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Core Values: Welcome • Respect • Compassion • Hope

Junip

er’s

REMEMBER… we welcome your feedback or ideas for future editions. You can email us on community@juniper.org.au or give us a call on 6363 6324

Don’t let the cooler Winter days keep you inside –

Rug up and explore the beautiful world

around you!

Winter 2017

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I hope you enjoy reading our magazine, as much as I enjoy developing it. Juniper and our Dementia Champions always welcomes all your comments and suggestions on what you may have found interesting or useful and what you might like us to include in future.

This magazine is for you and with that in mind, I would like to make our Summer (Christmas) edition this year all about you. But to do this, I will need your help.

So, please can you send me your tips, stories, useful finds, gift ideas, tasty recipes, or simply a photo of a creative project you have completed for inclusion in our magazine.

As the people living with or supporting those living with dementia, I am sure other readers will love reading your contributions.

You can email community@juniper.org.au addressed to ‘Rachel’ or, if you prefer, send something in the post to Ron Wilson House, 1 Centenary Drive, Bentley 6102.

Many thanks

Rachel

Hello Readers and welcome to our 11th edition of TIME-OUT. It’s hard to believe we are approaching our fourth year of publication already!

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What’s in the news?

BBC launches a new service for people with dementiaThere’s no doubt that TV can play a useful role when you’re caring for someone with dementia. The right show at the right time can help a loved one to relax and may even stir good memories and great conversation. But it can be difficult to find something that will resonate with them. Until now.

Imagine being able to sit down

with your loved one and watch

a Pathe news clip from 1945,

a clip from Alistair Cooke’s

Postcards from America, or

a very young looking David

Attenborough meeting a

gorilla… These (and around

1,500 more) vintage TV clips

are now available on the BBC’s

new RemArc website which has

been designed with dementia

in mind. The site contains items

from BBC archives (including

video clips, audio clips and

images) which it’s hoped will help

people with dementia to trigger

happy memories and spark

conversation with family and

friends. The permanent archive

includes popular television and

radio programmes throughout

the decades and is very easy to

navigate. News footage of Royal

visits, political speeches and

moments from history such as

the moon landings are also easily

accessed, as can generic photos

and footage showing everyday life

from the 1930’s onwards.

RemArc was created in

conjunction with Alzheimer’s

Society, and specialists from

Dundee University and St

Andrews University. ‘We know

that reminiscence can be a

powerful way of connecting

people affected by dementia with

their memories and improving

their mood,’ says Kathryn

Smith, director of operations at

Alzheimer’s Society. ‘People who

have used it already talk really

positively about their experience

of it as a helpful reminiscence tool

and enjoyable activity.’

Follow the link https://remarc.

pilots.bbcconnectedstudio.co.uk/

remarc to see more.

As a Dementia Champion, I

love this idea and have emailed

the ABC encouraging them to

consider something similar in

Australia. Fingers crossed!

https://www.unforgettable.

org/blog/bbc-launches-a-new-

service-for-people-with-dementia

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Male dementia carers less likely to ask for help than female carersA new report by Alzheimer’s Australia has found male carers for people with dementia are less likely to seek support or advice.

Becoming a carer for someone

with dementia can be a daunting

prospect, but one that can be

helped immensely by drawing on

the help, support and expertise of

others – both professionals and

other carers.

However, a report by Alzheimer’s

Australia has discovered that

only one in five callers to the

organisation’s national helpline

were men, and that three times as

many female partners contacted

the service as male partners. And

chances are, this pattern is likely

to be repeated worldwide, for male

carers in the UK and US, too.

The report noted that 78% of

callers seeking support were

female, and that there were almost

four times as many daughters

ringing the helplines as there were

sons.

‘I think that men feel it’s their role

to care for their person no matter

what, and so are reluctant to seek

help,’ said Debbie Slater, CEO of

Alzheimer’s Australia Tasmania.

‘They feel like they may have failed

if they did accept services and

especially the age group, the older

age group, they tend to be very

independent and don’t really feel

like they need extra support.’

Slater noted that accessing

support through helplines was key

to helping to make people’s lives

as comfortable as possible.

‘It’s about keeping people at home

for the longest length of time and

when people do access services

they are able to stay in their own

homes for a much longer time than

otherwise.’

