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The Dawn of Dementia Care | Judy Cornish | TEDxSpokane


so I’m here today to talk about dementia

so I’m here today to talk about dementia and the reason I’m here is because I’ve

and the reason I’m here is because I’ve

and the reason I’m here is because I’ve found a better way to do it a way that

found a better way to do it a way that

found a better way to do it a way that helps both the people who have it and

helps both the people who have it and

helps both the people who have it and their families so why should we as

their families so why should we as

their families so why should we as citizens of America as families be

citizens of America as families be

citizens of America as families be concerned about dementia that’s

concerned about dementia that’s

concerned about dementia that’s something we think of being taken care

something we think of being taken care

something we think of being taken care of by our medical professionals well

of by our medical professionals well

of by our medical professionals well there’s two really good reasons number

there’s two really good reasons number

there’s two really good reasons number one this is a an epidemic

one this is a an epidemic

one this is a an epidemic it’s still growing and we don’t have a

it’s still growing and we don’t have a

it’s still growing and we don’t have a cure so last year 2016 5.5 million

cure so last year 2016 5.5 million

cure so last year 2016 5.5 million Americans were diagnosed with

Americans were diagnosed with

Americans were diagnosed with Alzheimer’s and Alzheimer’s represents

Alzheimer’s and Alzheimer’s represents

Alzheimer’s and Alzheimer’s represents about 60 to 80 percent of the dimensions

about 60 to 80 percent of the dimensions

about 60 to 80 percent of the dimensions that we experience so that would be

that we experience so that would be

that we experience so that would be about seven point eight million people

about seven point eight million people

about seven point eight million people diagnosed with dementia and yet only

diagnosed with dementia and yet only

diagnosed with dementia and yet only about half of us go to a doctor and are

about half of us go to a doctor and are

about half of us go to a doctor and are diagnosed so that means last year alone

diagnosed so that means last year alone

diagnosed so that means last year alone 2016 over 15 million families began

2016 over 15 million families began

2016 over 15 million families began struggling to live with someone

struggling to live with someone

struggling to live with someone experiencing progressive cognitive

experiencing progressive cognitive

experiencing progressive cognitive impairment and that’s not the biggest

impairment and that’s not the biggest

impairment and that’s not the biggest problem that we face because this year

problem that we face because this year

problem that we face because this year 10,000 Americans turned 60 every day and

10,000 Americans turned 60 every day and

10,000 Americans turned 60 every day and by 2050 we will have twice as many

by 2050 we will have twice as many

by 2050 we will have twice as many people living over the age of 65 and

people living over the age of 65 and

people living over the age of 65 and that’s why we talk about our silver

that’s why we talk about our silver

that’s why we talk about our silver tsunami but if you have an ageing

tsunami but if you have an ageing

tsunami but if you have an ageing population then you have a shrinking

population then you have a shrinking

population then you have a shrinking workforce right now we have a caregiver

workforce right now we have a caregiver

workforce right now we have a caregiver shortage and in some places in the

shortage and in some places in the

shortage and in some places in the country it’s critical but it’s going to

country it’s critical but it’s going to

country it’s critical but it’s going to get a whole lot worse and so the reason

get a whole lot worse and so the reason

get a whole lot worse and so the reason we as families as citizens should be

we as families as citizens should be

we as families as citizens should be thinking about dementia and how we can

thinking about dementia and how we can

thinking about dementia and how we can live with it and how we can work with it

live with it and how we can work with it

live with it and how we can work with it is because a lot of us are going to be

