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Sensory Modulation in Dementia Care

Sensory Modulation in Dementia Care

Tina Champagne

(2018)

Additional Information

Book Details

Abstract

Understand and assess the sensory needs of people with dementia, and learn how to implement sensory modulation-based approaches for enriched care.

Drawing on the author's Sensory Modulation Program, this approach aids with self-organization and meaningful participation in life activities. Explaining sensory-processing issues specific to older populations, this book provides a downloadable assessment tool to help review individual sensory-processing patterns. It includes a range of sensory-based activities which can be carried out with people at all stages of dementia, both with individuals and in groups. The book also provides recommendations for modifying physical environments to make care settings sensory-enriched.


Tina Champagne is an international consultant, writer and occupational therapist who developed the Sensory Modulation Program. She lives in Massachusetts, USA.
A comprehensive, compassionate guide to helping those with memory loss. Warm, wise and well-researched, it offers essential insights, practical strategies, and sensory-smart solutions that can help our parents, grandparents, and clients feel safe and secure and engage optimally in tasks and activities that give lives meaning and purpose.
Lindsay Biel, OTR/L, Occupational Therapist, Co-author, Raising a Sensory Smart Child
Dr. Champagne presents an innovative and compelling application of sensory integration theory and principles to a growing elderly population. Use of this adaptation of the Sensory Modulation Program provides effective tools to support the daily life functioning and quality of life of adults with dementia.
Teresa A. May-Benson, ScD, OTR/L, FAOTA, Executive Director, Spiral Foundation

Table of Contents

Section Title Page Action Price
Cover Cover 1
Half-title 1
Title page 3
Table of contents 5
Introduction 9
Chapter 1 Aging and Dementia 11
Types of dementia 12
Stages of dementia 14
Hallucinations, delusions, and paranoia 17
The stress response 17
Working with people with dementia 18
Restraint and seclusion reduction 19
Trauma-informed care 19
International initiatives in dementia care 20
Chapter 2 Aging and Sensory Processing 23
The sensory systems and aging 24
Proprioceptive system: sense of bodily awareness, body position, and movement 25
Vestibular system: sense of space, balance, and movement 26
Balance 27
Psychosocial considerations 29
Visual system: sense of sight 30
Auditory system: sense of sound 32
Gustatory system: sense of taste 34
Olfactory system: sense of smell 34
Tactile system: sense of touch 35
Interoception: sense of internal self-awareness 38
Sensory integration and processing 43
Sensory deprivation 44
The sensory processing umbrella 45
Sensory modulation 45
Sensory sensitivity 46
Sensation avoiding 46
Low registration 47
Sensory seeking 47
Levels of severity 47
Sensory discrimination 48
Gravitational insecurity 48
Sensory-based motor performance 49
Evidence-based practice: sensory-based interventions 50
Chapter 3 The Sensory Modulation Program 53
Components of the Sensory Modulation Program 54
Therapeutic use of self 55
Sensory-based assessments 57
Sensorimotor activities 58
Sensory-based modalities 59
Sensory diet 60
Sandy’s early morning routine: relevant assessment information 61
Sundowning 62
Gravitational insecurity 63
Environmental modifications and enhancements 63
Client and caregiver involvement and education 63
Sensory Modulation Program goals 64
Individual and programmatic applications of the Sensory Modulation Program 66
Chapter 4 Assessment and Safety Considerations 71
Safety considerations and trauma history 72
Sensory-based assessment and screening 73
Balance and fall risk assessments 75
Dementia, cognitive, and other assessments 76
Dementia screenings 76
Cognitive assessments: executive functioning 76
Activities of daily living and safety scales 76
Agitation and pain scales 77
Chapter 5 Sensorimotor Activities and Sensory-based Modalities 79
Calming and alerting strategies 81
Communication 83
Sensory strategies organized by sensory system 83
Tactile system: touch 84
Tactile hyper- and hypo-sensitivity 88
Proprioceptive system: body awareness, postural awareness, and movement 89
Proprioception: hyper- and hypo-sensitivity 89
Weighted modalities 90
Vestibular system: balance, movement, and muscle tone 92
Visual system: sense of sight 95
Vision: hyper- and hypo-sensitivity 97
Auditory system: sense of sound 98
Olfactory system: sense of smell 100
Gustatory system: sense of taste and oral motor functioning 102
Interoceptive system: awareness of internal states 102
Multimodal multisensory experiences 103
Chapter 6 Sensory Diet 105
Supporting safety, comfort, and participation 107
Supporting safety and relaxation 107
Supporting participation in self-care 108
Supporting rest and sleep 111
Supporting roles and social participation 113
Supporting fitness and leisure participation 114
Individual and programmatic applications 115
Sensory diet communication 115
Chapter 7 Environmental Modifications and Enhancements 117
Enabling and empowering environments 117
Homelike environments 118
Sensory rooms 121
Multisensory environments 121
Sensory integration rooms 125
Sensory modulation rooms 126
Sensory carts 129
Sensory kits 130
Sensory gardens 132
Bibliography 143
Resources 153
Appendix A 137
Appendix B 139
rTrauma Informed Safety Questionnaire 137
Sensory Processing Caregiver Checklist 139
Index 157
About the Author 163
Acknowledgments 165
Dedication 167
Copyright information 168
Series information 169