If you have concerns about

Alzheimer’s disease or about

any other form of dementia, and

need advice/support, call the

Alzheimer’s Australia Helpline –

1800 100 500, or for help with

challenging behaviors associated

with dementia you can call

DBMAS (Dementia Behaviour

Management Advisory Service) on

1800 699 799.

www.unforgettable.org/blog/male-

dementia-carers-less-likely-to-ask-

for-help-than-female-carers/

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Aged care provider sees fewer falls, reduced drug use under new dementia care modelOne of the early adopters of a British approach to dementia care is reporting positive outcomes at its aged care facilities in Brisbane and Canberra, while the model’s founder seeks more Australian facilities to get on board. The Salvation Army Aged Care Plus says it is seeing a significant reduction in falls and the use of psychotropic medications as a result of its implementation of a British dementia care model. Since July last year the organisation has been rolling out the model at its Cairns Aged Care Plus Centre at Chapel Hill in Queensland and the Mountain View Aged Care Plus Centre at Narrabundah in the ACT.

The model was pioneered in the UK by Dementia Care Matters and moves from a task-focused institutional approach to one guided by each resident’s interests, feelings and emotions.

Interim results from The Salvation Army Aged Care Plus’ adoption of the model, which it has called Making Moments Matter, show significant improvements in the quality of life for residents living with dementia.

Falls have been reduced by 65 – 85% across the two sites, along with a drop in the number of residents requiring psychotropic medication of 10 - 33% per cent. The model has also positively

impacted residents’ pain levels, with 60 per cent of those at both centres experiencing a stabilisation in their pain under the model.

The Salvation Army Aged Care Plus said the results can be attributed to the physical, cultural and environmental changes that have been implemented under the model.

Social areas have become more intimate to enhance social engagement, while household items have been introduced to replicate a sense of familiarity.

Residents can get involved in domestic duties to help give them a sense of purpose, and meals are now shared with staff, who have also undertaken emotional intelligence training so as to better connect with residents.

Benefit of emotional connections“The value of replacing task orientated care routines with relaxed homelike experiences, where staff are considered to be an extension of family, cannot be underestimated. The benefits of emotional connectivity have had a significant impact on physical, psychological and social wellness.” Aged Care Plus executive manager care services Peter Bewert said.

Families of residents are also reporting positive results, with one

family member saying - “They are engaged and welcomed into a new home and I can see they are no longer bored or reserved,”

Further changes to the environment are on the way, with the construction of small households, featuring fully-functional domestic kitchens and laundries in which the residents can carry out daily routine tasks, planned.

Additional staff training will also be carried out to complete the emotional intelligence and person-centred care delivery element of the model.

Other Australian facilities sought: founderMeanwhile, Dr David Sheard, CEO of Dementia Care Matters, which pioneered the Butterfly Care Home model, said he was now looking for other facilities in Australia to adopt the approach.

Interested providers are asked to make contact via admin@dementiacarematters.com

www.australianageingagenda.com.au/2017/02/17/aged-care-provider-sees-fewer-falls-and-drugs-under-new-dementia-care-model/

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Dementia Research

Prolonged sleep in older adults may increase the risk of dementia

High levels of Vitamin B12 in Marmite may help prevent Dementia and Alzheimer’s.The high concentration of vitamin B12 in Marmite (a distinctly British food spread) was

found to increase levels of GABA chemicals in the brain, which may protect against

neurological disorders like Alzheimer’s disease - helping to regulate the balance of

activity needed to maintain a healthy brain. It also helps fight fatigue, according to recent

research from York University in Ontario, Canada.

In the study, participants who ate a teaspoon of Marmite daily for a month, showed a

30% reduction in the response to visual stimuli, in comparison to compared to a control

group who was given peanut butter, in effect “turning down the volume” in the brain.

B12 is also naturally found in our diet in meat, fish, and dairy products, but only in very

minimal amounts. This has led to the development of products, such as B12Boost Spray,

which is easily absorbed by the body via the rich system of veins within the mouth.

https://alzheimersnewstoday.com/2017/04/11/high-levels-vitamin-b12-marmite-helps-prevent-dementia-

alzheimers

Older adults who started to sleep more than nine hours a night — after

previously not doing so — more than doubled their risk of developing dementia

a decade later, new research reports. The increased risk wasn’t seen in people

who had always slept more than nine hours. The researchers suggest that as

Alzheimer’s-related changes begin in the brain, people may inadvertently sleep

longer as their bodies attempt to remove the abnormalities, but additional research is needed.

