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© Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Using Music

and Humor in

Dementia Care


Sing

Dance or move

Use song to connect

Use song to express how you feel

Use song to encourage gathering

Use song to signal changes/transitions

Use music to calm or stimulate

Use music to celebrate

How Can Music Be Used?


The GEMS® Progression:

Abilities Affect How Music and

Humor Should be Used

Sapphires: True Blue – Slower but Fine

Diamonds: Repeats and Routines, Cutting

Emeralds: Going – Time Travel – Where?

Ambers: In the Moment – Sensations

Rubies: Stop and Go – Big Movements

Pearls: Hidden in a Shell - Immobile

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Sapphires

- Us on a good day

- Clear and true to ourselves

- May feel ‘blue’ over changes

- Can typically choose our behavior

- May have other health issues that affect behaviors

- Recognize life experiences, achievements and values

- Can follow written info and hold onto it


Diamonds

-Sharp, hard, rigid, inflexible, can cut

-Many facets, still often clear, can really shine

-Are usually either Joiners or Loners

-Can complete personal care in familiar place

-Usually can follow simple prompted schedules

-Misplaces things and can’t find them

-Resents takeover or bossiness

-Notices other people’s misbehavior and mistakes

-Vary in lack of self-awareness

-Use old routines and habits

-Control important roles and territories, use refusals


Emeralds

-Changing color

-Not as clear or sharp, more vague

-On the go, need to ‘do’

-Flaws may be hidden

-Time traveling is common

-Are usually Doers or Supervisors

-Do what is seen, but miss what is not seen

-Must be in control, but not able to do it correctly

-Do tasks over and over, or not at all

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Ambers-Amber Alert- Caution!

-Caught in a moment

-All about sensation and sensory tolerance,

easily over or under stimulated

-May be private and quiet or public and noisy

-No safety awareness

-Ego-centric

-Lots of touching, handling, tasting, mouthing,

manipulating

-Explorers, get into things, invade space

-Do what they like and avoid what they do not


Rubies:-Hidden depths

-Major loss of fine motor finger and mouth skills, but can do gross motor skills like walking, rolling, rocking

-Comprehension and speech halted

-Wake-sleep patterns very disturbed

-Balance, coordination, and movement losses

-Eating and drinking patterns may change

-Tends toward movement unless asleep

-Follows gross demonstration and big gestures for actions

-Limited visual awareness

-Major sensory changes


Pearls:-Hidden in a shell: still, quiet, easily lost

-Beautiful and layered

-Spends much time asleep or unaware

-Unable to move, bed or chair bound, frequently fall

forward or to side

-May cry out or mumble often, increases

vocalizations with distress

-Can be difficult to calm, hard to connect

-Knows familiar from unfamiliar

-Primitive reflexes

-The end of the journey is near, multiple systems are

failing

-Connections between the physical and sensory

world are less strong but we may be the

bridge

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Learning Songs

Using Music

Having Fun with Music

Music – Singing Songs:


Two Main Options:

Quiet and Calm:

•Soothing rhythm

•Slow speed

•Deep pitch

•Quiet themes

•Personal

background

Stimulate and Excite:

•Upbeat rhythms

•Faster speeds

•Higher pitches

•Fun/play themes

•Personal

background


Know Each Person:

• Favorite artists

• Favorite types of

music

• Favorite songs

• Meaningful Songs:

•Comfort songs

• Fun songs

• Life story songs

• History with music,

dance, and

performances

• Dislikes

• Volume preferences

• Times of high action

• Times of relaxation

• Background sounds

preferences

• Seating/space

preferences

• Signals of

enjoyment and

distress

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Music Activities Ideas:

Sing-a-Long

Name That Tune

Clues to Songs

Crossword Puzzle Clues

Theme Sings

Prompt Story Telling

Go Down Memory Lane

Group Movement Games

Songs/Music to Radio/TV

Identify Instruments from Sounds

Help to Rest

Help to Wake Up

Cue to Next Activity

Cue for Routines

Fill in Holes

Offer Thanks

Parties

Dancing

Play Musical Instruments


Crossword Puzzles:

My Wild Irish _____

The Yellow Rose of ___

Let Me Call You ______

Five Foot ___ Eyes of Blue

Rockabye Baby in the ______

Oh Where, Oh Where has my ____ Dog Gone

If You’re ____ and You Know it...

