The Limbic System's Role in Dementia

Teepa Snow's Positive Approach to Care
21 Dec 201735:12
EducationalLearning
32 Likes 10 Comments

TLDRThe script discusses the brain's ability to form new synaptic connections regardless of age, emphasizing the importance of intensity and frequency for learning. It highlights the need for engaging and rehearsing information to prevent cognitive decline. The speaker also outlines the five basic physical needs for thriving to survive: respiration, hunger and thirst, wake-sleep rhythm, elimination, and comfort in various senses. The talk aims to educate on how to support individuals with dementia by understanding and addressing these fundamental needs to enhance their quality of life.

Takeaways
  • 🧠 The human brain can grow new synaptic connections regardless of age, but the process becomes chemically more challenging as one ages.
  • πŸ“ˆ To stimulate new synaptic connections, one must increase both the intensity and frequency of the activity or learning experience.
  • πŸ“š Rehearsing and using new information regularly is crucial to solidify the synaptic connections and prevent loss of knowledge.
  • πŸ”„ The importance of turning knowledge into action and forming new habits to truly benefit from the learning process.
  • 🌟 The speaker's ultimate goal is to help people with dementia, emphasizing the need to move beyond awareness to action.
  • πŸ”₯ The brain's 'burn rate' or energy use can be visualized in a spectrum from high (red) to low (dark blue), indicating its level of activity.
  • 🏠 The limbic system is central to the 'Thrive to Survive' concept, which includes basic human needs for survival.
  • 🍽️ Five basic physical needs for survival are identified: respiration, hunger and thirst, wake-sleep rhythm, elimination, and comfort.
  • 🀝 The importance of touch in communication, especially when other senses like hearing or sight are impaired, and the need to use it appropriately to avoid causing distress.
  • πŸ‘‚ The impact of tone of voice on communication, particularly how a higher pitch can come off as patronizing and a deeper, slower tone is more calming.
  • πŸ§˜β€β™‚οΈ The role of personal comfort in survival, including preferences for sensory experiences like sight, sound, touch, smell, and taste, and the need to understand these for effective caregiving.
Q & A
  • What is the main focus of the speaker's discussion on the first day?

    -The speaker focuses on reviewing the concepts discussed the previous day, emphasizing the ability of the human brain to form new synaptic connections regardless of age, and the importance of maintaining these connections through increased intensity and frequency of stimulation.

  • Why is it more challenging for the brain to form new synapses as we age?

    -As we age, the brain's chemistry becomes less supportive of forming new synapses, making it more difficult for synaptic connections to form and be sustained.

  • What is the significance of rehearsal in forming new synaptic connections?

    -Rehearsal is significant because the more excited and interested an individual is, and the more they rehearse something, the quicker the synaptic connection will form.

  • What is the speaker's ultimate goal in teaching the attendees?

    -The speaker's ultimate goal is not just to impart knowledge, but to encourage attendees to apply what they learn differently in their lives, especially for the benefit of those who have dementia.

  • What does the speaker mean by 'learn move beyond what we know to what we do'?

    -The speaker is encouraging attendees to not only learn new information but to also change their habits and behaviors, moving beyond old ways of doing things and adopting new practices as a result of the knowledge gained.

  • What is the 'Thrive to survive' concept discussed by the speaker?

    -The 'Thrive to survive' concept refers to the basic human needs that are essential for survival, such as respiration, hunger and thirst, wake-sleep rhythm, elimination, comfort, and pain relief.

  • Why is it important to identify and understand an individual's five senses in terms of their comfort?

    -Understanding an individual's preferences and aversions in terms of their five senses is crucial for ensuring their comfort, which is a basic need for survival and well-being, especially in the context of caring for those with dementia.

  • What is the significance of the wake-sleep rhythm in the context of the 'Thrive to survive'?

    -The wake-sleep rhythm is significant as it is part of the basic human needs that help in recharging one's energy and maintaining a healthy balance between activity and rest, which is essential for survival.

  • How does the speaker suggest touching a person with dementia when waking them up?

    -The speaker suggests touching beyond the intimate space, using deep proprioceptive touch with an open flat palm, and ensuring the touch is not light but rather a deep pressure to avoid startling the person and causing distress.

  • What is the importance of tone of voice when communicating with older adults, especially those with hearing loss?

    -The tone of voice is important because older adults tend to lose high-pitched sounds and retain deeper ones. An anxious or high-pitched tone can cause discomfort or be perceived as condescending, while a deeper, calmer, and slower tone can be more reassuring and easier to understand.

  • Why is it crucial to pay attention to the cues given by individuals with dementia?

