Tue07282015

News

Cal Water issues Boil Water Advisory for parts of Los Altos

Cal Water issued a Boil Water Advisory to customers in the Los Altos area Sunday (July 26). The drinking water alert warned customers that E. coli and total coliform were found in the local water supply. These bacteria can make a person sick and are ...

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Schools

Foothill STEM camps offer resources for low-income students

Foothill STEM camps offer resources for low-income students


Sana Khader/Town Crier
Students use software connected to a 3D printer, left, to create a miniature San Francisco, including the Ferry Building, below, at Foothill’s STEM Summer Camps.

Expanding efforts to spark and inspire students’ int...

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Community

Local resident cooks her way from cheerleader to Food Fighters

Local resident cooks her way from cheerleader to Food Fighters


Courtesy of the MacDonald family
Amber MacDonald competes on an episode of “Food Fighters,” scheduled to air 8 p.m. Thursday on NBC.

A newly arrived Los Altos family has an unusually public get-to-know-you moment this week – Amber MacDonald and ...

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Comment

Letters to the Editor

Ad-plane flyover marred festival

I hope that other residents who share my concern that the Geico plane flying low over the Los Altos Arts & Wine Festival and our homes for hours on end marred the “fun for everyone” that the Town Crie...

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Special Sections

Heart attack survivor cherishes life after near-death experience

Heart attack survivor cherishes life after near-death experience


Photos Courtesy of Tim Pierce
Los Altos Hills resident Tim Pierce, right with emergency medical responder Steve Crowley, suffered a heart attack in May.

After what Tim Pierce went through recently, no wonder he tries to cherish every moment as if he...

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Business

PAMF debuts cosmetic surgery center

PAMF debuts cosmetic surgery center


John Ho/Special to the Town Crier
The Palo Alto Medical Foundation Center for Cosmetic Surgery at 715 Altos Oaks Drive is the organization’s first center focused solely on cosmetic procedures.

Los Altos’ newest medical office – the...

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Books

Book Signings

• Fritz and Nomi Trapnell have scheduled a book-signing party 4-6 p.m. Aug. 1 at their home, 648 University Ave., Los Altos.

Fritz and his daughter, Dana Tibbitts, co-authored “Harnessing the Sky: Frederick ‘Trap’ Trapnell, ...

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People

CHARLOTTE BARBARA WINGUTH

CHARLOTTE BARBARA WINGUTH

Charlotte Barbara Winguth died July 9 at the young age of 89. She is survived by her 3 daughters Sandy, Karen & Wendi, 5 grandchildren and 2 great grandchildren. She came to Los Altos CA with her husband Ed and 3 children 53 years ago from New ...

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Travel

Gearing up: Make travel more civilized with accessories

Gearing up: Make travel more civilized with accessories


Eren Göknar/Special to the Town Crier
San Francisco-based humangear Inc. sells totes, tubes and tubs for traveling.

In travel, as in romance, it’s the little things that count.

Beyond the glossy brochures lie the travel discomforts too mun...

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Stepping Out

Engineer builds second career as actor

Engineer builds second career as actor


David Allen/Special to the Town Crier
Actors rehearse for Foothill Music Theatre’s “A Funny Thing Happened on the Way to the Forum.” The cast includes, from left, Tomas Theriot, Todd Wright, Mike Meadors and Ray D’Ambrosio. ...

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Spiritual Life

Christ Episcopal pastor departs Los Altos for new post in SF

Christ Episcopal pastor departs Los Altos for new post in SF


Courtesy of Sara BoaDwee
Christ Episcopal Church celebrated the ministry of the Rev. Dr. Malcolm Young and his wife, Heidi, at a farewell luau June 28.

Members and friends of Christ Episcopal Church bid farewell June 28 to the Rev. Dr. Malcolm C. Yo...

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Magazine

Inside Mountain View

Residents gather at NASA Ames for Pluto Flyby event

Residents gather at NASA Ames for Pluto Flyby event


Megan V. Winslow/Town Crier
NASA Ames’ Pluto Flyover event kindles the imaginations of young attendees.

Sue Moore watched the July 20, 1969, moon landing beside patients and staff members of the San Francisco hospital where she worked as a nurse...

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Best Friends Approach: The Terraces staff develops ‘knack’ for dementia care


Photo By: Colleen Ryan/Special to the Town Crier
Photo Colleen Ryan/Special To The Town Crier

Dementia-care expert David Troxel advises staff at The Terraces at Los Altos’ memory-support center, The Grove.

