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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.

To use note-taking effectively, you need to understand that its primary value is not in the record you produce, it is in the process itself. The process of taking notes guides the memory codes you make. Note-taking is a strategy for making information meaningful. It is therefore only effective to the extent that you paraphrase, organize and make sense of the information while taking notes.

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.

Have you ever been driving a car and suddenly you’re not sure what to do? You’re traveling along in usual automatic fashion and there comes a moment when you need to engage a new subroutine — say, you need to give way at an intersection, or you stall at the traffic lights, or you stop the car — and suddenly, you don’t know what to do. There’s a flash of panic, even while you’re thinking, “This is stupid, I’ve done this a thousand times”, and then, maybe it’s all right, maybe you have to take a moment to get your head in the right space, and ...

Creating a face-name association

• Select a distinctive feature of the face (nose).
• Select a word or phrase that sounds like the name (con rat for Conrad).
• Create an interactive image linking the distinctive feature with the keyword(s) (a man in a prisoner’s uniform — con — rides a rat that slides down the nose).

To remember the name on seeing the face again, you must:

• Identify the distinctive feature that you used when encoding (nose).

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:

Except in the cases of stroke or traumatic brain injury, loss of cognitive function is not something that happens all at once. Cognitive impairment that comes with age may be thought of as belonging on a continuum, with one end being no cognitive impairment and the other end being dementia, of which Alzheimer's is the most common type.

Until recent times, attention has always been quite a mysterious faculty. We’ve never doubted attention mattered, but it’s only in the past few years that we’ve appreciated how absolutely central it is for all aspects of cognition, from perception to memory. The rise in our awareness of its importance has come in the wake of, and in parallel with, our understanding of working memory, for the two work hand-in-hand.

Short-term vs long-term memory

Working memory is a relatively recent term, a refinement of an older concept - that of short-term memory. Short-term memory was called thus to distinguish it from "long-term memory" - your memory store.

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