“We’re not suggesting you go wake up Grandpa. We think this might be a marker for the risk of dementia,

not a cause” of the illness, said Dr. Sudha Seshadri, a professor of neurology at Boston University School of

Medicine.

Using data from 2,457 people, average age 72, the researchers found that those with a new habit of excessive

slumber were at a greater risk of all forms of dementia, including Alzheimer’s, which is characterized by a

buildup of beta amyloid, a toxic protein fragment that forms plaques in the brain.

www.nytimes.com/2017/02/22/well/mind/prolonged-sleep-may-be-early-warning-sign-of-dementia.html?

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Study provides starting point for development of VR therapies.An engaging, attractive and colourful interface, an element of challenge plus continual feedback have been identified as key features of a virtual reality experience for people with dementia, according to new research.

Findings from independent research on Alzheimer’s Australia’s forest-themed virtual reality program, which shows residents with dementia experience greater pleasure but also more fear, can be applied to other virtual reality applications, said the study’s lead author.

Alzheimer’s Australia Vic began development on the sensor therapy application in 2014 ahead of launching the Virtual Forest for use at Lifeview Residential Care in Victoria in September 2015 where it continues to be used as part of a successful sundowning program aimed at reducing agitation and the use of antipsychotic medications.

Leading dementia care researcher Professor Wendy Moyle undertook a small exploratory study – the first to describe the impact of a virtual reality activity on people with dementia – involving 10 aged care residents with dementia, 10 family members and 9 care staff at two Lifeview facilities.

Overall, the forest was perceived by residents, family members and staff to have a positive effect and the study suggests virtual reality may have the potential to improve quality of life and outcomes for people with dementia.

The research assessed how a 15-minute virtual reality forest experience affected the person with dementia’s engagement, apathy and mood. It found that residents experienced more pleasure and a greater level of alertness, but also a greater level of fear or anxiety than normal for this cohort. No participants showed signs of anger or sadness.

Professor Moyle said the results around fear and anxiety were not surprising considering the participants and unfamiliarity of the situation but needed to be highlighted because it was relevant to staff education.

Other findings included general agreement among participants that 5–10 minutes was enough time in one sitting to use the forest while many family members indicated the scenery and objects were well designed but would like additional scenes.

Staff feedback suggested the program was best suited to people with mid-stage dementia as people with early stage dementia could get bored and those with later stage might become confused, according to the findings.

“The next stage is about taking the learnings and putting them into the redevelopment or the new

development of other technology,” Professor Moyle said.

The paper outlined the following steps to consider in the development and use of virtual technology:

1. An engaging, attractive, and colourful interface that promises enjoyment

2. It is always obvious what to do next, either because of the way the interface behaves or because of a specific prompt

3. An element of challenge and skill mastery to the experience, such as a point to the activity even for people with little working memory

4. Continual feedback provided on the user’s performance.

www.australianageingagenda.com.au/2017/04/05/study-provides-starting-point-development-emerging-vr-therapies/

A scene from Alzheimer’s Australia Vic’s Virtual Forest

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Study shows benefits of community exercise programs for people with dementiaRegular exercise for people with dementia improves balance and functional independence with everyday activities such as bathing and dressing, a new study has found.

The systematic review pooled

the data from seven randomised

controlled trials of long-term

exercise programs which ran for

more than three months in the

home or community.

The results provide evidence to

support exercise training in the

home as a low-cost, non-invasive

intervention for people with

dementia, which has the potential

to reduce hospitalisation and the

progression of functional decline in

this group.

To realise these positive benefits,

current health service models may

need to be restructured to ensure

the availability of trained support

workers or physiotherapists, as

well as extending post-acute care

transitional programs beyond three

months, the authors said.

Older people with cognitive

impairment are at risk of

progressive physical deterioration,

including loss of muscle strength,

deconditioning, decreased

standing balance and impaired

walking, all of which can lead to

falls and injury.

“The positive results for balance

and the ability to complete

activities of daily living shown in

this review may help reduce the

risk of falls in this population,” the

researchers concluded.

