a disease or a condition is a problem if it does one of these two things number
it does one of these two things number
it does one of these two things number one it impairs our ability to live
one it impairs our ability to live
one it impairs our ability to live number two it impairs our ability to
number two it impairs our ability to
number two it impairs our ability to care for ourselves and for people around
care for ourselves and for people around
care for ourselves and for people around us prevent us from reintegrating back
us prevent us from reintegrating back
us prevent us from reintegrating back into our communities forty years ago 40
into our communities forty years ago 40
into our communities forty years ago 40 years ago people with multiple sclerosis
years ago people with multiple sclerosis
years ago people with multiple sclerosis amyotrophic lateral sclerosis motor
amyotrophic lateral sclerosis motor
amyotrophic lateral sclerosis motor neuron disease Parkinson’s and even
neuron disease Parkinson’s and even
neuron disease Parkinson’s and even certain forms of stroke they were not
certain forms of stroke they were not
certain forms of stroke they were not able to reintegrate back into their
able to reintegrate back into their
able to reintegrate back into their communities or to their vocation today
communities or to their vocation today
communities or to their vocation today they can why is that every single
they can why is that every single
they can why is that every single disease and condition that I just
disease and condition that I just
disease and condition that I just mentioned except for stroke is
mentioned except for stroke is
mentioned except for stroke is neurological it’s progressive there’s no
neurological it’s progressive there’s no
neurological it’s progressive there’s no cure and there’s no miracle drug
cure and there’s no miracle drug
cure and there’s no miracle drug Alzheimer disease is no different than
Alzheimer disease is no different than
Alzheimer disease is no different than any of those diseases why can’t we do
any of those diseases why can’t we do
any of those diseases why can’t we do the same thing the only reason I believe
the same thing the only reason I believe
the same thing the only reason I believe that they were able to reintegrate back
that they were able to reintegrate back
that they were able to reintegrate back is because of against the pure
is because of against the pure
is because of against the pure pharmaceuticals and rehabilitation our
pharmaceuticals and rehabilitation our
pharmaceuticals and rehabilitation our human brain is about three pounds heavy
human brain is about three pounds heavy
human brain is about three pounds heavy for every heart beat 25 to 25 percent of
for every heart beat 25 to 25 percent of
for every heart beat 25 to 25 percent of the blood supply goes to our human brain
the blood supply goes to our human brain
the blood supply goes to our human brain our human brain is one of the most
our human brain is one of the most
our human brain is one of the most powerful organs in our body it is
powerful organs in our body it is
powerful organs in our body it is supplied by a very complex and a rich
supplied by a very complex and a rich
supplied by a very complex and a rich network of blood vessels when you look
network of blood vessels when you look
network of blood vessels when you look at Alzheimer disease the way it’s
at Alzheimer disease the way it’s
at Alzheimer disease the way it’s clinically diagnosis it’s purely based
clinically diagnosis it’s purely based
clinically diagnosis it’s purely based on one’s ability
on one’s ability
on one’s ability to perform their instrumental activities
to perform their instrumental activities
to perform their instrumental activities of daily living and basic cognitive
of daily living and basic cognitive
of daily living and basic cognitive skills the progression of the disease is
skills the progression of the disease is
skills the progression of the disease is classified into seven stages as the
classified into seven stages as the
classified into seven stages as the individual declines as they move from
individual declines as they move from
individual declines as they move from one stage to another they decline in
one stage to another they decline in
one stage to another they decline in their ADL functions activities of daily
their ADL functions activities of daily
their ADL functions activities of daily living and basic cognitive skills
living and basic cognitive skills
living and basic cognitive skills activities of daily living is nothing
activities of daily living is nothing
activities of daily living is nothing but simple stuff like feeding brushing
but simple stuff like feeding brushing
but simple stuff like feeding brushing our teeth dressing bathing walking
our teeth dressing bathing walking
our teeth dressing bathing walking running for us to do all of these
running for us to do all of these
running for us to do all of these activities we need strength good range
activities we need strength good range
activities we need strength good range of motion balance coordination and
of motion balance coordination and
