Aged Care Insite Issue 109 | Oct-Nov 2018 | Page 27

practical living arranging that assist our residents, especially those living with dementia, to have an enjoyable and meaningful time socialising with others. just through the experience of life with this condition, can be at risk. Where did this idea originate? It’s very interesting to watch people as they’re interacting and socialising together. Because they have to focus on, in this case flower arranging, it’s about utilising the abilities that they still have. It’s about supporting them. You’ll notice that people’s likes and dislikes really come to the fore. I had the personal experience of assisting a lady – who was 103, I might add – and she kept saying to me, “You do it. You put it in the vase.” I would put it in the vase, but then she would very quickly tell me that I’ve put the wrong colour next to the wrong colour, and she was very particular about where those flowers should be placed. I was able to appreciate that. I was able to give her a sense of control and choice and support her. Well, I didn’t give her that – she was demanding that sense of control and choice, and I was able to support her in that. People can be who they are. That’s the important part, but certainly there’s a lot of laughter. In each of those meaningful moments, some people will be very focused, while other people will just be enjoying the social atmosphere of the group. All of that is really beneficial to each of those people. I have to give total credit to our wonderful lifestyle officers in our homes, particularly at Bupa Roseville. They have come up with this, which I think is in keeping with the interests and the life histories of our residents at Roseville. We have a majority of ladies there and for many of them, while they may not have formally done Ikebana in the past, they certainly had gardens and an interest in flowers and flower arranging and were very houseproud in their lives. It speaks to them on a number of levels. How do activities like crafts, dance and exercise help people with dementia? These activities are really beneficial for our residents living with dementia. We all have many aspects of life that are meaningful to us, and it’s important that with a person-first approach, which we have at Bupa, that we are thinking about that person first, but generally speaking, these are things that have been important parts of a person’s life. If we think about dance for example, there’s obviously the physical benefits of dance – being active and moving – which for older people is very beneficial, but it’s also beneficial from a reminiscence point of view. I think of my own parents: they were a generation that visited dances, and many of our residents can show us a thing or two on the dance floor. The dancing works in that it stimulates people’s memories. People living with dementia still have the ability to remember those good times from their past. Not everyone will like crafts or flower arranging, but for many residents it’s something meaningful, even if hasn’t been an interest in the past. We always give people those opportunities. Sometimes people have discovered they have an artistic side they never knew before, and that’s also about achievement. It’s not about the product, it’s about the process. But it also gives us, in supporting those people, the opportunity to appreciate what they can do, and to thank them for it, and to help them feel they have a sense of purpose and are valued. That’s really important for every person, especially those living with dementia, where self-esteem, How does the demeanour of the residents change after these classes? You have high school students volunteering at the home. What has this taught them about dementia? I think it’s so important – not only for the students, but also for our residents, especially those living with dementia – to have that intergenerational contact, to have someone who is willing to support them. For the person who’s being supported by that student, it gives them variety, a new face, someone to know and to share with. And we guide our students to use that opportunity to thank and appreciate those residents, and perhaps to draw on some reminiscing, to ask them about their life and what they’ve achieved. Again, that helps their self-esteem. Many of the students may not have older people in their lives anymore. Some students may have had someone living with dementia in their families – dementia is a condition that touches many of us – and for young people, it helps them to understand that the person living with dementia can still achieve. And through their supporting activities like this, it gives a different viewpoint. It’s not just about my grandmother who can’t do this or that anymore. Yes, we know that she’s lost many of her abilities, but this is focused on what she can do, what she can still contribute, and that she is still valued and we can learn from each other. I think that’s our biggest impact. How can aged care staff help residents with activities like these? One thing we try to promote with our team members is to take every opportunity to make it meaningful for our residents. Regardless of what you’re doing for residents, our residents are with us because they need care and support. A lot of that is with physical care, but during those times when we’re with a resident, it’s about making it as meaningful as possible for the resident, and that benefits you too. What we value is that person, and knowing that person so well that we can build that rapport and relationship and trust with them. In those times when that person may be distressed, which does happen, because that’s what the condition brings, we work with them on Some people will be very focused, while others will just be enjoying the social atmosphere. an emotional level and reassure them that we’re here to help and support them. But we can only do that when we know who that person is. We try to understand what’s going on for them, and that gets us a long way to understanding what they’re trying to tell us. Sometimes they don’t have words to tell us, but we try to ensure we understand what’s happening as much as we can for the person. We often use our own humanity to do that, our own experience as a person. I’m making every moment, every contact point with that resident meaningful. It could be as little as passing someone in the hallway and telling them that they look lovely today. Seeing a smile on a resident’s face can make your day as well. ■ agedcareinsite.com.au 25