{"id":9101,"date":"2016-04-17T07:57:07","date_gmt":"2016-04-17T12:57:07","guid":{"rendered":"https:\/\/www.senioradvisor.com\/blog\/?p=9101"},"modified":"2020-10-14T08:36:02","modified_gmt":"2020-10-14T13:36:02","slug":"dementia-and-improv","status":"publish","type":"post","link":"https:\/\/d30braiqprupoq.cloudfront.net\/blog\/2016\/04\/dementia-and-improv\/","title":{"rendered":"Dementia and Improv"},"content":{"rendered":"<h1>Dementia and Improv<img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9105\" src=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/Dementia-and-Improv-350x293.png\" alt=\"Dementia and Improv\" width=\"350\" height=\"293\" srcset=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/Dementia-and-Improv-350x293.png 350w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/Dementia-and-Improv-768x644.png 768w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/Dementia-and-Improv.png 940w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/h1>\n<p><span style=\"font-weight: 400;\">It seems a strange combination at first. Dementia and improv? What does the loss of memory have to do with the type of comedy based on making things up on the spot? <\/span><\/p>\n<p><span style=\"font-weight: 400;\">It turns out, quite a bit. In recent years people have discovered that the combination of dementia and improv can prove really helpful for both seniors and caregivers. Many of the features that define improv comedy can be put to good use when dealing with loved ones struggling with Alzheimer\u2019s and other forms of dementia. <\/span><\/p>\n<h2>How Improv Works<\/h2>\n<p><span style=\"font-weight: 400;\">Improv is a form of comedy based on improvisation. The goal is for everyone in a troupe to play off of each other in ways that are supportive and make it easy for the other people to continue the scene (ideally while always being funny).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To help people internalize the best methods for keeping a scene going and supporting your fellow troupe members, comedians have developed several <\/span><strong><a href=\"http:\/\/improvencyclopedia.org\/references\/David_Alger%60s_First_10_Rules_of_Improv.html\" target=\"_blank\">rules of improv<\/a><\/strong><span style=\"font-weight: 400;\">. Here\u2019s a taste of some of the most important:<\/span><\/p>\n<ul>\n<li><b><b>Say \u201cyes, and\u2026\u201d <\/b><span style=\"font-weight: 400;\">This doesn\u2019t literally mean to say those words, so much as always accept the premise set up by your fellow players and keep it moving forward.<\/span><\/b><\/li>\n<\/ul>\n<ul>\n<li><b>Don\u2019t block. <\/b><span style=\"font-weight: 400;\">Don\u2019t ever deny the premise and stop the action.<\/span><\/li>\n<\/ul>\n<ul>\n<li><b>Don\u2019t ask questions. <\/b><span style=\"font-weight: 400;\">Questions make your partners do more work to fill in the gaps. You want to do the work to make it easy on them, rather than making them do more work.<\/span><\/li>\n<\/ul>\n<ul>\n<li><b>Focus on the here and now. <\/b><span style=\"font-weight: 400;\">Keep your attention entirely on what\u2019s going on in the scene you and your partners have created.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Maybe as you read through that list you started to gain some idea of how improv tenets can be applied to working with dementia patients. <\/span><\/p>\n<h2>Why It\u2019s Helpful to Dementia Patients<\/h2>\n<p><span style=\"font-weight: 400;\">Patients with Alzheimer\u2019s and their family members are often told that they should work to keep their minds active, but knowing just how to do that proves challenging. A growing number of organizations and assisted living facilities have seen the potential in improv rules to both help dementia patients keep their minds active, and give them some time off from feeling the effects of the disease. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A lot of it comes back to the importance of focusing on the <\/span><strong><a href=\"http:\/\/abcnews.go.com\/Health\/AlzheimersCommunity\/alzheimers-disease-improv-helps-patients-live-moment\/story?id=14307386\" target=\"_blank\">\u201chere and now.\u201d<\/a><\/strong><span style=\"font-weight: 400;\"> When you think about it, we spend so many moments in life focused on the future or the past. For someone struggling with memory issues, being given a space to be fully in the present is a gift. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Improv provides seniors with an opportunity to be creative, have fun, and do it all in a fairly pressure-free environment. They may not remember the fun they had afterwards (although family members can make a habit of reminding them to give them a chance to relive it), but in the moment they get to enjoy some carefree entertainment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Improv won\u2019t help slow the progress of the disease or reduce its effects (at least we don\u2019t have any evidence that it does), but as long as we don\u2019t have a cure for Alzheimer\u2019s, the best thing caregivers and loved ones can do is work to make every day someone lives with the disease as good as it can be, in spite of the difficulties. Researchers have found <\/span><strong><a href=\"http:\/\/www.npr.org\/2011\/08\/15\/139585522\/improv-for-alzheimer-s-a-sense-of-accomplishment\" target=\"_blank\">evidence that improv does actually help with that<\/a>. <\/strong><\/p>\n<h2>How It\u2019s Useful to Caregivers<\/h2>\n<p><span style=\"font-weight: 400;\">Speaking of living with the disease, patients aren\u2019t the only ones dealing with the symptoms of Alzheimer\u2019s every single day. \u00a0Caregivers and other loved ones are challenged on a regular basis with situations that are hard to manage effectively. Over time, caregivers learn tips and techniques for responding to their loved ones\u2019 confusion and fits in ways that (hopefully) manage to minimize how upset their loved one becomes each time, and that help keep the task of caregiving from becoming too overwhelming and draining.