of motion balance coordination and posture some office for the last 20
posture some office for the last 20
posture some office for the last 20 years maybe 30 40 50 60 70 80 we’ve been
years maybe 30 40 50 60 70 80 we’ve been
years maybe 30 40 50 60 70 80 we’ve been doing all of these activities either
doing all of these activities either
doing all of these activities either consciously or unconsciously Alzheimer
consciously or unconsciously Alzheimer
consciously or unconsciously Alzheimer disease impacts short-term memory
usually the long-term memory stays and
usually the long-term memory stays and is the last one to go well if that’s the
is the last one to go well if that’s the
is the last one to go well if that’s the case what is that you and I did every
case what is that you and I did every
case what is that you and I did every single day what is that my patients that
single day what is that my patients that
single day what is that my patients that are about 90 years old or even 80 years
are about 90 years old or even 80 years
are about 90 years old or even 80 years old did every single day since the age
old did every single day since the age
old did every single day since the age of three and as they slip through the
of three and as they slip through the
of three and as they slip through the stages of the disease why do they forget
stages of the disease why do they forget
stages of the disease why do they forget to perform those activities there’s
to perform those activities there’s
to perform those activities there’s something called as mini brain we call
something called as mini brain we call
something called as mini brain we call it the cerebellum cerebellum has 50% of
it the cerebellum cerebellum has 50% of
it the cerebellum cerebellum has 50% of brain neurons when you look when we look
brain neurons when you look when we look
brain neurons when you look when we look at our human brain our human brain has
at our human brain our human brain has
at our human brain our human brain has over 100 billion neurons and over
over 100 billion neurons and over
over 100 billion neurons and over trillion connections we call them
trillion connections we call them
trillion connections we call them synapses if you take those neurons and
synapses if you take those neurons and
synapses if you take those neurons and if you connect them with synapses you
if you connect them with synapses you
if you connect them with synapses you can go to the moon and come back that’s
can go to the moon and come back that’s
can go to the moon and come back that’s how much we have in our three-pound
how much we have in our three-pound
how much we have in our three-pound brain now cerebellum is a mini brain 50%
brain now cerebellum is a mini brain 50%
brain now cerebellum is a mini brain 50% of the brain neurons are in cerebellum
of the brain neurons are in cerebellum
of the brain neurons are in cerebellum Alzheimer disease is the disease of the
Alzheimer disease is the disease of the
Alzheimer disease is the disease of the cerebral cortex Alzheimer disease
cerebral cortex Alzheimer disease
cerebral cortex Alzheimer disease doesn’t usually affect the cerebellum
doesn’t usually affect the cerebellum
doesn’t usually affect the cerebellum directly cerebellum is responsible for
directly cerebellum is responsible for
directly cerebellum is responsible for movements coordination posture and
movements coordination posture and
movements coordination posture and balance every single component that you
balance every single component that you
balance every single component that you and I need to complete our instrumental
and I need to complete our instrumental
and I need to complete our instrumental activities of daily living well if
activities of daily living well if
activities of daily living well if that’s the case why are individuals with
that’s the case why are individuals with
that’s the case why are individuals with Alzheimer disease tend to decline as
Alzheimer disease tend to decline as
Alzheimer disease tend to decline as they progress through one stage of the
they progress through one stage of the
they progress through one stage of the disease to another let’s talk a little
disease to another let’s talk a little
disease to another let’s talk a little bit about this stage here let’s say
bit about this stage here let’s say
bit about this stage here let’s say that’s the stage where I’m standing
that’s the stage where I’m standing
that’s the stage where I’m standing right now is about thousand square feet
right now is about thousand square feet
right now is about thousand square feet I’m going to take a gallon of water a
I’m going to take a gallon of water a
I’m going to take a gallon of water a bucket of water I’m going to pour it in
bucket of water I’m going to pour it in
bucket of water I’m going to pour it in one corner and I’m going to let the
one corner and I’m going to let the
one corner and I’m going to let the water trickle all the way down to the
water trickle all the way down to the
water trickle all the way down to the opposite corner how long do you think
opposite corner how long do you think
opposite corner how long do you think it’s going to take let’s say five
it’s going to take let’s say five
