Dementia Patients Benefit from Cognitive Stimulation

January 11, 2013

Family caregivers know that keeping their loved ones engaged and active improves the quality of life for dementia sufferers.  And, recent efforts in cognitive research continues to support what family caregivers already know intuitively.  Keep Mom or Dad active and involved in family activities and household routine!

Keeping Dementia Patients Involved in Daily Activities May Improve Cognitive Ability

Keeping Dementia Patients Involved in Daily Activities May Improve Cognitive Ability

Recently, Home Instead Senior Care highlighted a systematic review published in the Cochrane Library titled Cognitive Stimulation to Improve Cognitive Functioning in People With Dementia that evaluated the “effectiveness and impact of cognitive stimulation interventions aimed at improving cognition for people with dementia.

The review included 15 trials with a total of 718 participants in the mild to moderate stages of dementia. Cognitive stimulation activities included:

  • Discussion of past and present events and topics of interest,
  • Word games,
  • Puzzles,
  • Music, and
  • Practical activities such as baking or indoor gardening.

These activities were typically carried out for about 45 minutes at least twice a week.

According to the study, the findings revealed “a clear, consistent benefit on cognitive function was associated with cognitive stimulation (standardized mean difference (SMD) 0.41, 95% CI 0.25 to 0.57). The benefit remained evident one to three months after the end of the treatment.

Overall, participants who received cognitive stimulation also reported improved quality of life and they were able to communicate and interact better than previously.

These findings support the recommendations given in the 2011 World Alzheimer’s Report, which suggests that routinely providing individualized cognitive stimulation to those with mild to moderate stages of dementia can produce short-term improvements and/or reduce decline in cognitive function. In addition to improving cognitive function in individuals with dementia, trial results from non-pharmacological interventions revealed improved functional status, quality of life, psychological well-being and social participation.

Mind-Stimulating Activities for Individuals with Dementia

Activities that provide cognitive stimulation ideally target both mental and social functioning. Cognitive stimulation can be administered either in a group setting, such as that of a nursing home or residential care setting, or it can be provided individually by a professional or family caregiver and tailored to the affected individual’s specific interests and abilities.

Consider suggesting a variety of activities in the following categories:

  • Thinking – puzzles, games, reading
  • Physical – take a walk, arm and leg exercises, dancing
  • Social – visiting with family and friends, senior center activities
  • Chores – folding the laundry, setting the table, feeding the pets
  • Creative – arts and crafts projects, painting, playing music or singing
  • Daily living – taking a shower, brushing teeth, eating, getting dressed

Reminiscence therapy is another type of cognitive stimulation that can help improve the quality of life for an individual with dementia. Reminiscence activities may include:

  • Looking through photo albums
  • Creating a scrapbook
  • Telling “I remember when” stories
  • Re-reading saved letters and greeting cards
  • Listening to music
  • Baking and eating a special family recipe together

HelpForAlzheimersFamilies.com offers a wealth of additional ideas and best practices for ways individuals with dementia can benefit from memory-related activities. Visit the Capturing and Leveraging Memories page for tips to stimulate meaningful conversation, activity ideas that use the senses to evoke memories, and more.

Caregiving is a time-consuming and energy-consuming task that makes it difficult to imagine one more task being added to the mix.  However, family caregivers can learn to include their loved ones in simple tasks such as folding towels and recalling beloved family stories.

 

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