Thu07022015

News

Effective today, library cards free again in Los Altos

Both Los Altos libraries should see a spike in use soon. After the elimination of an $80 annual card fee that had been in place since 2011, nonresidents will receive free library cards at local libraries, effective today.

Residents of Mountain View ...

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Schools

Almond fifth-graders set sail at Shoreline

Almond fifth-graders set sail at Shoreline


Courtesy of Corinne Finegan Machatzke
Fifth- graders at Almond School launched the boats they designed and built at Shoreline Lake last month.

Almond School fifth-graders boarded their handmade boats at Shoreline Lake in Mountain View last month to...

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Community

Taking it back to 'The Streets': Local filmmaker aims to revive 1970s series 'Streets of San Francisco'

Taking it back to 'The Streets': Local filmmaker aims to revive 1970s series 'Streets of San Francisco'


Courtesy of Charles Alley
Charles Alley’s filmmaking company may be based in Mountain View, but he knows all about “The Streets of San Francisco.” He’s rebooting the 1970s TV classic.

When people look for the next hit TV show, they often assume ...

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Sports

Enjoying the moment


Courtesy of Dick D’OlivA
Former Golden State Warriors trainer Dick D’Oliva, from left, wife Vi, former Warriors assistant coach Joe Roberts and wife Celia ride on a cable car in the victory parade.

Dick D’Oliva almost couldn’...

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Comment

The death knell of suburbia: A Piece of My Mind

The orchards are gone. The single-story ranch house is seen as a waste of valuable land and air space. An eight-lane freeway thunders past the bridle paths in Los Altos Hills. But nothing has signaled the death of suburbia more strongly than the ann...

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Special Sections

While competent & safe, MKC still can't catch European competitors

While competent & safe, MKC still can't catch European competitors


courtesy of Ford
The 2015 Lincoln MKC doesn’t overwhelm as far as overall performance goes, but it does offer comfortable ride quality.

Of all the auto companies with headquarters in the United States, only Ford managed to weather the great re...

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Business

Company installs EV charging stations at LAHS

Company installs EV charging stations at LAHS


Courtesy of Green Charge
Officials from Los Altos, Los Altos Hills and the Mountain View Los Altos Union High School District celebrate the installation of electric-vehicle charging stations at Los Altos High last week.

The Mountain View Los Alto...

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Books

People

HILDA CLAIRE FENTON

Hilda Claire Fenton, beloved wife and mom to 9, grandmother to 30 and great grandmother to 22, passed away June 20 following a long illness. She was 90.

Hilda was born Sept. 28, 1924, to Lois and Gus Farley then of Logan, W. Va. While she was still ...

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Travel

Venetian spa offers ways to de-stress

Venetian spa offers ways to de-stress


Courtesy of The VEnetian
The HydroSpa in the Canyon Ranch SpaClub at The Venetian in Las Vegas offers a muscle-relaxing bath and radiant lounge chairs.

Vegas cab drivers usually ask if you won or lost as soon as you get in their vehicles. They assum...

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Stepping Out

Cast carries 'Arcadia'

Cast carries 'Arcadia'


Courtesy of Pear Avenue Theatre
“Arcadia” stars Monica Ammerman and Robert Sean Campbell.

The intimate setting of Mountain View’s Pear Avenue Theatre proves the perfect place to stage “Arcadia,” allowing audience members to feel as though they a...

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Spiritual Life

Magazine

Living it up Older adults aim to age in place

Living it up Older adults aim to age in place


Megan V. Winslow/Town Crier
Local enthusiasts flock to the Los Altos Senior Center to play bocce ball. The center hosts informal games four days a week and occasional tournaments.

As baby boomers in Los Altos, Los Altos Hills and Mountain View nose...

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Inside Mountain View

Carrying the torch

Carrying the torch


Members of the Mountain View Police Department carry the Special Olympics torch as they run along El Camino Real between Sunnyvale and Palo Alto June 18. Members of the department participate in the relay annually to show their support for Spec...

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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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