    -It is crucial to pay attention to the cues given by individuals with dementia because they are trying to communicate their discomfort or needs. Ignoring these cues can lead to increased distress and a negative impact on their well-being and survival.

  • What is the role of the limbic system in the 'Thrive to survive'?

    -The limbic system plays a central role in the 'Thrive to survive' as it is involved in the basic functions and emotional responses that are essential for survival, such as the fight-or-flight response and the formation of emotional memories.

Outlines
00:00
🧠 Brain Plasticity and the Importance of Rehearsal

The speaker begins by discussing the brain's ability to form new synaptic connections regardless of age, emphasizing that this capacity declines with increasing age due to chemical changes. They stress the importance of intensity, frequency, and interest in forming and maintaining these connections. The speaker also highlights the need for regular rehearsal to prevent the loss of newly formed connections and to ensure they transition from short-term to long-term memory. The ultimate goal is to form new habits that replace old ones, benefiting not just the individual but also those with dementia, as the speaker is motivated by the desire to improve their quality of life.

05:00
🌑️ Basic Human Needs for Survival and Comfort

This paragraph delves into the five basic physical needs essential for human survival: respiration, hunger and thirst, wake-sleep cycles, elimination, and comfort. The speaker explains each need in detail, using examples and analogies to illustrate their points. They discuss how these needs are interconnected and how neglecting any can lead to discomfort and potential health issues. The importance of understanding and meeting these needs is emphasized, especially in the context of caring for individuals with dementia, where the ability to communicate discomfort may be impaired.

10:01
🀝 The Role of Touch in Communicating Comfort and Discomfort

The speaker explores the nuances of touch as a means of communication, particularly in the context of individuals with dementia who may struggle to express their discomfort verbally. They demonstrate how touch can be used to soothe or agitate, depending on its nature and the individual's personal preferences. The importance of being attuned to non-verbal cues and adjusting one's approach accordingly is highlighted. The speaker also cautions against making assumptions about what might be comforting to the person, urging caregivers to observe and learn from the individual's reactions.

15:02
πŸ‘‚ Adjusting Communication for Individuals with Sensory Impairments

In this paragraph, the speaker addresses the challenges of communicating with individuals who have sensory impairments, such as hearing loss or vision problems, and also have dementia. They provide practical advice on how to approach these individuals, emphasizing the importance of touch beyond the intimate space to avoid startling them and the use of deep proprioceptive touch to ensure the message is received. The speaker also discusses the importance of tone of voice, suggesting that a calm and slower pace can be more effective in communication.

20:02
πŸšΆβ€β™€οΈ The Impact of Physical and Emotional Discomfort on Basic Needs

The speaker discusses the impact of physical and emotional discomfort on an individual's ability to meet their basic needs, such as the need for elimination. They explain how discomfort can lead to holding in bodily functions, which can create a cycle of discomfort and potential health issues. The importance of recognizing and addressing discomfort in a timely manner is emphasized, especially in the context of caring for individuals with dementia who may not be able to communicate their needs effectively.

25:05
πŸ” Understanding Personal Preferences for Comfort

This paragraph focuses on the importance of understanding personal preferences related to the five senses in order to provide comfort to individuals, particularly those with dementia. The speaker guides the audience through an exercise to identify their own likes and dislikes across sight, sound, touch, smell, and taste. They stress the importance of this knowledge in caregiving, as it can help caregivers provide a more personalized and comfortable environment for the individual, potentially improving their quality of life.

30:11
πŸ—£οΈ The Importance of Communication and Sensory Preferences in Caregiving

The speaker concludes by emphasizing the importance of communication and understanding sensory preferences in caregiving, especially for individuals with dementia. They discuss the potential loss of language skills due to cognitive decline and the importance of using non-verbal cues and remaining sensory skills to communicate effectively. The speaker also highlights the need for caregivers to be aware of their own preferences and use them as a guide when caring for others, while being open to feedback and adjustments based on the individual's unique needs and reactions.