is because a lot of us are going to be

is because a lot of us are going to be forced to do that

forced to do that

forced to do that in the coming decade and if you have

in the coming decade and if you have

in the coming decade and if you have someone in your family now or somebody

someone in your family now or somebody

someone in your family now or somebody that you know that it is experiencing

that you know that it is experiencing

that you know that it is experiencing dementia you you already know this is a

dementia you you already know this is a

dementia you you already know this is a very expensive disease but it’s an

very expensive disease but it’s an

very expensive disease but it’s an emotionally devastating one for the

emotionally devastating one for the

emotionally devastating one for the family and for the person experiencing

family and for the person experiencing

family and for the person experiencing it so why is that you know some people

it so why is that you know some people

it so why is that you know some people are aware that they are becoming

are aware that they are becoming

are aware that they are becoming impaired so think about what it would

impaired so think about what it would

impaired so think about what it would feel like if you woke up tomorrow

feel like if you woke up tomorrow

feel like if you woke up tomorrow morning and you could not figure out

morning and you could not figure out

morning and you could not figure out where your socks were and it wasn’t

where your socks were and it wasn’t

where your socks were and it wasn’t because you were in a hotel room you

because you were in a hotel room you

because you were in a hotel room you walk into the kitchen and you can’t make

walk into the kitchen and you can’t make

walk into the kitchen and you can’t make coffee with your own coffee maker or you

coffee with your own coffee maker or you

coffee with your own coffee maker or you walk out of work one night and you’re

walk out of work one night and you’re

walk out of work one night and you’re looking at a parking lot full of cars

looking at a parking lot full of cars

looking at a parking lot full of cars and you cannot think of what your car

and you cannot think of what your car

and you cannot think of what your car looks like it’s scary and and then you

looks like it’s scary and and then you

looks like it’s scary and and then you go to the doctor and your doctor says

go to the doctor and your doctor says

go to the doctor and your doctor says yeah you know this looks like dementia

yeah you know this looks like dementia

yeah you know this looks like dementia and now you know you’ve got 8 to 12

and now you know you’ve got 8 to 12

and now you know you’ve got 8 to 12 years of a life expectancy and if

years of a life expectancy and if

years of a life expectancy and if something else doesn’t kill you first

something else doesn’t kill you first

something else doesn’t kill you first you are looking at becoming bedridden

you are looking at becoming bedridden

you are looking at becoming bedridden and in need of complete care so people

and in need of complete care so people

and in need of complete care so people are terrified and rightfully so but then

are terrified and rightfully so but then

are terrified and rightfully so but then other people are not aware they are not

other people are not aware they are not

other people are not aware they are not able to comprehend that it’s their brain

able to comprehend that it’s their brain

able to comprehend that it’s their brain that is changing and so these people

that is changing and so these people

that is changing and so these people don’t feel as much afraid as they feel

don’t feel as much afraid as they feel

don’t feel as much afraid as they feel frustrated and angry because of course

frustrated and angry because of course

frustrated and angry because of course it seems to them that everybody around

it seems to them that everybody around

it seems to them that everybody around them is being difficult hiding things

them is being difficult hiding things

them is being difficult hiding things losing things accusing them of doing

losing things accusing them of doing

losing things accusing them of doing things that they did not do and so these

things that they did not do and so these

things that they did not do and so these people begin to feel a little persecuted