it’s going to take let’s say five minutes now let me increase the square
minutes now let me increase the square
minutes now let me increase the square footage of this space the stage let’s
footage of this space the stage let’s
footage of this space the stage let’s increase it to 10,000 square feet and I
increase it to 10,000 square feet and I
increase it to 10,000 square feet and I take the same bucket of water pour it in
take the same bucket of water pour it in
take the same bucket of water pour it in that corner and let it trickle all the
that corner and let it trickle all the
that corner and let it trickle all the way down to the opposite side how long
way down to the opposite side how long
way down to the opposite side how long do you think it takes it’s going to take
do you think it takes it’s going to take
do you think it takes it’s going to take a little bit more time maybe 20 minutes
a little bit more time maybe 20 minutes
a little bit more time maybe 20 minutes maybe 15 minutes
this particular stage that I’m standing
this particular stage that I’m standing is the human brain the water that I just
is the human brain the water that I just
is the human brain the water that I just poured is the disease process there’s
poured is the disease process there’s
poured is the disease process there’s nothing you and I can do to stop the
nothing you and I can do to stop the
nothing you and I can do to stop the progression of the disease is it
progression of the disease is it
progression of the disease is it possible for us to slow the progression
possible for us to slow the progression
possible for us to slow the progression of the disease by increase the
of the disease by increase the
of the disease by increase the functional surface area of our human
functional surface area of our human
functional surface area of our human brain is it possible for us to increase
brain is it possible for us to increase
brain is it possible for us to increase the cognitive reserve in such a way that
the cognitive reserve in such a way that
the cognitive reserve in such a way that we can enable our patients our clients
we can enable our patients our clients
we can enable our patients our clients to continue to perform those activities
to continue to perform those activities
to continue to perform those activities of daily living and even some basic
of daily living and even some basic
of daily living and even some basic cognitive skills our brain is directly
cognitive skills our brain is directly
cognitive skills our brain is directly proportionate to what we learn the size
proportionate to what we learn the size
proportionate to what we learn the size of our brain is directly proportional to
of our brain is directly proportional to
of our brain is directly proportional to proportionate to what we learn the brain
proportionate to what we learn the brain
proportionate to what we learn the brain today is much more larger than the brain
today is much more larger than the brain
today is much more larger than the brain 20 years ago the reason being is the new
20 years ago the reason being is the new
20 years ago the reason being is the new technologies the new learning the
technologies the new learning the
technologies the new learning the constant changes the advancements we
constant changes the advancements we
constant changes the advancements we have to adjust and adapt from the
have to adjust and adapt from the
have to adjust and adapt from the environment has enabled our brain to
environment has enabled our brain to
environment has enabled our brain to grow theory of neuroplasticity states
grow theory of neuroplasticity states
grow theory of neuroplasticity states that you and I have the ability to mold
that you and I have the ability to mold
that you and I have the ability to mold our brain the way we want it was widely
our brain the way we want it was widely
our brain the way we want it was widely believed that neuroplasticity occurred
believed that neuroplasticity occurred
believed that neuroplasticity occurred only during early developmental stages
only during early developmental stages
only during early developmental stages studies lately shows that we can see
studies lately shows that we can see
studies lately shows that we can see neuroplasticity in a ninety-year-old
neuroplasticity in a ninety-year-old
neuroplasticity in a ninety-year-old brain for neuroplasticity to occur a
brain for neuroplasticity to occur a
brain for neuroplasticity to occur a task that requires learning must be
task that requires learning must be
task that requires learning must be repeated 400 to 450 times and it has to
repeated 400 to 450 times and it has to
repeated 400 to 450 times and it has to be errorless in our code
be errorless in our code
be errorless in our code reimbursement model do physicians do
reimbursement model do physicians do
reimbursement model do physicians do therapists or any other clinicians have
therapists or any other clinicians have
therapists or any other clinicians have that kind of time to spend with their
that kind of time to spend with their
that kind of time to spend with their patients to teach them to learn newer
patients to teach them to learn newer