When The Terraces at Los Altos opens its new memory-support facility, The Grove, in July, staff will embrace residents with dementia with a philosophy that emphasizes socialization and sensory-stimulating activities.

Pioneered by author and dementia-care expert David Troxel, the “Best Friends Approach” underscores the importance of creating an empathetic, activity-rich environment. The Terraces’ parent company, the nonprofit American Baptist Homes of the West, hired Troxel as a long-term consultant to train and advise staff at The Grove.

Troxel spoke at a forum sponsored by The Terraces, “New Trends in Dementia and Alzheimer’s Care: The Best Friends Approach,” May 4 at Los Altos United Methodist Church. The presentation included a panel featuring local elder-care advocates Bonnie Bollwinkel, Dr. Ronda Macchello and Karen Duncan (see article, page 34).

Troxel’s book, “A Dignified Life: The Best Friends Approach to Alzheimer’s Care” (Health Professions Press, 2003), co-authored with Virginia Bell, offers both family and institutional caregivers strategies for improving communication, encouraging positive behavior and solving problems.

“There’s a lot we can do to lift people up and give quality of life, to engage the person (with dementia) ... and help them do their best,” he said.

What every person with dementia needs, Troxel said, is a “best friend, someone who has empathy and understanding and is supportive.”

Socialization is key

“Dementia,” an umbrella term for various brain disorders that impair cognitive function, is not an exact diagnosis, according to Troxel, who added that dementias have different flavors and personalities that require different medical approaches. Alzheimer’s disease, the No. 1 form of dementia, commonly manifests in memory loss, disorientation and changes in behavior.

“If I had a broken arm, you could see the cast,” he said. “But we can’t see a broken brain. So a lot of times our expectations are really out of whack.”

As caregivers for older adults diagnosed with dementia, Troxel noted, it’s important to realize that the patient doesn’t make decisions the way he or she used to and proves progressively less able to rationalize and reason.

“(Caregivers) can’t just stay the same or else we don’t get anywhere,” he said. “We have to change some of our approaches.”

While dementia medications are tolerated with mild side effects by most people, and Troxel supports their judicious use, he noted that they are akin to “jumping out of an airplane with a parachute – they slow you down, but you eventually hit the ground.”

“Socialization is the treatment for Alzheimer’s,” he said, adding that The Grove’s philosophy is that “hugs are better than drugs.”

Developing the ‘knack’

Troxel’s Best Friends Approach encourages caregivers and family members to ask themselves a question: “How can I come out at the end of this feeling good instead of feeling completely exhausted and bitter?”

To create a positive environment for dementia sufferers in memory-care programs or at home, Troxel recommended that caregivers work on the relationship, be supportive, figure out ways to understand patients’ needs and be there for them.

“What works for us, works for them – giving hugs, compliments and simple choices … things that we would want,” he said.

When training caregivers, Troxel highlights the importance of a “great old-fashioned word” – “knack.”

“It means the art of doing difficult things with ease or clever tricks and strategies – having the knack,” he said.

The “knack” requires interacting with humor, flexibility, patience and respect. Such an approach from caregivers and family members, he added, allows them to avoid becoming the “bad guy” and encourages them to let go of the little stuff and forgo arguing.

“In dementia care, we have to adjust,” he said. “We need to assess the situation and make a change.”

Troxel attributed many of the behavior problems Alzheimer’s patients exhibit to boredom, simply not having enough to do.

“I want to create a program that maybe someday I’ll be in,” he said. “I don’t think I want to play bingo every day. Why not take an online tour of the Louvre and look at the Mona Lisa?”

According to Troxel, elements of a quality dementia-care experience include purposeful chores, creative activities, animals, conversation, incorporating the life story, exercise, music, being outside, learning and growth, and laughter.

When Troxel trains staff, he role-plays with them, demonstrating how to give compliments to elevate people and make them feel good.

“Our goal at The Terraces is to know 100 things about every patient,” he said, whether it’s that they love the San Francisco Giants, sleep in their socks or once hit a hole-in-one. “When the staff knows a lot about them … it makes them feel safe, secure and valued – it makes them feel known. And everything goes better.” 

For more information on The Grove at The Terraces at Los Altos, visit www.theterracesatlosaltos.com/care_memory.php.

For more information on Troxel’s Best Friends Approach, visit bestfriendsapproach.com.

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