The data also showed that more

demanding activities such as

shopping and cleaning were also

improved from participation in a

longer-term exercise program.

The authors called for further

research into the effects of long-

term home and community-based

exercise programs for older people

with cognitive impairment.

www.australianageingagenda.

com.au/2017/02/16/study-shows-

benefits-community-exercise-

programs-people-dementia/

Benefits of moving more

Check out further information below, from the ‘Unforgettable” website about becoming more active.

1 It’s good for your heart and can reduce high

blood pressure.

2 It keeps your bones and muscles strong so

you can stay mobile and independent.

3 It improves sleep.

4 It can reduce the risk of falls by improving your

strength and balance.

5 It improves confidence and reduces loneliness

especially if it involves mixing with other

people.

6 It might ease agitation, anxiety restlessness

and wandering.

7 Tai Chi is often regarded as the perfect exercise

for elderly people.

8 Gentle daily exercise – 30 minutes, six days a

week, has been found to be as good for elderly

men as stopping smoking.

9 Regular exercise can boost the size of parts of

the brain that shrink with age.

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Golden Rules - Keep it simple & make it fun. It doesn’t have to cost anything.

Don’t let physical immobility prevent you from doing some form of exercise. Your local GP should be able to

put you in touch with a community therapist that can help you look at safe ways to exercise.

Benefits of getting outdoors

Whilst any form of exercise is good, if you

have dementia, exercise taken outside is

even better! Just a five minute walk around

the garden, or a trip to a nearby park, can

really help improve physical health in someone

with dementia, as well as provide multiple

forms of sensory stimulation.

Physical Benefits - Improved sleep and reduced restlessness- Improved diet- Improved activity and exercise levels- Improved awareness- Increased verbal expression- Improvement in memory

Psychological Benefits Dementia can cause a range of psychological challenges and behaviours, which getting outdoors has been found to help.

- Mood enhancement, reduced stress levels- Spiritual uplift- Having more control- Stronger sense of self- Reduced aggression and agitation

Social BenefitsOne of the hardest things about living with dementia can be dealing with feelings of loneliness and isolation. Stepping outside however can definitely help to ease this.

- Increased social interaction and encounters- Sense of belonging- Sense of friendship and kinship- Community benefit

Don’t worry if your loved one is reluctant to do very much. Try to work out why.

Maybe they’ve lost their confidence or are afraid they’ll fall? Keep reassuring them that they’re safe with you

and if necessary try using a walking stick or wheeled walker to provide extra comfort and safety. If you’re going

outdoors make sure they’re dressed properly so they stay warm and comfortable.

https://www.unforgettable.org/blog/the-great-outdoors-why-should-you-help-someone-with-dementia-to-go-

outside/

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What, Where, When...?Best practice flexible respite guide launched for providers

FLEXIBLE RESPITE SERVICES FOR PEOPLE WITH DEMENTIA AND THEIR CARERS INFORMATION FOR CONSUMERS

FLEXIBLE RESPITE SERVICES FOR PEOPLE WITH DEMENTIA AND THEIR CARERS INFORMATION FOR SERVICE PROVIDERS

Two new resources aimed at improving the delivery and navigation of respite services for people living with dementia are now available.The resources created by Alzheimer’s Australia, in partnership with the University of Wollongong and Carers Australia, aim to promote best practice strategies for respite service providers and to assist people with dementia and their carers to navigate the system.

The Flexible Respite Services for People with Dementia and their Carers resources suggest a new approach to respite care is needed to meet the individual needs and goals of clients and carers and to lift the overall quality of services.

Alzheimer’s Australia CEO Maree McCabe said the resources would help support best practice in respite care for people with dementia and their carers.

“As both the aged care and disability sectors move to consumer-directed and individualised funding models, it is vital that respite services ensure they are flexible and responsive to the needs of people living with dementia, their families and carers,” she said.

The booklet for providers identifies the key features of flexible respite services, such as staff continuity and appropriate activities, and provides a checklist for providers to assess the flexibility of their services.

The resource also shares examples of good practice from around Australia, including a 24-hour live-in dementia-specific respite service and mobile services, as well as consumer case studies.

Ms McCabe said it was important that people living with dementia have access to quality respite services that provide opportunities for both social contact as well as physical activity and emotional stimulation.