When the Red, Red ____ comes


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R O S E T E X A S

W W P

T R E E T O P P

E L I T T L E

T E

H A P P Y T

E R O B I N

A E

R E

T


Crossword Puzzles:

My Wild Irish _____

The Yellow Rose of ___

Let Me Call You ______

Five Foot ___ Eyes of Blue

Rockabye Baby in the ______

Oh Where, Oh Where has my ____ Dog

Gone

If You’re ____ and You Know it...

When the Red, Red ____ Comes

ROSE

TEXAS

SWEETHEART

TWO

TREETOP

LITTLE

HAPPY

ROBIN


Music Categories:

Polkas

Marches

Waltzes

Songs from OtherCountries/Cultures

Seasonal Songs

Holiday Songs

Color Theme Songs

Emotion Theme Songs

Songs of the 20’s

Songs of the 30’s

Songs of the 40’s

Songs of the 50’s

Sing-a-Long Favorites

Songs of America

Kid’s Songs

Broadway Hits

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More Songs Categories:

Work Songs

Weather Theme Songs

Patriotic Songs

Spiritual/Hymns

Gospel

Bluegrass

Ragtime

Country and Western

Classical and Opera

Big Band

Blues

Dixieland

Folk

Barbershop Quartet

Round Songs

Movement Songs


Animal Song Ideas:


How Much Is That Doggie:

How much is that doggie in the window,

The one with the waggley tail,

How much is that doggie in the window,

I do hope that doggie’s for sale!

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Pussy Cat, Pussy Cat:

Pussy cat, pussy cat,

Where have you been?

I’ve been to London to visit the queen

Pussy cat, pussy cat,

What did you do there?

I frightened a little mouse under her chair!


Oh Where, Oh Where Has My

Little Dog Gone:

Oh where, oh where has my little dog gone,

Oh where, oh where can he be?

With his ears cut short and his tail cut long,

Oh where, oh where can he be?


The Little White Duck:

There’s a little white duck sitting in the water,

A little white duck doing what he ought-er,

He took a bite of the lily pad,

Flapped his wings and he said “I’m glad-

I’m a little white duck sitting in the water

QUACK, quack, quack.”

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Other Animal Songs:

Old McDonald

The Old Gray Mare

Home on the Range

Gray Squirrel


Music Resources:

- http://www.venturepublish.com/product.php?id=96

- http://www.recreationtherapy.com/tx/musicactivities.htm

- http://www.angelfire.com/co/pscst/music.html

- http://kclibrary.lonestar.edu/decade20.html



- http://www.pdinfo.com/list.htm




Why is Humor Important?

• Laughter is healthy

• Laughter connects you to others

• Laughter makes your brain work better

• Laughter makes you learn faster

• Laughter energizes you

• Laughter refocuses your thoughts

• Laughter relieves stress and worry

• Laughter heals

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http://www.recreationtherapy.com/tx/musicactivities.htm

http://www.recreationtherapy.com/tx/musicactivities.htm

http://www.angelfire.com/co/pscst/music.html

http://kclibrary.lonestar.edu/decade20.html



http://www.pdinfo.com/list.htm



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Why Do We Laugh?

Four Theories:

•Superiority Theory

•Relief Theory

•Incongruity Theory

•Play Theory


Some Types of Humor:

Funny stories

Funny comments

Jokes

Professional humor:

topic-specific humor

Puns or word play

Cartoons (TV)

Riddles

Mimicry

Slapstick

Self-deprecation

Sarcastic

Dry or wry

Caricature

Photos or pictures

Video clips

Comics

Tongue twisters


Why Do We Laugh?

Something Seems ‘Funny’ to Us:

•What we see

•What we hear

•What we experience

•What we see compared to what we hear

•What we see compared to our experiences

•What we experience compared to what we

expected

•What other people say or do, or say versus do

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Finding the Right Humor for

You:

Your sense of humor may stay the same

Your sense of humor may change over time

Ability to understand humor will change

over time


Humor for a Person Living

with Dementia:• ‘Silly’ or ‘stupid’ may become ‘funny’

• ‘Funny’ may become ‘not funny’!

