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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.

The evidence that diet, physical exercise, and mental stimulation all help prevent age-related cognitive decline and reduce the risk of mild cognitive impairment and Alzheimer’s, is now very convincing.

Studies of mice and (rather intriguingly) beagles, have provided evidence that ‘enriched’ environments — ones that provide opportunities for regular exercise and mental stimulation — reduce or prevent age-related cognitive decline, and reduce the risk of Alzheimer’s.

Here are some notes on the water cycle:

You may have heard of “g”. It’s the closest we’ve come to that elusive attribute known as “intelligence”, but it is in fact a psychometric construct, that is, we surmise its presence from the way in which scores on various cognitive tests positively correlate.

In other words, we don’t really know what it is (hence the fact it is called “g”, rather than something more intelligible), and in fact, it is wrong to think of it as a thing. What it is, is a manifestation of some property or properties of the brain — and we don’t know what these are.

In the following case study, I explore in depth the issue of learning the geological time scale — names, dates, and defining events. The emphasis is on developing mnemonics, of course, but an important part of the discussion concerns when and when not to use mnemonics, and how to decide.

The Geological Time Scale

Phanerozoic Eon 542 mya—present

  Cenozoic Era 65 mya—present

A perennial topic in the arena of memory improvement is the question of “food for the brain”, and in particular, whether there are dietary supplements that can improve your mental abilities. While my own emphasis is improvement through development and practice of skills, I don’t dismiss the possibility of improvement through more physical means. I myself am a great fan of the “you are what you eat” principle. This is mainly because I suffer from multiple food sensitivities, so the consequences of food are very much a reality for me.

Two large-scale international studies have become established to compare countries' performance in the core subjects of literacy, mathematics and science.

TIMSS: Trends in International Mathematics and Science Study

TIMSS is an international study involving 50 countries that assesses math and science achievement at four year intervals. It has been running since 1995. Students are assessed in the 4th and 8th years of school, and in their final year. The next assessment round will be in 2007.

Consider our facts about blood:

• arteries are thick and elastic and carry blood that is rich in oxygen from the heart.
• veins are thinner, less elastic, and carry blood rich in carbon dioxide back to the heart.

We could, as is often advised, simply turn these into why questions. And we can answer these on the basis of the connections we’ve already made:

Why are arteries elastic?

Because they need to accommodate changes in pressure

Why are arteries thick?

Because they need to accommodate high pressure

I’ve always been interested in the body’s clocks — and one of the most interesting things is that it is clocks, in the plural. It appears the main clock is located in a part of the brain structure called the hypothalamus (a very important structure in the brain, although not one of much importance to learning and memory). The part of the hypothalamus that regulates time is called the suprachiasmatic nuclei. These cells contain genes that switch on, off, and on again over a 24-hour period, and send electrical pulses and hormones through the body. This is the body’s master clock.

Vocabulary is a sticking point for many language learners. That’s because words have a certain arbitrary quality that makes them hard to memorize. There are two strategies which are very effective with this task: the keyword mnemonic, and retrieval practice. I have written about these extensively in my books Mnemonics for Study, and How to revise & practice.