Project leader of ReThink Respite Dr Lyn Phillipson from the University of Wollongong said the resources will help carers access information to better understand and navigate the system.

The new resources are available for free on Alzheimer’s Australia’s website and were developed with funding from an Aged Care Service Improvement and Healthy Ageing Grant from the Federal Government.

http://www.australianageingagenda.com.au/2017/04/20/best-practice-flexible-respite-guide-launched-providers/

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Check out these user-friendly books from the Unforgettable range.

Check this out! (A great product to support undependence)

A Family Guide to DementiaA Family Guide To Dementia has 150 pages of practical tips, step by step support and brilliant, realistic advice from people who’ve been there too. Whether you’re just starting out on the dementia journey or already caring for a loved one you’ll find all the essential information you need.

Staying out of hospital when you have dementiaStaying out of hospital when you have dementia has already received glowing reviews from people who’ve downloaded it as an e-book. Written by dementia specialist Danielle Wilde, the printed version has 60 pages of advice about keeping loved ones safe and well - and out of hospital - whenever possible.

What readers have said:“I felt so emotional reading A Family Guide To Dementia due to its wealth of information. It is an easy read that anyone can follow.”

“Contains masses of really useful information. I will share it with my Carers’ Group. I wish you could also buy printed copies”

Available to download or buy from the Unforgettable website: www.unforgettable.org

Myhomehelper - an award winning on-line, digital memory and communication aid for people living with cognitive impairment such as dementia and learning difficulties.

Originally designed and built by Kevin Marsch in 2010, to let his Mum (who had Vascular Dementia) know where he was and when he was at work or on holiday and how to contact him, it can provide the following benefits: *Increase Independence *Reduce Anxiety & Depression *Stimulate the memory *Provide reminiscence *Increase Engagement *Reduce Isolation & Increase communication *Reduce Carer Burden *Provide Reassurance & Peace of Mind *Allows for flexibility for the carer regarding everyday routines.

Myhomehelper has 6 display modes: Calendar Clock, Diary, Reminders, Photos, News & Messages. Each of those display modes are optional and you can choose how often each of them is shown over the period of an hour.

Requires: A Wi-Fi network or a 3G SIM card that can be put directly into the device. The display is setup and managed over the internet by you or anyone that you want via the myhomehelper website. Any changes made by you are picked up by the myhomehelper display within approximately 90 seconds.

For inforamtion on costs contact: info@myhomehelper.co.uk or call 01482 217285 for info about a 14 day free trial. Or visit their website to find out more: www.myhomehelper.co.uk/home/home.aspx

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Easy Peasy Cheesy Bean and Potato Bake Suggestion – serve with grilled pork chops, pork steaks or chicken breasts

The Best Sticky Date Pudding

INGREDIENTS

450g desiree potatoes, peeled, quartered

1/2 cup hot milk

3/4 cup grated tasty cheese

820g can baked beans

INGREDIENTS

For the sponge:1 cup (170g) dates

½ cup (125ml) water

1 stick (100g) butter

1 + ¼ cup (185g) plain flour

½ cup (110g) caster sugar

½ cup (110g) brown sugar

1 tsp cinnamon

½ tsp nutmeg

1 tsp baking powder

2 eggs

For the sauce:¾ cup (150g) brown sugar

¾ cup (150g) butter

²∕³ cup (175ml) heavy cream

1 tsp vanilla

METHOD

1. Preheat oven to 200°C/180°C fan-forced.

2. Place potatoes in a medium saucepan. Cover with cold water & season with salt (to taste)

3. Bring to the boil over high heat. Boil for 15 minutes or until tender.

4. Drain. Return potatoes to pan. Cook over low heat for 30 seconds or until dry.

5. Remove from heat.

6. Using a potato masher, coarsely mash potatoes.

7. Add milk & mash until smooth.

8. Add 1/2 cup cheese. Stir until smooth.

9. Season with salt and pepper.

10. Place beans in a 5 cup-capacity baking dish.

11. Cover with mash. Sprinkle with remaining cheese.

12. Bake for 20 to 25 minutes or until golden and hot. Season with pepper.- Serve.

METHOD

1. Preheat the oven to 180C/375F and grease a 9x9in (24x24cm) dish. (or any dish of approximately the same size).

2. Roughly chop the dates and put them in a saucepan with the water. Bring to the boil, leave for about 30 seconds, and then turn off the heat.

