Author: Rosette Pavkov

What is Project Present? 

Ann Marie Mohr (Executive Director) established Project Present to enhance the quality of life of individuals living with Alzheimer’s disease and related dementias. Through improv workshops, Project Present enhances communication and creativity between older adults, care partners, and individuals living with Alzheimer’s disease. For more information about the importance of nonverbal communication consider hearing from Ann Marie herself! 

Who is Ann Marie Mohr? 

Ann Marie Mohr founded Project Present as a 501(c)(3) organization in 2018. Mohr has her M.A. in Drama, is a Professional Applied Improv Practitioner, and a Master Interprofessional Educator. Additionally, she’s participated in Washington University’s Alzheimer’s Disease Research Center’s Clinician Partner’s Program and holds certification as a Dementia Practitioner.

Above all, Ann Marie aims to nurture connection, alleviate stress, and inspire creative solutions and collaboration. With a teaching role in Embodied Communication, Acting, and Improvisation at Washington University, Mohr applies her expertise to facilitating workshops for businesses and organizations.  Mohr’s previous accomplishments include establishing OnSite Theater, where she served as Artistic Director for ten years, and Mohr Improv.

What are Crucial Communication Strategies?

Project Present emphasizes crucial communication strategies for interacting with individuals with dementia. The primary approach is to slow down both in speech and actions to ensure clarity and comprehension. With the understanding that people with dementia may require 60 to 100 seconds to process a request, it’s vital to remain patient and avoid repeating instructions in varied ways. Instead, if repetition is necessary, it should be done using the exact same wording to avoid resetting the processing time.

Mohr also advises on the importance of being specific and clear in communication without overcomplicating instructions. For instance, simply asking a partner to put on their coat should be kept straightforward without additional details that may cause confusion.

Another key point is the power of mirroring actions. If the individual has a very slow processing time, mirroring actions, like walking to the closet together to get coats, can be beneficial. 

Making eye contact and ensuring face-to-face interaction can significantly enhance the connection and make the message clearer. Lastly, being cognizant of the environment is crucial; noisy or overstimulating environments can hinder communication. It’s suggested to be mindful of these surroundings to improve understanding and comprehension. Mohr concludes by noting that these strategies not only strengthen connections but also foster better understanding between caregivers and their partners.

What is the “Yes, and” Approach?  

“Yes, and” is about accepting and building upon whatever scenario is presented by the other person. This approach is beneficial in caregiving as it aligns with the unique reality of a person with dementia, thus reducing stress and conflict.

For example, in improv, if an actor points out a bear climbing through the window, responding with “Yes, And it’s bringing oranges” keeps the scene alive and builds a trusting connection. Similarly, when a person with dementia expresses a desire to do something like driving, instead of saying no, using “Yes, And” to acknowledge and gently redirect the conversation can lead to a more positive outcome, such as making a list for the store together and then enjoying a cup of tea.

This technique is not about lying but about validating the individual’s experience and truth. It’s a means to maintain their dignity, reduce frustration, and enhance the caregiving relationship. Another instance might be agreeing with a person with dementia who feels they are at the beach, thus entering their reality and allowing for a meaningful, stress-free connection.

In essence, “Yes, And” is a powerful tool that can be used in various situations to foster a more supportive and less confrontational environment, ultimately benefiting both the caregiver and the person with dementia.

What else does Project Present Offer? 

Beyond communication training, Project Present provides:

Transformative improv workshops across the St. Louis area, creating spaces for older adults, caregivers, and those with Alzheimer’s and related dementias to connect joyfully and collaborate creatively. These sessions, filled with laughter and acceptance, nourish the mind, body, and soul, reinforcing the belief that there are no mistakes in the art of improvisation.

Training for families and professionals who are seeking to enhance communication techniques and reduce stress. These sessions offer guidance for managing various phases of the disease and provide resources to bolster the well-being of caregivers.

Lastly, Project Present hosts support groups and creates a nurturing space dedicated to offering attentive support, effective strategies, and valuable resources that enhance the quality of life for caregivers. Project Present hosts both in-person and virtual Zoom support group sessions, and we invite everyone to participate.

Unlock Your Potential with Project Present!

Join Private Home Care’s  partner in a journey where creativity meets care, and laughter is just the beginning. Connect with others, reduce stress, and spark your creative flair through our improv workshops and communication training. Whether you’re navigating the challenges of dementia or looking to enrich your caregiving skills, Project Present offers the opportunity to rekindle joy and foster meaningful interactions. Sign up now and transform your life and those you care for with the power of improvisation. 