people begin to feel a little persecuted

people begin to feel a little persecuted maybe a little paranoid and so they’re

maybe a little paranoid and so they’re

maybe a little paranoid and so they’re more angry than afraid but how do we

more angry than afraid but how do we

more angry than afraid but how do we behave when we’re angry or afraid we’re

behave when we’re angry or afraid we’re

behave when we’re angry or afraid we’re not very reasonable we’re not very easy

not very reasonable we’re not very easy

not very reasonable we’re not very easy to live with

to live with

to live with and so even before you take into account

and so even before you take into account

and so even before you take into account what happens

what happens

what happens to communication and interactions when

to communication and interactions when

to communication and interactions when your cognitive skills are fading away it

your cognitive skills are fading away it

your cognitive skills are fading away it is really stressful to try to live with

is really stressful to try to live with

is really stressful to try to live with somebody who has dementia but you know

somebody who has dementia but you know

somebody who has dementia but you know it really doesn’t have to be as bad as

it really doesn’t have to be as bad as

it really doesn’t have to be as bad as it has been and it’s it’s not expensive

it has been and it’s it’s not expensive

it has been and it’s it’s not expensive to fix this and we don’t have to all go

to fix this and we don’t have to all go

to fix this and we don’t have to all go to medical school and become doctors or

to medical school and become doctors or

to medical school and become doctors or nurses or even CNAs and you don’t even

nurses or even CNAs and you don’t even

nurses or even CNAs and you don’t even need a college education but what we

need a college education but what we

need a college education but what we have to do is step back and look at

have to do is step back and look at

have to do is step back and look at dementia from a different approach so

dementia from a different approach so

dementia from a different approach so how do we currently look at dementia we

how do we currently look at dementia we

how do we currently look at dementia we see it as a medical problem a disease

see it as a medical problem a disease

see it as a medical problem a disease something that has symptoms these

something that has symptoms these

something that has symptoms these symptoms are called dementia related

symptoms are called dementia related

symptoms are called dementia related behaviors and we’ve got a whole list of

behaviors and we’ve got a whole list of

behaviors and we’ve got a whole list of terms to talk about them with so if I

terms to talk about them with so if I

terms to talk about them with so if I went to the doctor and my doctor said to

went to the doctor and my doctor said to

went to the doctor and my doctor said to me you know Judy I really think you’ve

me you know Judy I really think you’ve

me you know Judy I really think you’ve got cancer then immediately I would want

got cancer then immediately I would want

got cancer then immediately I would want a referral to a specialist probably to a

a referral to a specialist probably to a

a referral to a specialist probably to a surgeon

surgeon

surgeon and I would want to know everything

and I would want to know everything

and I would want to know everything there is to know about my cancer how far

there is to know about my cancer how far

there is to know about my cancer how far along it is where it is whether it’s red

along it is where it is whether it’s red

along it is where it is whether it’s red all possible treatments and I’d want all