Mindmap
Keywords
πŸ’‘Synaptic Connections
Synaptic connections refer to the links between neurons, which facilitate the transmission of signals in the brain. In the video, it is emphasized that regardless of age, forming new synaptic connections is possible and crucial for cognitive health. The script mentions that increasing the intensity and frequency of activities can stimulate the formation and retention of these connections, highlighting the importance of mental engagement for brain health.
πŸ’‘Dementia
Dementia is a general term for a decline in cognitive ability severe enough to interfere with daily life. The video discusses the impact of dementia on a person's ability to form new synaptic connections and the importance of learning and practicing new skills to combat the effects of aging on the brain. The script also touches on the challenges faced by those with dementia and the goal of improving their quality of life through understanding and adaptation.
πŸ’‘Rehearsal
Rehearsal, in the context of the video, refers to the process of repeatedly practicing or reviewing information to strengthen memory and facilitate learning. The script suggests that the more a person rehearses something, the quicker the neural connections will form. This concept is integral to the video's message about the importance of repetition and practice in learning and memory retention.
πŸ’‘Circadian Rhythm
Circadian rhythm is the body's internal clock that regulates the sleep-wake cycle and repeats roughly every 24 hours. The video script discusses the importance of establishing a healthy circadian rhythm for survival, emphasizing the need for a balance between periods of high energy (wakefulness) and low energy (sleep) to recharge and maintain overall health.
πŸ’‘Elimination
Elimination, as used in the script, pertains to the body's need to remove waste products to maintain health. The video highlights that the ability to eliminate waste, such as through urination and defecation, is a fundamental human need for survival. It also touches on the potential issues that can arise if this need is not met, such as discomfort and health complications.
πŸ’‘Comfort
Comfort in the video is described as a multifaceted concept that includes physical and emotional well-being. It is identified as a basic human need that contributes to the 'thrive to survive' mentality. The script explores various aspects of comfort, such as temperature, textures, personal space, sound, and lighting, and how a lack of comfort can lead to distress and impact survival.
πŸ’‘Pain
Pain is a sensory and emotional experience that signals potential harm or damage to the body or mind. The video script discusses pain as a critical factor in the 'thrive to survive' concept, indicating that persistent pain can hinder survival and well-being. It also differentiates between physical and emotional pain, emphasizing the importance of addressing and relieving pain for overall health.
πŸ’‘Personal Space
Personal space is the physical area an individual considers to be part of their intimate zone, which they control and protect. In the video, the concept of personal space is used to explain how approaching and interacting with individuals, especially those with dementia, should be done with respect for their personal boundaries to avoid triggering stress or fear responses.
πŸ’‘Proprioception
Proprioception is the sense of the relative position of one's own parts of the body and the strength of effort being employed in movement. The video script mentions proprioceptive touch as a way to gently rouse someone, particularly those who are hard of hearing or have dementia, by using deep pressure touch beyond the intimate space to avoid startling them and to promote a sense of safety and comfort.
πŸ’‘Hearing Loss
Hearing loss is the reduced ability to perceive sound and is a common condition among older adults. The video script addresses hearing loss and its impact on communication, particularly with individuals with dementia. It suggests that high-pitched sounds, which are often lost in hearing loss, should be avoided, and communication should be conducted in a deeper, slower tone to ensure better comprehension.
πŸ’‘Advance Directives
Advance directives are legal documents that allow individuals to make known their wishes regarding life-prolonging medical treatments. The video script highlights the importance of including personal preferences for comfort, such as sensory likes and dislikes, in advance directives to ensure that caregivers can provide appropriate care that aligns with the individual's needs and desires.
Highlights

The human brain can grow new synaptic connections regardless of age, provided there is no significant dementia.

As we age, it becomes chemically more challenging for the brain to form new synapses.

The level of excitement and interest, along with rehearsal, can speed up synaptic connection formation.

To retain new information, it's crucial to use it regularly to avoid losing it to storage without access.

The importance of turning awareness into knowledge and then into a habit to prevent old habits from resurfacing.

The necessity to repeatedly practice new behaviors to make them habitual and replace old ones.

Reviewing how well the brain is functioning, particularly its 'burn rate' of fuel.

The limbic system's role in the 'thrive to survive' aspect of human behavior.

Basic human needs for survival include respiration, hunger, thirst, wake-sleep rhythm, elimination, and comfort.

The importance of establishing a circadian rhythm for energy regulation and survival.

The need for elimination of waste products for survival and the potential issues arising from inactivity and medication.

The individual nature of comfort, including temperature, textures, personal space, and sound intensity.

The impact of pain on survival and the importance of addressing both physical and emotional discomfort.

The method of waking someone up gently to avoid over-arousal and the potential for fright, flight, or fight responses.

The use of deep, proprioceptive touch to rouse individuals, especially those with sensory impairments.

The significance of tone of voice in communication, particularly when dealing with anxiety and dementia.

The process of identifying and understanding personal preferences for sensory comfort to aid in caregiving.

The importance of advance directives that include personal preferences for sensory experiences in care.

The impact of language loss on the left side of the brain and the retention of rhythm skills on the right.

The challenge of articulating words when the sensory-motor skills related to speech production are compromised.

Transcripts
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