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Sights, sounds trigger memories

Olga Deacon, who has dementia, speaks with her granddaughter, Chris Boyce, in a replica 1940s kitchen at The Easton Home in Easton. Nursing homes and assisted living facilities are increasingly using sight, sound and other sensory cues to stimulate memory in people with Alzheimer's disease and other forms of dementia.
Reminiscence used as therapy

EASTON — From the antique cast-iron stove in the kitchen to the ancient wood-paneled radio in the living room, the decor in The Easton Home comes straight out of the 1930s, '40s and '50s.

Which is by design. The old-fashioned rooms are in the dementia wing of the elder-care facility and serve an important function. They're intended to make residents feel at home, help them retrieve memories and get them talking about their younger selves.

It's reminiscence as therapy.

“As soon as they walk in, they become comfortable ... and it just takes them back to a place that they're familiar with,” said Jennifer Woolley, community life coordinator. “They can talk about their stories and share their experiences, so you're just walking into the past, and they love it.”

Nursing homes and assisted living facilities increasingly use sight, sound and other sensory cues to stimulate memory and provide a touch of the familiar for people with Alzheimer's disease and other forms of dementia — part of a broader shift toward specialized memory units that care for this large and growing segment of the population. About 5.3 million Americans have Alzheimer's, a number expected to rise dramatically as Baby Boomers age.

In Olathe, Kan., the Cedar Lake Village retirement community is building a memory-care assisted-living facility that includes a 1968 Ford pickup in the courtyard for residents to sit in, tinker on, listen to music “and reminisce about their first vehicle,” said Joanna Randall, executive director.

In England, Grove Care has “Memory Lane” at its dementia-care facilities, featuring a 1950s-themed pub, post office and grocery store.

The Easton Home, about 50 miles north of Philadelphia, converted two rooms into its own version of Memory Lane.

Experts say dementia sufferers' memories can be triggered by an object, a sound, a smell. Danish researchers found dementia patients placed in a setting that reminded them of their youth were able to summon more autobiographical memories than a group studied in an everyday setting.

While reminiscing won't reverse the progression of Alzheimer's and is not guaranteed to work for everyone, it can improve mood and reduce agitation and wandering, said Ruth Drew, director of family and information services at the Alzheimer's Association.

“Sensory cues are really the secret to providing what we call comfort care,” said Marguerite McLaughlin, who's in charge of quality improvement at the American Health Care Association.

Chris Boyce partly credits the surroundings at The Easton Home — and the conversations they start — with making her time with her grandmother more enriching.

They often sit in the kitchen, where an antique ironing board and wringer washing machine recently prompted 90-year-old Olga Deacon, who has dementia, to explain how she used to help her mother with the ironing.

“It took me forever. She'd tell you, 'This has to be straight, that has to be straight.' You had to get the creases straight,” recalled Deacon, laughing at the ancient memory.

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