Diversional Therapy Activities

Activities for people with Dementia

Finding meaningful activities for people with dementia can be a very challenging task. It will always depend upon the stage of the illness they have reached.

The most important thing to remember is that activities should be related to the person's former life-style. The person's hobbies and travel experiences, family dynamics, social preferences, spiritual and cultural differences.

It is also important to have regular assessment regarding strengths and limitations in the area of daily living. As this varies from person to person it is suggested that a 'Social & Spiritual' care plan be written for each individual.

Below are some activities you may like to try.

MUSICAL BINGO -
Object:

Encouragement of interpersonal skills.

Provision of sensorial stimulation.

Preparation:
A4 paper, black texta, a musician who plays either the piano or the guitar.
If you don't have a musician you should have the CDs with the music of your choice.
Instructions:

1) To make the song cards: Type the names of songs in A4 paper in large fonts so your residents are able to read it. You can fit 6 songs in each sheet of paper comfortable (or less, it depends on the size of your font). You may use the Ulverscroft Song Book to choose the titles.
(If you work in a culturally diverse facility it would be advisable to choose some songs your residents can identify with such as Volare, Santa Lucia, Amapola, Hava-Nagila, Never on Sundays or any other famous songs from the countries your residents comes from. If you can not find the lyrics for those songs encourage the residents to participate by humming the melody.)

Once the songs have been typed separate them with a texta and laminate them to make it easier to handle and to last longer.

2) Cut retangular strips of cardboard to cover the songs, as many as necessary. If you have 6 songs titles on the A4 you will cut 6 strips of 5cm in width and 20cm long.

3) Cut 50 pieces of square cardboard (15cm by 15cm) and write on each one the name of a song from your list.

How to play the game:

a)      Give each resident a song card plus 6 retangular strip of cardboard to cover the songs as the game progresses.

b)      The Diversional Therapist or Activities Officer places all the square cardboards facing down in front of her on a table. She turns one up and says the name of the song loud and clear.

c)      After all residents ascertain whether they have the music and cover the the title with the retangular strip, the musician and all those present sing the song. If you don’t have a musician, play the CD. The sing-along is very important.

d)  Give out prizes for the winners (small bag of  marshmallows or freddo chocolate).

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Stringing Beads
Object:

Eye-hand coordination practice
Fine motor skill exercise

Preparation:

A couple of boxes of beads, separated into medium and large sizes. Tip: go to a second hand shop and buy wooden and plastic necklaces to be pulled apart for use. Alternately there are various shapes of pasta that can be strung.

Instructions:

Demonstrate how to make it, show one neck lace done previously.
Give client a choice of large or medium beads, depending on skill.
Start them up by stringing the first bead and inviting them to do the next.
Put box of beads away if that is distracting or confusing them and hand them 2 or 3 beads at the time. (Attention: Supervision is necessary at all times)

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Individual Activity (for bed ridden clients)
Object:
The client will be provided with a feeling of enjoyment and wellbeing..
Preparation:
In this activity the Diversional Therapist or volunteer will visit the client for 15 to 30 minutes taking a guitar or other musical instrument. If you cannot play an instrument, a cassette player and some CDs will do. Songs should be a selection of old time, sentimental classics unless you know which specific kind of music your client enjoys. Alternatively you may use folk music and/or marches.
Instructions:
Give client a choice of songs and encourage response by giving cues. Sing the song and leave a few words in the end for the client to finish.

The resident should be encouraged to reminisce and sing-along with you. However even if interaction is not possible due to medical diagnosis use to the same process of talking to the resident and  explaining what you are playing next. You will be surprised at the shift of alertness and kin eye contact and smiles in some of the residents. If you get that sort of reaction you have achieved your goal.

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Group singing (dementia clients)
Object:
This activity will elicit cognitive stimulus and social relationship.
Preparation:
In planning this activity the leader should gather a few objects to use as sensory stimulation. For instance:

v     a teddy bear,

v      roses,

v     dust shovel,

v     a packet of tea,

v     a wedding veil, and

v     Soft toy dog.

