enhance Facility Environment (Mental Health Practice, 2011)

› Welcome sign, wall hanging from patchwork flowers, painted squares, origami

› Hang up well known art pieces Expressive Painting

› Explores deep memories

Page 15: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Tips for TR Practice

Keep project at adult level Build conversation into project Help individual begin activity Use safe material Allow for plenty of time

(Alzheimer’s Association)

Page 16: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Alzheimer’s Association: Memories in the Making

Page 17: A progressive brain disorder that gradually destroys brain cells and affects a person’s memory, ability to learn, make judgments, communicate, and carry

Resources

(2013, March 13) Example of arts activities helping seniors with alzheime. r’s and dementia remember [Weblog]. Retrieved from http://www.arttherapyblog.com/art-therapy-seniors/arts-activities-helps-elderly-with-alzheimers-and-dementia- remember/#.UWKFFJPqm30

Alzheimer's association. (n.d.). What is dementia? Retrieved fromhttp://www.alz.org/what-is-dementia.asp?gclid=CKDsxLXSurYCFeRxOgody3AA0g

Alzheimer's association. (n.d.). Memories in the making. Retrieved from http://www.alznorcalblog.org/2012/02/

Alzheimer's association. (n.d.). Music, art, and alzheimer's. Retrieved from http://www.alz.org/care/alzheimers-dementia-music-art-therapy.asp

Best-Martini, E., Weeks, M., Wirth, P. (2011) Long term care for activity professionals, social services professionals, and recreational therapists, sixth edition. Enumclaw, Washington: Idyll Arbor Inc. Caddell, L., & Clare, L. (2011). Interventions supporting self and identity in people with dementia: A systematic review. Aging & Mental Health, 15(7), 797-810. doi:10.1080/13607863.2011.575352

Auchus, A. (2007, August). The merck manual for health care professionals. Retrieved from http://www.merckmanuals.com/professional/neurologic_disorders/delirium_and_dementia/dementia.html?qt=dementia&alt=sh

Holford, A. (2011). Creative opportunities for patients' wellbeing. Primary Health Care, 21(6), 16-20.  Malchiodi, C. (2012). Handbook of art therapy. (2nd ed.). New York, NY: A Division of Guilford Publications, Inc. Shorters, V. (2011). Creating a hospital-based arts project for older people. Mental Health Practice, 15(3), 24-26.