how to run sensory groups in residential care
DESCRIPTION
How to Run Sensory Groups in Residential Care. Session Content. What are the senses? Sensory deprivation Why run sensory groups / who would benefit from attending? Basic assumptions of sensory groups. What are the senses?. General 5 senses:. Not commonly thought of senses : Vestibular - PowerPoint PPT PresentationTRANSCRIPT
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How to Run Sensory Groups in Residential
Care
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Session Content
What are the senses? Sensory deprivation Why run sensory groups / who would benefit from attending? Basic assumptions of sensory groups
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What are the senses?
General 5 senses: Visual Auditory Olfactory Tactile Gustatory
Not commonly thought of senses: Vestibular Proprioception
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Tactile / Touch sense
Touch receptors in the skin 3 Functions of the touch receptors are
1) temperature2) pain3) vibration
Function is protective and discriminative
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Tactile / Touch sense continued
Light touch Sensory receptors close to the skin’s surface/hair Often a faster response than with deep touch May provoke strong emotional response
Deep touch Receptors are further under the surface of the skin Can be very calming
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Auditory Sense:
Directly inter connected with the vestibular system and muscle tone Evokes memories and feelings by association Used for:
Entertainment Helps ease transitions, reduce stress Decrease or increase levels of arousal
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Olfaction / Smell:
Primitive, protective and powerful! Directly connected to the limbic system (emotional centres of the
brain)
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Vision:
Light is activating Peripheral vision is often alerting (primal response) – link to muscle
tone Try to avoid approaching people with visual impairments from the
sides – verbalise your approach. Clarify with residents with visual impairments exactly what they can
see so that you can tailor visual stimulation to their needs.
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Gustatory – Taste / Oral motor
Chewy, crunchy, salty, sour, sweet, spicy, hot and cold Coordination of movements and muscle tone enable ability to eat,
swallow and suck. People seek oral motor stimulation to help with comfort, attention
and overall organization.
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A little bit about Proprioception:
Proprioception is your bodies sense of where you are in space and how your body is moving
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A little bit about the Vestibular sense: Stimulated through the delicate structures of the inner ear. Stimulated through changes in position and movement. Examples of vestibular dysfunction
Hypersensitivity to movement Hyposensitivity to movement
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The most important thing to remember…
People seek what they need, in any way then can - this can be in a
positive way or a negative way
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Sensory Deprivation
Acquired syndrome Could be due to normal age related sensory changes and pathological
conditions and/or institutionalisation. I.e. residents with an impairment in any of the main senses who
cannot compensate adequately for their lost senses (i.e. due to decreased cognition)
Consequences of sensory deprivation: Residents can try to provide their own stimulation to compensate If a person is not able to sufficiently provide the stimulation they
need – withdrawal and quicker decline in cognitive function can sometimes be charted.
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What is a sensory group or sensory based intervention? Address all 5 senses where able in a sequence Has a theme to the group that is accessible to the participants. Importance of taste for people who are PEG fed should not be
underestimated.
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Basic assumptions of sensory group
Neuroplasticity can occur, new brain cells can grow even in late stage dementia and neurological disease.
Activity should be relevant, meaningful and stimulating Repetition of activity is necessary for learning Carry over can be achieved – benefits can last more than the duration
of the session
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Individual sensory stimulation
If you have residents that are unable or unwilling to come out of their room, then you can bring the activity to them = one to one sensory stimulation.
Also consider bringing another resident into the room with you and do the stimulation with the two residents simultaneously (ensure that this will not cause anxiety for the residents who's room it is.
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Why run a sensory group / who would benefit from attending? Provide a range of stimuli for residents in a manner that is accessible
to them. Prevent sensory deprivation Prevent neglect by omissionWHO WOULD BENEFIT: Sensory groups are designed for residents who are lower functioning
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Sensory Groups I am putting up plans for Ladies Fragrance Group Water Therapy Sports Sensory Group Spring Sensory Experience Summer sensory experience Men and their cars
Apple theme Chocolate theme Men's Wood group A trip down laundry lane Inside the sewing box Blokes and their buildings
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Creating a Mobile Multi-sensory kit:
What could we have on our cart? I furnished my cart from dollar stores for the majority of items. See group plan with ideas on what to include in kits
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Resources:
Tina Champagne – legendary OT from the USA who has based her career and research on sensory stimulation and sensory modulation
Great website: www.otinnovations.com which has great online resources and form and hints that you can use.
Any questions email me on [email protected]
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References
Baker, R., Bell, S., Baker, E., Gibson, S., Holloway, J., Pearce, R., Dowling, Z., Thomas, P., Assey, J. & Wareing, L. (2001). A randomized controlled trial of the effects of Multi-sensory stimulation (MSS) for people with dementia. British journal of clinical psychology. 40. Pg 81.
Burns, A., Bryne, J., Ballard, C., & Holmes, C. (2002). Sensory Stimulation in dementia: An effective option for managing behavioural problems. British Medical Journal. 325. 1312-1313.
Cohen-Mansfield, J. (2001). Managing agitation in elderly patients with dementia. Geriatric Times. 2(3).
Livingston, G., Johnston, K., Katona, C., Paton, J. & Lyketsos, C. G. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of
dementia. The American journal of psychiatry. 162(11). Pg 1996-2022. Trudeau. S. (1999). A sensory stimulation intervention for patients with advanced dementia: An
interview with Scott Trudeau by AL Romer. Innovations in end of life care. 1(4). Werezak, L. J. & Morgan, D. G. (2003). Creating a therapeutic psychosocial environment in
dementia care: A preliminary framework. Journal of Gerontological Nursing. December issue.