patients to teach them to learn newer skills to increase their functional
skills to increase their functional
skills to increase their functional surfacer of the human brain who does
surfacer of the human brain who does
surfacer of the human brain who does it’s a caregivers caregivers spend 24/7
it’s a caregivers caregivers spend 24/7
it’s a caregivers caregivers spend 24/7 with them in a nursing home in an
with them in a nursing home in an
with them in a nursing home in an assisted living facility in any
assisted living facility in any
assisted living facility in any institution they have the ability to
institution they have the ability to
institution they have the ability to give our patients an opportunity to
give our patients an opportunity to
give our patients an opportunity to develop neuroplasticity in a child
develop neuroplasticity in a child
develop neuroplasticity in a child daycare center the caregiver not only
daycare center the caregiver not only
daycare center the caregiver not only cares for the kid in addition the
cares for the kid in addition the
cares for the kid in addition the caregiver teaches the kid they train the
caregiver teaches the kid they train the
caregiver teaches the kid they train the kid they educate the kid they get the
kid they educate the kid they get the
kid they educate the kid they get the kid ready for kindergarten they provide
kid ready for kindergarten they provide
kid ready for kindergarten they provide care and then and they teach their
care and then and they teach their
care and then and they teach their caregivers and teachers they inspire
caregivers and teachers they inspire
caregivers and teachers they inspire learning they get them ready for the
learning they get them ready for the
learning they get them ready for the world can me as a provider can we as a
world can me as a provider can we as a
world can me as a provider can we as a provider do the same with our patients
provider do the same with our patients
provider do the same with our patients that have that have Alzheimer disease
provide care and at the same time also
provide care and at the same time also teach a task that needs to be learned
teach a task that needs to be learned
teach a task that needs to be learned has to be practiced errorless Lee at
has to be practiced errorless Lee at
has to be practiced errorless Lee at least four hundred to four hundred times
least four hundred to four hundred times
least four hundred to four hundred times a task that they already know you don’t
a task that they already know you don’t
a task that they already know you don’t want them to lose it that needs to be
want them to lose it that needs to be
want them to lose it that needs to be practiced over and over traditionally
practiced over and over traditionally
practiced over and over traditionally the nursing home industry has done a
the nursing home industry has done a
the nursing home industry has done a phenomenal job caring for individuals
phenomenal job caring for individuals
phenomenal job caring for individuals with Alzheimer disease but it’s caring
with Alzheimer disease but it’s caring
with Alzheimer disease but it’s caring just enough can we continue to do what
just enough can we continue to do what
just enough can we continue to do what we’ve been doing for the last 25 years
we’ve been doing for the last 25 years
we’ve been doing for the last 25 years can we learn something from the day care
can we learn something from the day care
can we learn something from the day care industry care and teach
industry care and teach
industry care and teach to create neuroplasticity our our
to create neuroplasticity our our
to create neuroplasticity our our services relevant to our clients needs
services relevant to our clients needs
services relevant to our clients needs to the demands can we continue to do
to the demands can we continue to do
to the demands can we continue to do what we’ve been doing even today nursing
what we’ve been doing even today nursing
what we’ve been doing even today nursing homes assisted living facilities are
homes assisted living facilities are
homes assisted living facilities are built like hotels they’re built like
built like hotels they’re built like
built like hotels they’re built like institutions buildings that have no
institutions buildings that have no
institutions buildings that have no sense of purpose that is not therapeutic
sense of purpose that is not therapeutic
sense of purpose that is not therapeutic in nature that lacks the human element
my question to you today if you may
my question to you today if you may allow me to ask number one can we as
allow me to ask number one can we as
allow me to ask number one can we as caregivers and care providers approach
caregivers and care providers approach
caregivers and care providers approach care from a treatment standpoint can
care from a treatment standpoint can
care from a treatment standpoint can developers like me providers like me
developers like me providers like me
developers like me providers like me operators like me design and construct
operators like me design and construct
operators like me design and construct facilities that incorporate human
facilities that incorporate human