Meet Our Caregiver, Lucy

Lucy is a compassionate caregiver with over 15 years of experience dedicated to improving the lives of others. With a lasting client relationship of three years, she has consistently provided dependable care and built strong connections.

Lucy holds a Certified Nursing Assistant (CNA) certification and treasures her weekends spent watching sitcoms and romcoms with her children, with “Modern Family” as her favorite. These moments reflect her nurturing, empathetic, and caring nature in and out of her profession.

Lucy has acquired invaluable experience in her caregiving career, specializing in dementia, Parkinson’s, and mobility impairment care. She is also skilled in hospice care, catheter care, post-hospital support, and assisting with bathing and showering.

Lucy is more than just a caregiver; she’s a compassionate companion who prioritizes her clients’ comfort and well-being. Her extensive experience and genuine empathy make her a trusted and invaluable member of the caregiving community.

Meet Lucy’s Client, Jeannette

Jeannette is a delightful client in her late 70s who finds joy in the simple pleasures of life despite her dementia. Jeannette is an avid TV watcher, and her face lights up when her favorite shows come on. Whether it’s classic series or newer ones, TV time brings her comfort and laughter. Additionally, Jeannette relishes the experience of going on walks. Stepping outside, she enjoys the fresh air and the sights and sounds of nature. These walks provide her with a sense of tranquility and happiness, offering precious moments of connection with the world around her.

Their Day Together

6:50 AM: Lucy arrives ten minutes early at her Jeannette’s home and begins her duties. Lucy reviews her client’s dietary needs and restrictions, then prepares egg whites with a side of blueberry yogurt.

8:30 AM: Following breakfast, Lucy assists Jeannette with a bath. She brushes her clients hair and teeth. Lucy and Jeannette decided that today, Jeannette will wear her favorite purple dress. Afterwards, Lucy reminds Jeannette to take her morning medication.

9:00 AM: Jeannette completes a short exercise routine that promotes mobility and stimulates mental activity. They spend the rest of the morning playing cards.

12:00 PM: Lunchtime! Lucy prepares a Grilled Chicken Salad for her client and sets the table. Lucy keeps Jeannette company as she eats. They discuss Jeannette’s granddaughter who just graduated from high school.

1:00 PM: Jeannette requests a walk and Lucy checks the weather before agreeing. They walk over to the local park and feed some ducks before returning to Jeannette’s home for some TV time. They watch golden girls while enjoying some apple slices.

3:00 PM: Time for a medication reminder. Lucy retrieves Jeannette’s afternoon medication and some water.

4:30 PM: As evening approaches, Lucy assists Jeannette with dinner preparations, ensuring another nutritious and satisfying meal. While dinner is in the oven, Lucy updates Jeannette’s family on Jeannette’s day.

7:00 PM: Lucy helps Jeannette wind down for the day after dinner. Lucy ensures that Jeannette is comfortable in her pajamas and brings her a glass of water. Once Jeannette is satisfied, Lucy turns off the light and cleans up the living room. She waits until the night caregiver arrives and relieves her of her duties.

This day in the life of a caregiver at Private Home Care is a snapshot of their unwavering dedication to providing personalized care, companionship, and client support. It’s a profession driven by compassion, where every day is an opportunity to make a positive difference in someone’s life.

Are you looking to power up your diet? The Hieracium Erinaceus, also referred to as Lion’s Mane, is a delicious way to add an extra dose of health benefits to everyday meals! However, it is worth noting that while some promising research exists, more human trials are needed to substantiate these claims. Below are some of the benefits commonly attributed to Lion’s Mane:

Cognitive Enhancement

Several studies suggest that Lion’s Mane may promote nerve growth factor, which could benefit brain health. This has led to research on its potential to improve focus, memory, and other cognitive functions (Guan, et al. 2023). One small dietary addition could contribute to a healthier brain!

Neuroprotective Effects

Because of its potential to stimulate nerve growth factor, Lion’s Mane is being researched for its ability to slow or reverse cell degeneration in the brain, which is particularly important for diseases like Alzheimer’s and Parkinson’s (Guan, et al. 2023).

Mood Regulation

Some studies indicate that Lion’s Mane helps with symptoms of anxiety and depression, though the exact mechanisms are not fully understood.

Digestive Health

The mushroom has been used in traditional medicine for improving digestive health. It is thought to have anti-inflammatory properties that could benefit the gut.

Anti-Cancer Properties

Some research in animal studies suggests that Lion’s Mane has anti-cancer properties, particularly against certain types of leukemia and gastric cancers (Loizzo 2021).

Immune System Support

Though not as well-studied as other areas, some evidence suggests that Lion’s Mane can boost the immune system by increasing the activity of specific white blood cells.