all possible treatments and I’d want all

all possible treatments and I’d want all of my doctors focused on that cancer

of my doctors focused on that cancer

of my doctors focused on that cancer because there’s treatments and I’ve got

because there’s treatments and I’ve got

because there’s treatments and I’ve got a really good chance I’m not gonna have

a really good chance I’m not gonna have

a really good chance I’m not gonna have to live the rest of my life with it

to live the rest of my life with it

to live the rest of my life with it so I want everyone focused on what’s

so I want everyone focused on what’s

so I want everyone focused on what’s wrong with me

wrong with me

wrong with me my disability because we’ve got

my disability because we’ve got

my disability because we’ve got treatment and with dementia we do the

treatment and with dementia we do the

treatment and with dementia we do the same thing we we go straight to the

same thing we we go straight to the

same thing we we go straight to the doctor as well we should for diagnosis

doctor as well we should for diagnosis

doctor as well we should for diagnosis but this is one of those instances where

but this is one of those instances where

but this is one of those instances where you know we think we’ve been seeing

you know we think we’ve been seeing

you know we think we’ve been seeing something clearly we think we’re doing

something clearly we think we’re doing

something clearly we think we’re doing the best we can but there’s no way to

the best we can but there’s no way to

the best we can but there’s no way to know that we could do it better until we

know that we could do it better until we

know that we could do it better until we actually

actually

actually look at it from a different angle and

look at it from a different angle and

look at it from a different angle and and so with dementia yes let’s get

and so with dementia yes let’s get

and so with dementia yes let’s get diagnosis but if we don’t have a

diagnosis but if we don’t have a

diagnosis but if we don’t have a reliable treatment one that works for

reliable treatment one that works for

reliable treatment one that works for everybody one that works every time if

everybody one that works every time if

everybody one that works every time if we don’t have a cure why are we still

we don’t have a cure why are we still

we don’t have a cure why are we still then turning to medical professionals

then turning to medical professionals

then turning to medical professionals focused on on what’s wrong under

focused on on what’s wrong under

focused on on what’s wrong under disabilities the person is displaying

disabilities the person is displaying

disabilities the person is displaying what why don’t we focus on the person

what why don’t we focus on the person

what why don’t we focus on the person because if you have to live with

because if you have to live with

because if you have to live with something the rest of your life it

something the rest of your life it

something the rest of your life it wouldn’t it make more sense wouldn’t it

wouldn’t it make more sense wouldn’t it

wouldn’t it make more sense wouldn’t it be more helpful if we knew what you

be more helpful if we knew what you

be more helpful if we knew what you could do rather than what you couldn’t

could do rather than what you couldn’t

could do rather than what you couldn’t do and if we knew how it was affecting

do and if we knew how it was affecting

do and if we knew how it was affecting you emotionally this condition that’s

you emotionally this condition that’s

you emotionally this condition that’s what we need to know if we have to live

what we need to know if we have to live

what we need to know if we have to live with something and actually you know

with something and actually you know

with something and actually you know this is an approach that’s already in

this is an approach that’s already in

this is an approach that’s already in use we call it being person-centered or

use we call it being person-centered or

use we call it being person-centered or person directive and when we focus on a

person directive and when we focus on a

person directive and when we focus on a person’s condition and the person

person’s condition and the person

person’s condition and the person themselves and we’re paying attention to

themselves and we’re paying attention to

themselves and we’re paying attention to their strengths rather than what’s wrong