facilities that incorporate human element is Purpose Driven many times
element is Purpose Driven many times
element is Purpose Driven many times I’ve heard people tell me there’s
I’ve heard people tell me there’s
I’ve heard people tell me there’s nothing you can do for Alzheimer’s
nothing you can do for Alzheimer’s
nothing you can do for Alzheimer’s disease Alzheimer patients where there
disease Alzheimer patients where there
disease Alzheimer patients where there is no hope there is no life hope gives
is no hope there is no life hope gives
is no hope there is no life hope gives life hope paves paths for innovation and
life hope paves paths for innovation and
life hope paves paths for innovation and inventions imagine for a second if every
inventions imagine for a second if every
inventions imagine for a second if every caregiver if every care provider if
caregiver if every care provider if
caregiver if every care provider if every developer Fe if every operator
every developer Fe if every operator
every developer Fe if every operator designs and constructs facility that
designs and constructs facility that
designs and constructs facility that incorporates human element is Purpose
incorporates human element is Purpose
incorporates human element is Purpose Driven what we as an industry can do
Driven what we as an industry can do
Driven what we as an industry can do collectively for it for greater good
every evening Walter would walk down the
every evening Walter would walk down the corridor around 7:00 p.m. in the night
corridor around 7:00 p.m. in the night
corridor around 7:00 p.m. in the night and ask for breakfast he just had his
and ask for breakfast he just had his
and ask for breakfast he just had his dinner water was a very successful
dinner water was a very successful
dinner water was a very successful developer
developer
developer ORN bunch of vineyards it was still out
ORN bunch of vineyards it was still out
ORN bunch of vineyards it was still out bright outside he just had his dinner
bright outside he just had his dinner
bright outside he just had his dinner it’s about around 7:00 p.m. is asking
it’s about around 7:00 p.m. is asking
it’s about around 7:00 p.m. is asking for breakfast Norma every single evening
for breakfast Norma every single evening
for breakfast Norma every single evening at 5:30
at 5:30
at 5:30 she was stand by the door wanting to
she was stand by the door wanting to
she was stand by the door wanting to leave she wants to go home she’s 94
leave she wants to go home she’s 94
leave she wants to go home she’s 94 years old she wants to go home so that
years old she wants to go home so that
years old she wants to go home so that she can take care of her five-year-old
she can take care of her five-year-old
she can take care of her five-year-old kids that would get dropped off the bus
at that time I decided that I need to do
at that time I decided that I need to do something for these crimes for my crimes
something for these crimes for my crimes
something for these crimes for my crimes what is it I can do to reset their
what is it I can do to reset their
what is it I can do to reset their biological clock what is that I can do
biological clock what is that I can do
biological clock what is that I can do to reset their physiological clock is
to reset their physiological clock is
to reset their physiological clock is there any way I could bring the outside
there any way I could bring the outside
there any way I could bring the outside inside the building long-term memories
inside the building long-term memories
inside the building long-term memories intact they’re very very close to the
intact they’re very very close to the
intact they’re very very close to the early childhood days what if I create a
early childhood days what if I create a
early childhood days what if I create a capsule a time capsule that looks like
capsule a time capsule that looks like
capsule a time capsule that looks like 1930s and 1940s what if I bring the
1930s and 1940s what if I bring the
1930s and 1940s what if I bring the elements from the outside inside what if
elements from the outside inside what if
elements from the outside inside what if I give them a feeling that the Sun can
I give them a feeling that the Sun can
I give them a feeling that the Sun can rise and sunset inside the building how
rise and sunset inside the building how
rise and sunset inside the building how many saw the app will fall from it from
many saw the app will fall from it from
many saw the app will fall from it from the tree before Isaac Newton saw it
the tree before Isaac Newton saw it
the tree before Isaac Newton saw it my guess is many but Isaac Newton
my guess is many but Isaac Newton
my guess is many but Isaac Newton decided to do something about it and
decided to do something about it and
decided to do something about it and that’s what put man on the moon the way
that’s what put man on the moon the way
that’s what put man on the moon the way we think about Alzheimer’s care is
we think about Alzheimer’s care is
we think about Alzheimer’s care is broken it doesn’t have to be
[Applause]
[Applause] thank you so much
”
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