Anti-Aging

Some proponents believe that its antioxidant properties can offer anti-aging benefits, although this is less substantiated by scientific evidence.

Always consult healthcare providers before starting any new supplement or embarking on a new dietary journey, especially if you have pre-existing conditions or are taking other medications.

Looking for a recipe to try? Let Real Mushrooms inspire you!

References

Guan, Y., Shi, D., Wang, S., Sun, Y., Song, W., Liu, S., & Wang, C. (2023). Hericium coralloides Ameliorates Alzheimer’s Disease Pathologies and Cognitive Disorders by Activating Nrf2 Signaling and Regulating Gut Microbiota. Nutrients, 15(17), 3799. https://doi.org/10.3390/nu15173799

Loizzo, Sanches-Silva, A. T., Loizzo, M. R., & Sanches-Silva, A. T. (2021). Natural Antioxidants: Innovative Extraction and Application in Foods. MDPI – Multidisciplinary Digital Publishing Institute.

A few years back, PHC hosted a webinar featuring the highly respected gerontologist Dr. Naomi Feil. Now in her 90s, Dr. Feil has gained international acclaim for her groundbreaking work in the development of Validation Therapy. This simple yet innovative approach stimulates people experiencing cognitive decline and their caregivers to partake in deeper, more meaningful communication.

What is Validation Therapy?

The intent of Validation Therapy extends beyond merely relieving stress; it’s about enhancing dignity and instilling happiness, joy, and comfort. By creating a supportive and empathetic environment, the Validation method facilitates the expression of feelings and experiences, contributing to more enriched interactions between caregivers and people with Alzheimer’s and other dementias. The result in better mood. In this webinar, Dr. Feil explains Validation in her own words and provides helpful tips for families and caregivers. Since its inception, Validation has been used around the world to help people.

Who is Naomi Feil?

Born in Munich, Germany in 1932, Naomi Feil was raised in the Montefiore Home for the Aged in Cleveland, Ohio. Her parents’ roles there, with her mother heading the Social Service Department and her father serving as the administrator, made her childhood environment deeply immersive in elderly care. This early exposure provided her with a unique perspective and a profound understanding of the challenges faced by the elderly, and it was instrumental in shaping her future contributions in gerontology.

Feil furthered her expertise by earning a Master’s degree in Social Work from Columbia University in the 1970s. Her solid academic foundation and empathetic understanding primed her to make a significant impact in her field.

In an era when cognitive impairments and dementia were often misunderstood, Feil became a trailblazer. She pioneered a compassionate, holistic approach known as Validation Therapy. This innovative method prioritizes empathy and creates avenues for individuals with cognitive deficits and dementia to communicate more effectively. Her approach was groundbreaking and it revolutionized the way we understand and provide care for people with cognitive impairments and dementia today. Through her work, Feil not only advanced the field of gerontology, but also created a lasting legacy in the realm of elderly care.

In conclusion, the Validation method, specially designed for older adults with cognitive decline, encourages increased communication, aids in stress reduction, and promotes dignity and happiness. This method enhances the quality of life and overall mood by stimulating interaction and fostering a supportive, serene environment. 

Dementia remains incurable, but Memory Keepers fights to slow its progression. Developed on the principles of Cognitive Stimulation Therapy and other evidence-based approaches, Memory Keepers curriculum applies engaging and remarkable methods to slow cognitive decline. Best of all, it’s delivered at home and may be covered by insurance. The co-founders of Memory Keepers, Cheryl Kinney and Britt Lueken, dedicate themselves to providing accessible resources and programs to professionals preparing to fight against memory loss. At Private Home Care, we’re proud to partner with Memory Keepers. In this blog, we’ll explore how Memory Keepers utilizes non-pharmaceutical interventions to limit cognitive decline and what to expect from their innovative programs. 

Why non-pharmaceutical treatment options?

Firstly, pharmaceutical interventions may temporarily slow disease progression. Two new drugs on the market, Aduhelm and Leqembi, treat the symptoms of dementia, but require IV infusions, may result in life-threatening side effects, and are not currently covered by Medicare.

Conversely, non-pharmaceutical interventions, for example, Cognitive Stimulation Therapy (CST), improve cognitive function and reduce depression in memory loss sufferers. According to the 2011 World Alzheimer’s Report by Alzheimer’s Disease International, the early implementations of non-pharmaceutical interventions are not cures but have been linked to delays in institutionalization, reduced hospitalizations, and lead to fewer physician appointments overall. Memory Keepers designs programs that make the execution of non-pharmaceutical interventions accessible. 