Instructions:
Four or five residents sitting in a semi circle; close to each other enough to be able to pass objects to each other (do not overcrowd them). The leader will show each item and ask residents which song it reminds them of. Pass one item at a time and wait for each person to express their opinions. You may hum the song to assist them. The songs for the above objects are:

v     The Teddy Bear’s Picnic,

v     Roses of Picardy/Rose of Tralee,

v      My Old Man is a Dustman,

v     Tea for Two,

v      How Much is that Dog in the Window.

Do not feel discouraged if at first there is little response, it pays to persevere in my experience. For variety, point out colours in the resident’s clothes and ask them to remember songs with those colours. Blue Danube, Red Sails in the Sunset, Green leaves and so on. As with all activities there should be a starting and a finishing point, so residents can look forward to the next session. Half an hour to 45 minutes is adequate.

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Outdoor Gardening
Object:
Promotion of physical activity.
Aid cognitive function and stimulate long term memory.
Preparation:
Outdoor area away from the sun.
Use plastic plant pots donated by staff or neighbours.
Buy a bag of potting mixture and spades, rakes, secateurs and a couple of watering cans.

If you don't have an elevated garden bed which is the ideal, you can make do with a couple of tables joined together and a plastic table cloth. In my personal experience I find that plant cuttings are preferable than seeds, however you may try both. For this activity it is better to have a small group of people (3 to 4 people), large group leads to mayhem.
Instructions:
  1. Start activity by filling pots and demonstrating planting a seedling or small cutting. You will be surprised how they will get involved in this activity with minimum guidance.

  2. Encourage them to water pots and other plants around facility.

  3. Encourage them to reminisce about they own garden, talk about plants and vegetables they use to plant.

  4. Provide a light weight wheelbarrow for carrying a few pots.

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Guessing Game (Ideal for residents with early dementia)
Object:
Orientation, reminiscing and enjoyment
Preparation:
Look on the internet for black and white pictures of famous people, current and from long ago such as: Princess Diana, the Pope, the president of the USA etc, etc. and also Nelson Eddy, Janet McDonald, Don Bradman, Ginger Rogers, etc. Make sure you look for people relevant to your clients for instance if your facility is multicultural look for famous European people. It is better to show pictures in black & white as coloured pictures are presumed to confuse people with dementia. Print pictures slightly smaller than an A4 paper so that when you glue them in the A4 there is a border. Glue photos to A4 pieces of paper and laminate.
Instructions:
  1. Show the pictures one by one to residents and ask them to guess the name of each person.

  2. Provide clues where necessary

  3. Once the person's name has been guessed correctly, reminisce with residents about this person.

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Balloon Playing
Object:
To provide enjoyment and social interaction
Preparation:
Ask staff and relatives to bring their children's unused badminton rackets or buy them in discount shops.

Make sure you have a volunteer to help you play the game.
Instructions:
  1. Place residents in a large circle well apart from each other lest they hit their neighbours with the rackets.
  2. Inflate 3 or four balloons and start the game.

  3. Make sure that some happy music is playing to add energy to the game. (see music recommendations).

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Daily Living
Object:
To re-establish old roles. Provide a sense of purpose.
Preparation:
Make sure the surrounding area for the activity is safe. Ensure that work area is uncluttered with minimum noise. Good lighting is necessary (no glare).
Instructions:
One activity at the time, break down tasks if necessary.
All activities should be simple and unhurried.
Just guide them, do not attempt to teach new skills.
  1. A loaf of bread and some butter to make 'sandwiches'.

  2. Dusting tables and shelves encourage 'being helpful'.

  3. Folding kitchen towels assist with reminiscing.

  4. Sweeping floors or raking leaves.

  5. Drying cutlery and chopping seasonal vegetables (top and tailing beans and shelling peas).

  6. Peeling hard boiled eggs.

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