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Movement with Meaning: A Multisensory Program for Individuals in Early-Stage Alzheimer's Disease

Those of us in the field of dementia care are reexamining our philosophical beliefs and exploring practical, hands-on approaches in our relationships with individuals living with Alzheimer's disease. We are creating innovative programs and developing a new framework for preserving the emotional health, autonomy, and dignity of those who need us to walk hand in hand with them, witnessing the process of their experiences with empathy and respect.

Many people, particularly as they get older, have concerns about short-term memory problems: going to another room to do something and then forgetting why you’re there; deciding to do something, becoming distracted by another task, and then forgetting the original intention; uncertainty about whether you have just performed a routine task; forgetting things you’ve said or done seconds after having said or done them; thinking of something you want to say during a conversation, then forgetting what it was by the time it’s your turn to speak, and so on.

Song is a wonderful way to remember information, although some songs are better than others. Songs that help you remember need to have simple tunes, with a lot of repetition -- although a more complex tune can be used if it is very familiar. Most importantly, the words should be closely tied to the tune, so that it provides information about the text, such as line and syllable length. You can read more about this in my article on Music as a mnemonic aid, but here I simply want to mention a few specific songs designed for teaching facts.

Difficulty in remembering people’s names is one of the most common memory tasks that people wish to be better at. And the reason for this is not that their memory is poor, but because it is so embarrassing when their memory lets them down.

This isn’t just an issue at a personal level. It’s a particular issue for anyone who has to deal with a lot of people, many of whom they will see at infrequent intervals. Nothing makes a person — a client, a customer, a student — feel more valued than being remembered.

Frances Yates described the memory strategy valued by the ancient Greeks and Romans as the "Art of Memory" in her widely quoted and seminal book The Art of Memory. Today we know it as the method of loci. But the Art of Memory, as those of the ancient world and those of the medieval world practiced it, is far richer than is implied by that title.

In the mid-seventies, Raugh and Atkinson had remarkable results using the keyword method to teach Russian vocabulary to college students. While later studies have not tended to find such dramatic results, nevertheless, a large number of studies have demonstrated an advantage in using the keyword mnemonic to learn vocabulary.

Some researchers have become huge fans of the strategy. Others have suggested a number of limitations. Let’s look at these.

I don't think anyone's going to try arguing that fruit and vegetables are not good for your health! We know they're good. But that's just general "oh, I know it's good for me" — do you know that the benefits are not only for your general health, your protection against obesity and diabetes, cancer and heart disease, but also for your brain. Actually, there's two aspects to this. An unhealthy diet (one rich in junk food, in saturated fat and sugar) is actively bad for your brain, and (the right) healthy diet is actively good for your brain.

Broadly speaking, a concept map is a graphic display that attempts to show how concepts are connected to each other. A concept map is a diagram in which labeled nodes represent concepts, and lines connecting them show the relationships between concepts.

There is one type of concept map you’re probably all aware of — mind maps. Mind maps are a specialized form of concept map popularized very successfully by Tony Buzan.

A mind map has four essential characteristics:

The two types of first-letter mnemonics

First-letter mnemonics are, as their name suggests, memory strategies that use the initial letters of words as aids to remembering. This can be an effective technique because initial letters are helpful retrieval cues, as anyone who has endeavored to remember something by mentally running through the letters of the alphabet can attest to.

There are two types of first-letter mnemonic:

I want to talk to you this month about an educational project that’s been running for some years here in New Zealand. The Project on Learning spent three years (1998-2000) studying, in excruciating detail, the classroom experiences of 9-11 year olds. The study used miniature videocameras, individually worn microphones, as well as trained observers, to record every detail of the experiences of individual students during the course of particular science, maths, or social studies units.