CST, initially designed for groups, comes in many different formats. Though research shows that one-on-one CST has not been as effective as the programs facilitated in community/group settings, studies show increased cognitive function and quality of life. Additionally, these studies report a positive correlation between caregiver and client relationships. Since their conception in 2020, Memory Keepers has replicated the results of CST studies in their own groups. Within these groups, they note a slower decline in cognitive function, improved mood and quality of life, and decreased caregiver stress.

In addition to CST, Memory Keepers offers older adults the opportunity to stay engaged in a community. Executive Editor of Harvard Men’s Health, Matthew Solan explains, “Lonely people ages 60 to 79 were three times more likely to develop dementia than their counterparts who did not report feeling lonely.” Chronic loneliness contributes to the decline of older individuals, but Memory Keepers offers programs to help. Memory Keepers invites individuals facing memory loss to join their peers for stimulating activities that engage all the senses and stimulate group conversation.

Memory Keepers caters to those experiencing mild to moderate dementia and older adults who worry about their cognitive health. They utilize the seven areas of engagement to provide meaningful interactions and maximize an individual’s memory retention. Memory Keepers prepares facilitators to support participants with various barriers, from word finding difficulty to focus. It creates a patient and welcoming environment to improve the quality of life for all parties.

What to Expect at Memory Keepers

Memory Keepers offers group classes and individual sessions. Group classes run for one hour a week and come in sets of 15. Classes ideally host 8 to 10 participants and discuss a range of topics. Individual sessions run from 45 minutes to one hour weekly. Memory Keepers tailors individual sessions to the abilities and interests of every participant. The program encourages care partners and/or paid companions to play an active role in the individual sessions.

The Memory Keepers subscription-based program can be offered in-person or virtually, spreading the reach of this important intervention. Their programs are ready to go, designed around the seven principles of engagement, and leave room for personalization. Subscriptions are geared towards professionals seeking to expand their memory care repertoire. Professionals receive facilitator training, resource guides with speaker notes, and links to outside media they reference. Additionally, they include form templates and assessment tools, which monitor treatment progress and disease progression. 

Join the Memory Keepers Family

Memory Keepers, designed by people who care, for people who care, prioritizes quality of life, communication, and independent thinking. Their programs provide hope to those struggling with memory loss and community to caregivers. Whether you have memory concerns, are a caregiver, or are a professional, Memory Keepers has something for you. For more information, please visit the Memory Keepers website or call Private Home Care at (844) – 785 – 2273. 

Let’s unpack this crucial topic.

At Private Home Care, vetting a caregiver involves a series of steps designed to ensure that the individual is qualified, trustworthy, and capable of providing high-quality care. Our vetting process goes above and beyond to verify the skills and credentials of every applicant. PHC accepts top caregivers exclusively because we offer higher pay, benefits, and work consistency.

Step One: Virtual Interview

At our applicant’s earliest convenience, we conduct a phone interview. Applicants discuss their field experiences and review their resumes. Our virtual interview allows us and our applicants to see if we are a good match, which is a vital part of the vetting process.

Step Two: In-Person Interviews/Meet & Greet

If we see a potential within an applicant, we invite them to one of our three offices for a formal interview. At the interview, we require the applicant to provide a few forms of identification. We use this information to verify their licenses, certifications, and skills. Additionally, before hiring an applicant, PHC performs a criminal background check, a review of driving records, and family care safety registry check. We aim to identify any potential red flags that indicate the caregiver is unsuitable for the role.

Moreover, at PHC, we are looking for the best, and though it is not required, we strive to have Certified Nursing Assistants (CNAs) or CPR-certified staff. We ask applicants to re-verify their skills and abilities concerning caregiving. Assessing the caregiver’s past work experience is critical to understanding their suitability for the role.

As we proceed through the vetting process, we search for the spark. Caregiving is no easy task; it requires passionate, consistent, and hard-working individuals.

We delve into their personal profile once we have assessed their professional attributes. PHC uncovers what makes every applicant unique, their goals, how they work to achieve them, and their hobbies. We compile this information for our match profiles. At PHC, we are searching for the perfect match for every client and need a well-rounded staff ready to accommodate any request.

Step Three: Orientation

Hired applicants return for an orientation day, where they learn the ins and outs of their duties. In addition to this, PHC invites all hired staff to special lunch-on-us events, where we invite speakers to discuss new ways to improve caregiving.

Step Four: On the Job

Lastly, our vetting process does not end once an applicant is hired. Our caregivers are held accountable throughout their tenure at PHC. We take client feedback and use it to improve our services. At any time, a client can leave a review on their caregiver. Scan the QR code located on every caregiver’s badge. Positive or negative, we want to hear your thoughts on our caregivers.