For the slides from this presentation, visit Humor Should be Used Sapphires: True Blue ... Pussy Cat,

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

    For the slides from this presentation, visit:

    www.teepasnow.com/presentations

    Slides will be available for 2 weeks

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

    Handouts are intended for personal use only. Any copyrighted

    materials or DVD content from Positive Approach, LLC (Teepa Snow)

    may be used for personal educational purposes only. This material

    may not be copied, sold or commercially exploited, and shall be used

    solely by the requesting individual.

    Copyright 2017, All Rights Reserved

    Teepa Snow and Positive Approach® to Care

    Any redistribution or duplication, in whole or in part, is strictly prohibited,

    without the expressed written consent of Teepa Snow and

    Positive Approach, LLC

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    http://www.teepasnow.com/presentations

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

    Using Music

    and Humor in

    Dementia Care

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

    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?

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

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

    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

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

    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

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

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

    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

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

    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

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

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

    Learning Songs

    Using Music

    Having Fun with Music

    Music – Singing Songs:

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

    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

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

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

    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

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

    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

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

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

    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

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

    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

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

    Music Categories:

    Polkas

    Marches

    Waltzes

    Songs from Other Countries/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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    © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

    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

    © Teepa Snow, Positive Approach, LLC