their strengths rather than what’s wrong

their strengths rather than what’s wrong with them we call that strength based

with them we call that strength based

with them we call that strength based care and and that we use it with other

care and and that we use it with other

care and and that we use it with other populations right now it’s very

populations right now it’s very

populations right now it’s very effective with adults who are

effective with adults who are

effective with adults who are developmentally disabled but you know

developmentally disabled but you know

developmentally disabled but you know many of us here today also have been

many of us here today also have been

many of us here today also have been using strength based care some of us for

using strength based care some of us for

using strength based care some of us for quite a few decades because strength

quite a few decades because strength

quite a few decades because strength based care is how we raise children so

based care is how we raise children so

based care is how we raise children so think about it you know when you have a

think about it you know when you have a

think about it you know when you have a child you look at your child and you

child you look at your child and you

child you look at your child and you evaluate the child’s cognitive

evaluate the child’s cognitive

evaluate the child’s cognitive development and then you shape the

development and then you shape the

development and then you shape the environment so the child will be safe

environment so the child will be safe

environment so the child will be safe and comfortable and then you pay

and comfortable and then you pay

and comfortable and then you pay attention to the child’s emotional needs

attention to the child’s emotional needs

attention to the child’s emotional needs and you try to meet those needs so if

and you try to meet those needs so if

and you try to meet those needs so if you have a toddler you Institute nap

you have a toddler you Institute nap

you have a toddler you Institute nap time but if you have a teenager

time but if you have a teenager

time but if you have a teenager it’s curfews and so if you have a

it’s curfews and so if you have a

it’s curfews and so if you have a four-year-old we we don’t think the

four-year-old we we don’t think the

four-year-old we we don’t think the four-year-old will live and be

four-year-old will live and be

four-year-old will live and be comfortable and safe in the same

comfortable and safe in the same

comfortable and safe in the same environment of that the

environment of that the

environment of that the fourteen-year-old would so so we’ve been

fourteen-year-old would so so we’ve been

fourteen-year-old would so so we’ve been doing this for centuries with our

doing this for centuries with our

doing this for centuries with our children if that’s the case how come

children if that’s the case how come

children if that’s the case how come we’re failing so badly with their loved

we’re failing so badly with their loved

we’re failing so badly with their loved ones when they develop dementia if you

ones when they develop dementia if you

ones when they develop dementia if you know it’s because it’s exactly the

know it’s because it’s exactly the

know it’s because it’s exactly the opposite it’s counterintuitive to

opposite it’s counterintuitive to

opposite it’s counterintuitive to everything we’ve been doing all their

everything we’ve been doing all their

everything we’ve been doing all their lives children are learning and growing

lives children are learning and growing

lives children are learning and growing and improving every day gaining skills

and improving every day gaining skills

and improving every day gaining skills cognitively but when one of our loved

cognitively but when one of our loved

cognitively but when one of our loved ones develops demented they are not able

ones develops demented they are not able

ones develops demented they are not able to learn they’re not gaining and skills

to learn they’re not gaining and skills

to learn they’re not gaining and skills they’re losing skills and Trust in

they’re losing skills and Trust in

they’re losing skills and Trust in America it’s really hard to not seek

America it’s really hard to not seek

America it’s really hard to not seek solution or improvement or hope but

solution or improvement or hope but

solution or improvement or hope but there’s a different kind of hope and and

there’s a different kind of hope and and

there’s a different kind of hope and and that’s why I’m here today because we can