3. In a stand mixer, cream the butter until it is light and fluffy. Add the flour, sugars, spices and baking powder, and mix until everything is combined and sandy-looking.

4. Add in both eggs and mix until just combined. Add the dates and water, and mix again until everything is smooth and combined.

5. Scrape the batter into the baking dish, and place into the oven for 20-25 minutes, or until the cake springs back when lightly touched.

6. While the cake is baking, make the sauce by combining all the ingredients in a saucepan and bringing them to the boil (I use the date saucepan). Boil for about 1 minute, and then set aside to cool slightly.

7. When the sponge is ready, drizzle over about ¼ of the sauce, and then serve warm with the rest of the sauce to pour over as you go! Perfect with ice cream, or double cream.

Naughty butNice!

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COMMUNITY EVENTS Heritage Perth Walk & Talk seriesThis year’s programme offers a variety of FREE guided walks & talks, that will help you get to know more about Perth’s amazing history. Check out the website - http://heritageperth.com.au or call 1800 171 234 to find out more.

WA Day Festival - Elizabeth Quay The flagship WA Day Festival at Elizabeth Quay will be returning for two days of fun and interactive activities, food, music and much more on 4 & 5 June – a great opportunity for every generation to spend time together!Foodies, families and fun-seekers alike will be kept busy by a five-star, carefully curated program of food and wine, entertainment and activities to showcase and celebrate all things Western Australia.Tastebuds will be tantalised by a swathe of international food trucks representing the state’s melting pot of culture, OR those after a more sophisticated bite, can indulge in a plate by some of Perth’s favourite restaurants and bars, accompanied by a glass of Western Australian wine, of course!Sunday will be a shopaholic’s delight, with Perth Makers’ Market taking residence under the Centre Stage Big Top and showcasing the wares of local artisans, while local musicians and performers entertain the crowds throughout the day and a celebrity cook-off takes place in the pop-up kitchen.On Monday, SOTA, Western Australia’s favourite music festival will have Elizabeth Quay buzzing with another sensational line-up of local acts taking to the stage. This year’s concert is FREE and is suitable for all ages.Visit www.celebratewa.com.au/2017-wa-day-festival for more information.

2017 Chittering Spring Flower FestivalCelebrate springtime in the Chittering Valley at the 2017 Chittering Spring Flower Festival from 15 - 17 September, 2017.The weekend showcases much of what is on offer in the region with two market days, an historic vehicle day and fair, floral displays and plant stalls in the hall, a Speakers lounge, an art exhibition, quilt exhibition, open days at the beautifully renovated Holy Trinity Church and the Bindoon Museum members will open their building to show off their collection of memorabilia.The interesting and historic Enderslea Farm will be the setting of four performances of Uncovering May Gibbs, including a farm fare afternoon tea. The play is performed by members of Agelink Theatre, directed by Jenny Davis and produced by Diane Pope.Date: 15 – 17 Sep 2017 Time: 09:00 – 16.00

Drawing for BeginnersThis class is comprised of several drawing classes at unique locations around Perth. Each location is specifically chosen by the host, whether it be for a great view, a particularly interesting landmark, or the opportunity for a lesson in technique. There will be a sit-down venue on the day for a chance to draw still life or portraits, and includes a complimentary beverage. Class sizes are kept small so each participant will have a chance to interact with the host on a one-to-one basis. Basic materials will be provided on the day, including paper and pencils. A complimentary beverage will be provided at the sit-down venue. This class is open to all skill levels; no previous artistic experience is necessary. Bookings are essential.Time: 10:00 am Duration: 3 hours Cost: $44pp Meeting Point: Will be notified upon bookingTo find out more or make a booking, call: 1300 32 22 32

Just chilling

Letter Logic

Letter Logic

Letter Logic

LETTER LOGICFind the correct letter for each clue to spell a six-letter word that you can eat.

Find the hidden objects

___ ___ ___ ___ ___ ___

1 2 3 4 5 6

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Spot the Difference - find the 12 differences between these pictures.

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The information published in Time Out is general in nature and should not constitute advice. Juniper does not warrant or assume accuracy of information herein.The content, commentary and opinions herein do not necessarily form Juniper’s views.

www.juniper.org.au