• It may take longer for them to ‘get it’ – slow

down

• Familiar stories and jokes may become more

fun than those they don’t already know

• They may want more visual humor versus

written or spoken humor


Put Humor In Your Day:

• Make time for having fun

• Make time to laugh

• Smile at someone

• Smile at yourself in the mirror

• When you are having a hard time:

•Stop

•Take a break

•Laugh

•Try again

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Here Are Some Ideas…


History According to Kids:

Ancient Egypt was old. It was inhabited by

gypsies and mummies who all wrote in

hydraulics. They lived in the Sarah Dessert.

The climate Of the Sarah is such that all the

inhabitants have to live elsewhere.

Solomon had three hundred wives and seven

hundred porcupines. He was an actual

hysterical figure as well as being in the bible.

It sounds like he was sort of busy too.


Socrates was a famous old Greek teacher who went around giving people advice. They killed him. He later died from an overdose of wedlock which is apparently poisonous. After his death, his career suffered a dramatic decline.

In the first Olympic games, Greeks ran races, jumped, hurled biscuits, and threw the java. The games were messier then than they show on TV now.

Madman Curie discovered radio. She was the first woman to do what she did. Other women have become scientists since her but they didn't get to find radios because they were already taken.

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Sir Francis Drake circumcised the world with a 100 foot clipper which was very dangerous to all his men.

Johann Bach wrote a great many musical compositions and had a large number of children. In between he practiced on an old spinster which he kept up in his attic. Bach died from 1750 to the present. Bach was the most famous composer in the world and so was Handel. Handel was half German, half Italian, and half English. He was very large.


Higher Power:

A teacher said to her children, " We have

been learning how powerful kings and

queens were in ancient times.

But, there is a higher power. Can anybody

tell me what it is?“

One child blurted out, "Aces!"


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How many dogs does it

take to change a light

bulb?


Golden Retriever: The sun is

shining, the day is young, we've

got our whole lives ahead of us,

and you're inside worrying about

a stupid burned out bulb?

Border Collie: Just one. And then

I'll replace any wiring that's not up

to code.

Dachshund: You know I can't

reach that stupid lamp!

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Rottweiler: Make me

Boxer: Who cares? I can still play

with my squeaky toys in the dark.

Lab: Oh, me, me!!!!! Pleeeeeeeeeze

let me change the light bulb! Can I?

Can I? Huh? Huh? Huh? Can I?

Pleeeeeeeeeze, please, please,

please!


German Shepherd: I'll change it as

soon as I've led these people from the

dark, check to make sure I haven't

missed any, and make just one more

perimeter patrol to see that no one has

tried to take advantage of the situation.

Jack Russell Terrier: I'll just pop it

in while I'm bouncing off the walls

and furniture.

Old English Sheep Dog: Light

bulb? I'm sorry, but I don't see a

light bulb!


Cocker Spaniel: Why change it? I can

still pee on the carpet in the dark.

Greyhound: It isn't moving. Who

cares?

Australian Shepherd: First, I'll put all the light bulbs in a little circle....

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Poodle: I'll just blow in

the Border Collie's ear

and he'll do it. By the

time he finishes rewiring

the house, my nails will

be dry.


How many cats does it take

to change a light bulb?

The Cat's Answer:

“Cats do not change light bulbs. People change light bulbs. So, the real question is: how long will it be before I can expect some light, some dinner, and a massage?”

ALL OF WHICH PROVES, ONCE AGAIN, THAT WHILE DOGS HAVE MASTERS, CATS HAVE STAFF!


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the creators, nor the copyright holder shall in any event be held liable to any party for any direct, indirect,

implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use

of this material, which is provided as is, and without warranties.

Any links are for information purposes only and are not warranted for content, accuracy or any other implied

or explicit purpose.

This presentation is copyrighted by Positive Approach to Care and is protected under the US Copyright Act of

1976 and all other applicable international, federal, state and local laws, with ALL rights reserved. No part of

this may be copied, or changed in any format, sold, or used in any way other than what is outlined within this

under any circumstances without express permission from Positive Approach to Care.

Copyright 2017, All Rights Reserved

Teepa Snow and Positive Approach to Care

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Documents

For the slides from this presentation, visit€¦ · Humor Should be Used Sapphires: True Blue ... Pussy Cat, Pussy Cat: Pussy cat, pussy cat, Where have you been? I’ve been to