Fit Minds Interact Individual Program and TBI Using Cognitive Coaching for Impact

Transcription

1 Fit Minds Interact Individual Program and TBI Using Cognitive Coaching for Impact Caring. Connected. Inspired.

2 Presentation Overview Brain Science Primer Cognitive Stimulation Therapy Review Coach Approach Five Key Areas of Cognition Fit Minds Program Overview Putting It Into Practice 2

3 What We Exercise Gets Stronger 3

4 Neuroscience Basics Brain plasticity Synaptic density and pruning Cognitive resilience 4

5 Brain Plasticity The brain has the capacity for continuous: physical chemical functional brain change 5

6 Synaptic Density and Pruning 6

7 Research Proves We Can Grow Our Brains Medical students University of Hamburg Gray Matter (the actual size of their brains) grew in a six week period! 7

8 Cognitive Resilience Learning - New and Challenging Other Factors Physical Activity Good Nutrition Social Stimulation Meditation/Prayer 8

9 Cognitive Resilience and Trauma 9

10 Cognitive Resilience and Disease Sister Bernadette Died at 85 of a massive heart attack MRI scores - high amount of grey matter High mental scores Autopsy of her brain

11 Cognitive Resilience and Disease She had advanced Alzheimer s (BRAACK Stage 6) She had NO symptoms 46% risk reduction 11

12 Research Supports the Efficacy of CST As effective as several dementia drugs Increases quality of life for clients Reduces stress for caregivers Plays important role in delaying disease progression The UK National Institute for Health and Care Excellence (NICE) mandates CST for individuals with mild to moderate dementia 12

13 NICE Guideline 42 People with mild / moderate dementia of all types should be given the opportunity to participate in a structured group cognitive stimulation programme. This should be commissioned and provided by a range of health and social care workers with training and supervision. This should be delivered irrespective of any anti-dementia drug received by the person with dementia. 13

14 Coach Approach

15 Coach Approach Emotional support Understanding affection Personal concern Emotional memory

16 Coach Approach

17 Coach Approach One thing at a time Short, understandable, consumable Processing time patience

18 Coach Approach

19 Coach Approach Agitation and anxiety Sufficient physical and mental activity Pleasantly tired

20 Coach Approach

21 5 Key Areas of Cognition Language and Music Visual/Spatial Orientation Memory Working & Long Term Critical Thinking Computation Global Is Best 21

22 Language and Music Speech Perception Semantic Association Speech Production 22

23 What Does This Mean? Rhyming and Rhythm Exercises = Speech Recognition Word Matching = Semantic Association Word Puzzles = Speech Production 23

24 Time to Exercise Language 24

25 Visual/Spatial Orientation 25

26 Visual/Spatial Orientation 26

27 Time to Exercise Visual Spatial 27

28 Memory 28

29 Working Memory Core Executive Functions Reasoning and Decision-making 29

30 Time to Exercise Memory 30

31 Critical Thinking 31

32 Time to Exercise Critical Thinking 32

33 Computation 33

34 Time to Exercise Computation 34

35 Fit Mind Interact Individual Most beneficial program Promotes brain health in both healthy people and people with dementia Tailored to individual s level of cognition across five key areas Each session includes activities across all five areas of cognition pulled from a database of exercises. Delivered one-on-one by certified cognition coaches Provides a positive environment that adds structure and mental and physical stimulation Builds confidence through meaningful engagement 35

36 Observed Benefits Improved ability to communicate with others within the community Improved desire to engage Improved mood and reduction in anxiety Reduction in challenging behaviours Improved cognition - MoCA and MMSE scores improved Improved quality of life QoL scores improve 36

37 Core Values: What We Believe at Fit Minds While dementia changes relationships, it doesn t end them. Mom is still mom. Dad is still dad. Individuals challenged by dementia still want and need human interaction. That is why our programs focus on supporting those relationships. We should have an attitude of gratitude towards our seniors. The individuals who went before us, built the society we now enjoy. We owe them a debt of gratitude. We have a responsibility to support all people to age with dignity. With age comes vulnerability. We deal with a body that is less strong than it was at twenty. A mind that may be a little slower. We need a little more support. However, we are still adults. That is why our programs our not childish but focus on adult ideas and topics. Life can be full of joy no matter how old we are. Life should be joyful and filled with love.. Our programs aim at fostering a sense of fun. As we age, we still care about connecting with other people. Everyone has a fundamental need to connect. That need impacts our mental health. Strong social networks help us age well. Our programs encourage building and maintaining these networks. We believe in drowning the evil of loneliness, isolation and despair in the abundant goodness of caring and connecting. That is what motivates us each and every day. 37

38 Thank You Nicole Scheidl