that’s why I’m here today because we can

that’s why I’m here today because we can do it we can look after people who have

do it we can look after people who have

do it we can look after people who have dementia if we know what their strengths

dementia if we know what their strengths

dementia if we know what their strengths are so here’s their strengths and this

are so here’s their strengths and this

are so here’s their strengths and this is a picture of dementia this is what

is a picture of dementia this is what

is a picture of dementia this is what dementia looked to me looked like to me

dementia looked to me looked like to me

dementia looked to me looked like to me after I’d worked for about eight years

after I’d worked for about eight years

after I’d worked for about eight years with many people who lived alone in

with many people who lived alone in

with many people who lived alone in their own homes even though they had

their own homes even though they had

their own homes even though they had dementia so it doesn’t look medical I

dementia so it doesn’t look medical I

dementia so it doesn’t look medical I haven’t listed the types of dementia

haven’t listed the types of dementia

haven’t listed the types of dementia people can get I don’t have a list there

people can get I don’t have a list there

people can get I don’t have a list there of dementia related behaviors what this

of dementia related behaviors what this

of dementia related behaviors what this is is the set of six skills that every

is is the set of six skills that every

is is the set of six skills that every one of us can use at will with our

one of us can use at will with our

one of us can use at will with our healthy brains and right now while I’m

healthy brains and right now while I’m

healthy brains and right now while I’m talking I’m primarily using my rational

talking I’m primarily using my rational

talking I’m primarily using my rational thinking skills my memory and

thinking skills my memory and

thinking skills my memory and mindfulness the skills on the left-hand

mindfulness the skills on the left-hand

mindfulness the skills on the left-hand side and each of you are primarily doing

side and each of you are primarily doing

side and each of you are primarily doing the same your

the same your

the same your using the skills on the left-hand side

using the skills on the left-hand side

using the skills on the left-hand side and those are the three skills that the

and those are the three skills that the

and those are the three skills that the person who’s experiencing dementia will

person who’s experiencing dementia will

person who’s experiencing dementia will lose but that’s not really bad news if

lose but that’s not really bad news if

lose but that’s not really bad news if they have a companion family somebody

they have a companion family somebody

they have a companion family somebody who cares who can take care of those

who cares who can take care of those

who cares who can take care of those things for them because the really fun

things for them because the really fun

things for them because the really fun stuff is all on the right-hand side

stuff is all on the right-hand side

stuff is all on the right-hand side right intuitive thought intuitive

right intuitive thought intuitive

right intuitive thought intuitive thought is how we access beauty enjoy

thought is how we access beauty enjoy

thought is how we access beauty enjoy nature enjoy music it’s creativity it’s

nature enjoy music it’s creativity it’s

nature enjoy music it’s creativity it’s also how we feel our own feelings and

also how we feel our own feelings and

also how we feel our own feelings and it’s how we interpret and receive the

it’s how we interpret and receive the

it’s how we interpret and receive the feelings of the people around us and

feelings of the people around us and

feelings of the people around us and it’s our experiential selves that part

it’s our experiential selves that part

it’s our experiential selves that part of us that exists right now in the

of us that exists right now in the

of us that exists right now in the moment receiving all kinds of sensory

moment receiving all kinds of sensory

moment receiving all kinds of sensory stimulation information from our five

stimulation information from our five

stimulation information from our five senses that’s what keeps us connected

senses that’s what keeps us connected

senses that’s what keeps us connected and and mindlessness isn’t it lovely

and and mindlessness isn’t it lovely

and and mindlessness isn’t it lovely that we don’t have to think ourselves

that we don’t have to think ourselves

that we don’t have to think ourselves consciously through every task we do

consciously through every task we do

consciously through every task we do every day I can make coffee in my sleep

every day I can make coffee in my sleep

every day I can make coffee in my sleep I do it regularly so the person with

I do it regularly so the person with

I do it regularly so the person with dementia can do the same thing they can

dementia can do the same thing they can

dementia can do the same thing they can use mindlessness skills automatic

use mindlessness skills automatic

use mindlessness skills automatic thinking scripts muscle memory but only

thinking scripts muscle memory but only

thinking scripts muscle memory but only for as long as we don’t move them out of

for as long as we don’t move them out of

for as long as we don’t move them out of their familiar location so example

their familiar location so example

their familiar location so example examples always work best Bob and Anne

examples always work best Bob and Anne

examples always work best Bob and Anne high school sweethearts married for six

high school sweethearts married for six

high school sweethearts married for six decades

Anne was diagnosed five years ago with

Anne was diagnosed five years ago with dementia and Bob is becoming exhausted

dementia and Bob is becoming exhausted

dementia and Bob is becoming exhausted from her dementia related behaviors and

from her dementia related behaviors and

from her dementia related behaviors and the other morning they had to go down to

the other morning they had to go down to

the other morning they had to go down to downtown to a dentist appointment so Bob

downtown to a dentist appointment so Bob

downtown to a dentist appointment so Bob sits and down on the couch he kisses her

sits and down on the couch he kisses her

sits and down on the couch he kisses her on the forehead and he says darlin why

on the forehead and he says darlin why

on the forehead and he says darlin why don’t you put your shoes and socks on

don’t you put your shoes and socks on

don’t you put your shoes and socks on and I’ll go take care of the dog

and I’ll go take care of the dog

and I’ll go take care of the dog and he leaves the room in a minute later

and he leaves the room in a minute later

and he leaves the room in a minute later he comes back and there’s an and sitting

he comes back and there’s an and sitting

he comes back and there’s an and sitting on the couch she has one foot bare one

on the couch she has one foot bare one

on the couch she has one foot bare one shoe on and she’s trying to put a sock

shoe on and she’s trying to put a sock

shoe on and she’s trying to put a sock over the toe of the shoe now Bob feels a

over the toe of the shoe now Bob feels a

over the toe of the shoe now Bob feels a little flash of frustration a little bit