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But getting to that point is hard. For most caregivers, it will feel like a nearly constant uphill battle. One woman with prior experience in improv, once she was tasked with taking care of her mother after an Alzheimer\u2019s diagnosis, realized she could put the skills she\u2019d learned from her improv comedy experience to use in communicating with her mom.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In an interview on <\/span><strong><a href=\"http:\/\/www.thisamericanlife.org\/radio-archives\/episode\/532\/magic-words\" target=\"_blank\">This American Life<\/a><\/strong><span style=\"font-weight: 400;\">, Karen Stobbe describes how being an improv comedian equips you with a lot of practice stepping into someone else\u2019s world and figuring out how to play along \u2013 something many caregivers realize (often slowly and after much difficulty) helps make <strong><a href=\"https:\/\/www.senioradvisor.com\/blog\/2015\/12\/dementia-and-the-holidays\/\" target=\"_blank\">conversations with a loved one who has dementia<\/a><\/strong> much easier and more pleasant for all involved.<\/span><\/p>\n<p>Click play to listen to the interview:<\/p>\n<p><script src=\"http:\/\/audio.thisamericanlife.org\/widget\/widget.min.js\" type=\"text\/javascript\"><\/script><\/p>\n<div id=\"this-american-life-532\" class=\"this-american-life\" style=\"width: 540px;\"><\/div>\n<p><span style=\"font-weight: 400;\">When your loved one mentions siblings that aren\u2019t around anymore, you don\u2019t have to say \u201cactually Charlie passed a few years ago\u201d \u2013 it\u2019s better to instead play along, \u201cI think your brother\u2019s busy today, why don\u2019t we go to the park instead?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When your loved one is living within a world of memories, reminding them someone they love has passed means they either experience the grief all over again, they\u2019ll think you\u2019re lying to them, or they\u2019ll think you\u2019re calling them a liar. All of those are eventualities that make an already fraught moment worse. If you instead use the moment to start a conversation about whatever\u2019s on their mind, you can nudge them away from the frustration and distract them from whatever they felt they <\/span><i><span style=\"font-weight: 400;\">needed<\/span><\/i><span style=\"font-weight: 400;\"> to do to begin with.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some people may feel a little uncomfortable with this at first,\u00a0as if\u00a0you\u2019re being dishonest with your loved one. Over time you\u2019ll realize that talking to them this way creates a better experience for both them and you, which will ultimately make the approach feel more moral than hitting them with difficult (old) news over and over again.<\/span><\/p>\n<h2>How to Get Started<\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re a caregiver or staff member at a memory care facility, you can review the tips and resources on Karen\u2019s website <\/span><strong><a href=\"http:\/\/www.in-themoment.com\/index.asp\" target=\"_blank\">In the Moment<\/a><\/strong><span style=\"font-weight: 400;\"> to help you incorporate improv principles into your dealings with an Alzheimer\u2019s patient.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you think improv would be a great experience for your loved one, it may take a little work to get them started. Some cities already have improv troupes for seniors with dementia, so try doing some web searches to see if anything turns up in your area. If there\u2019s not one already, you can see about putting one together.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your loved one is currently in an assisted living or nursing home, talk to the staff about bringing in an improv troupe to work with the seniors and ask around town to find one that\u2019s interested in helping out. If they still live at home or with you, you might still tap into the <strong><a href=\"https:\/\/www.senioradvisor.com\/assisted-living\" target=\"_blank\">local assisted living homes<\/a><\/strong> for a potential interested community that can try out improv with your loved one.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Improv won\u2019t remove the challenges that come with living with dementia, or with living with someone with dementia, but it can help make days a little easier and more enjoyable for each of you. That alone makes it worth trying. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dementia and Improv It seems a strange combination at first. Dementia and improv? What does the loss of memory have to do with the type of comedy based on making things up on the spot? It turns out, quite a bit. In recent years people have discovered that the combination of dementia and improv can prove really helpful for both [&hellip;]<\/p>\n","protected":false},"author":2199,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6,199,200,29],"tags":[125],"class_list":{"0":"post-9101","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-alzheimers-care","7":"category-business-owners","8":"category-families-caregivers","9":"category-caregiving","10":"tag-dementia-care"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dementia and Improv - SeniorAdvisor.com Blog<\/title>\n<meta name=\"description\" content=\"Dementia and improv? What does the loss of memory have to do with the type of comedy based on making things up on the spot? 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