little flash of frustration a little bit

little flash of frustration a little bit of irritation and a little bit of panic

of irritation and a little bit of panic

of irritation and a little bit of panic because they really need to hurry and so

because they really need to hurry and so

because they really need to hurry and so as he comes into the room he says no

as he comes into the room he says no

as he comes into the room he says no honey no you know how to put on shoes

honey no you know how to put on shoes

honey no you know how to put on shoes and socks you’ve been doing it your

and socks you’ve been doing it your

and socks you’ve been doing it your whole life

whole life

whole life socks first socks first and he hurries

socks first socks first and he hurries

socks first socks first and he hurries down the hall to brush his teeth he

down the hall to brush his teeth he

down the hall to brush his teeth he comes back in a few minutes later now

comes back in a few minutes later now

comes back in a few minutes later now Anna’s sitting there holding a sock and

Anna’s sitting there holding a sock and

Anna’s sitting there holding a sock and now he is frustrated and now he is

now he is frustrated and now he is

now he is frustrated and now he is worried because they’ve got to get ready

worried because they’ve got to get ready

worried because they’ve got to get ready before the daughter comes and so he

before the daughter comes and so he

before the daughter comes and so he reaches for the sock and he says fine

reaches for the sock and he says fine

reaches for the sock and he says fine I’ll do it and she reaches for him and

I’ll do it and she reaches for him and

I’ll do it and she reaches for him and she hits him and when the daughter

she hits him and when the daughter

she hits him and when the daughter arrives a few minutes later both parents

arrives a few minutes later both parents

arrives a few minutes later both parents are in tears and Bob is trying to

are in tears and Bob is trying to

are in tears and Bob is trying to restrain and and Anna’s trying to hit

restrain and and Anna’s trying to hit

restrain and and Anna’s trying to hit him and this is what we call combative

him and this is what we call combative

him and this is what we call combative behavior right it’s symptom of dementia

behavior right it’s symptom of dementia

behavior right it’s symptom of dementia and so what happened what did Bob do

and so what happened what did Bob do

and so what happened what did Bob do wrong why did it happen that way

Bob didn’t realize that but he asked and

Bob didn’t realize that but he asked and to do several things that she did not

to do several things that she did not

to do several things that she did not have the ability to do

have the ability to do

have the ability to do she doesn’t have rational thought so she

she doesn’t have rational thought so she

she doesn’t have rational thought so she can’t follow the steps in a process and

can’t follow the steps in a process and

can’t follow the steps in a process and he asked her to do two things at once

he asked her to do two things at once

he asked her to do two things at once shoes and socks and then he gave her

shoes and socks and then he gave her

shoes and socks and then he gave her directions socks first and he asked her

directions socks first and he asked her

directions socks first and he asked her to use her remembering self or memory to

to use her remembering self or memory to

to use her remembering self or memory to recall something she’d done her whole

recall something she’d done her whole

recall something she’d done her whole life and in doing that he put her on the

life and in doing that he put her on the

life and in doing that he put her on the spot and he embarrassed her and that

spot and he embarrassed her and that

spot and he embarrassed her and that never goes really well in a marital

never goes really well in a marital

never goes really well in a marital relationship and the mindlessness tools

relationship and the mindlessness tools

relationship and the mindlessness tools that she probably still had at her

that she probably still had at her

that she probably still had at her disposal if she don’t even give in one

disposal if she don’t even give in one

disposal if she don’t even give in one step in the task went right out the

step in the task went right out the

step in the task went right out the window when that turned into a really

window when that turned into a really

window when that turned into a really negative event in her life

negative event in her life

negative event in her life how could Bob have done it differently

how could Bob have done it differently

how could Bob have done it differently if Bob knew what her disabilities were

if Bob knew what her disabilities were

if Bob knew what her disabilities were but he knew what her strengths were if

but he knew what her strengths were if

but he knew what her strengths were if Bob knew that Ann had fully operational

Bob knew that Ann had fully operational

Bob knew that Ann had fully operational intuitive thought and was picking up

intuitive thought and was picking up

intuitive thought and was picking up every one of his emotions like radar

every one of his emotions like radar

every one of his emotions like radar then he could have been very careful not

then he could have been very careful not

then he could have been very careful not to display or feel his frustration what

to display or feel his frustration what

to display or feel his frustration what if he dealt with the whole thing

if he dealt with the whole thing

if he dealt with the whole thing differently let’s say bob says he ran

differently let’s say bob says he ran

differently let’s say bob says he ran sit down on the couch kisses her on the

sit down on the couch kisses her on the

sit down on the couch kisses her on the forehead and says here honey here’s your

forehead and says here honey here’s your

forehead and says here honey here’s your favorite blue socks I love the way they

favorite blue socks I love the way they

favorite blue socks I love the way they bring out the color in your beautiful

bring out the color in your beautiful

bring out the color in your beautiful blue eyes why don’t you put your socks

blue eyes why don’t you put your socks

blue eyes why don’t you put your socks on and I’ll go put Muffy out and a

on and I’ll go put Muffy out and a

on and I’ll go put Muffy out and a minute later he comes back in and maybe

minute later he comes back in and maybe

minute later he comes back in and maybe she got the socks on maybe she didn’t

she got the socks on maybe she didn’t

she got the socks on maybe she didn’t and he kneels down and he helps her put

and he kneels down and he helps her put

and he kneels down and he helps her put the socks on then he says wonderful

the socks on then he says wonderful

the socks on then he says wonderful darling thanks so much

darling thanks so much

darling thanks so much how about you put your shoes on well I

how about you put your shoes on well I

how about you put your shoes on well I go brush my teeth

go brush my teeth

go brush my teeth well this time nobody got put in the

well this time nobody got put in the

well this time nobody got put in the spot nobody’s been asked to do something

spot nobody’s been asked to do something

spot nobody’s been asked to do something they cannot do and and this time Ann

they cannot do and and this time Ann

they cannot do and and this time Ann feels like she has a partner she feels

feels like she has a partner she feels

feels like she has a partner she feels like she and her husband are working

like she and her husband are working

like she and her husband are working together like they always did and so

together like they always did and so

together like they always did and so this time maybe she did succeed in

this time maybe she did succeed in

this time maybe she did succeed in putting on shoes as a single task but

putting on shoes as a single task but

putting on shoes as a single task but one thing that happened for sure is her

one thing that happened for sure is her

one thing that happened for sure is her experience Hill self continued to

experience Hill self continued to

experience Hill self continued to experience the present in a very

experience the present in a very

experience the present in a very comfortable way she felt loved she felt

comfortable way she felt loved she felt

comfortable way she felt loved she felt safe and you know it doesn’t matter

safe and you know it doesn’t matter

safe and you know it doesn’t matter whether we are children or adults

whether we are children or adults

whether we are children or adults whether we have a disease or we don’t

whether we have a disease or we don’t

whether we have a disease or we don’t have a disease and it doesn’t matter

have a disease and it doesn’t matter

have a disease and it doesn’t matter whether we have dementia or not we all

whether we have dementia or not we all

whether we have dementia or not we all have the same human emotional needs and

have the same human emotional needs and

have the same human emotional needs and when somebody’s experiencing progressive

when somebody’s experiencing progressive

when somebody’s experiencing progressive cognitive impairment yeah those skills

cognitive impairment yeah those skills

cognitive impairment yeah those skills they have at their disposal are changing

they have at their disposal are changing

they have at their disposal are changing they’re going to be using the three on

they’re going to be using the three on

they’re going to be using the three on the right hand side of my table but they

the right hand side of my table but they

the right hand side of my table but they still need to feel secure and they still

still need to feel secure and they still

still need to feel secure and they still need to feel successful in social

need to feel successful in social

need to feel successful in social situations and have a sense of

situations and have a sense of

situations and have a sense of well-being

well-being

well-being in control able to make decisions it

in control able to make decisions it

in control able to make decisions it doesn’t go away when we get dementia so

doesn’t go away when we get dementia so

doesn’t go away when we get dementia so that’s why I’m here today we can do this

that’s why I’m here today we can do this

that’s why I’m here today we can do this we we raise children we’ve been doing

we we raise children we’ve been doing

we we raise children we’ve been doing that for decades centuries entire

that for decades centuries entire

that for decades centuries entire civilizations and we can be kind to

civilizations and we can be kind to

civilizations and we can be kind to people as they get dementia because we

people as they get dementia because we

people as they get dementia because we can we can learn this simple little

can we can learn this simple little

can we can learn this simple little pattern of the skills they retain so

pattern of the skills they retain so

pattern of the skills they retain so thank you and I look forward to having

thank you and I look forward to having

thank you and I look forward to having many families joining in this new way of

many families joining in this new way of

many families joining in this new way of approaching dementia care

approaching dementia care

approaching dementia care [Applause]

”

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