Fri05292015

News

MV vehicle collision leaves one dead

A traffic accident Thursday morning (May 28) on Moffett Boulevard, near the Highway 85 overpass in Mountain View, has left one man dead.

The Santa Clara County Medical Examiner-Coroner's Office identified the victim as Karl Holladay, a 24-year-old G...

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Schools

Students discuss academic, social pressure in CHAC forum

Students discuss academic, social pressure in CHAC forum


Traci Newell/Town Crier
Community Health Awareness Council hosted a forum earlier this month where local students discussed the varied pressures they face.

Local students face enormous pressures in their lives, ranging from academic to social, but s...

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Community

Alan Alda discusses career, family and science at the Celebrity Forum

Alan Alda discusses career, family and science at the Celebrity Forum


Alda

Those who laughed along with Hawkeye Pierce on the long-running TV program “M*A*S*H*” would have enjoyed the recent Foothill College Celebrity Forum Speakers Series featuring actor Alan Alda.

Alda appeared May 13-15 at the Flint Center for...

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Sports

Eagles, Spartans advance

Eagles, Spartans advance


Town Crier file photo
Los Altos High’s Lizzy Beutter registered three hits in last week’s playoff win over Watsonville. She was also the winning pitcher.

Led by Lizzy Beutter, host Los Altos High whipped Watsonville 9-0 in the opening ro...

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Comment

Giving the thumb to what's done: Editorial

In the wake of recent Los Altos-area news events, we’re all thumbs.

Thumbs-down: To the Los Altos City Council’s decision to put the Walter Singer bust in storage. This is wrong on so many levels – even worse than the initial council decision to tra...

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Special Sections

Planting is possible despite drought

Planting is possible despite drought


Tanya Kucak/Special to the Town Crier
Wash the soilless mix off the root ball into the same container in which you have placed the clay soil from the planting hole. Remove at least an inch from the top and sides of the plant.

In this continuin...

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Business

Los Altos-based startup eyes digital makeup color-matching

Los Altos-based startup eyes digital makeup color-matching


Alicia Castro/Town Crier
Kokko Inc. Makeup Director Meli Pennington, standing, tests different shades of foundation on Los Altos resident Karen Melchior.

Meli Pennington knows cosmetics.

She has painted faces for the pages of Vogue and Glamour,...

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Books

Horan's 'Loving Frank' offers fictionalized account of famed architect's illicit affair

Horan's 'Loving Frank' offers fictionalized account of famed architect's illicit affair


In the 1920s, two married people fall in love, leave their spouses and children and set about living and traveling together. Affairs of this sort were considered shocking at the time. But the scandal was heightened given that the man was Frank Lloy...

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People

GUY WILSON SHOUP

Guy Wilson Shoup, 80, died on April 28, 2015, at his Palo Alto apartment, after a long period of ill health. Born on November 22, 1934, to Margaret Owen Shoup and to Jack Wilson Shoup (the second son of Paul Shoup, widely considered the founder of Lo...

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Travel

Flying south for the winter: Antarctica trips are not just for the birds

Flying south for the winter: Antarctica trips are not just for the birds


Photos Courtesy of Dave Hadden
Los Altos residents Dave and Joan Hadden watched the scenery from the large boat and a smaller Zodiac.

Standing on the beach with hundreds of thousands of penguins is “the experience of a lifetime,” according to Ga...

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Stepping Out

LA Stage Co. goes to 'town'

LA Stage Co. goes to 'town'


courtesy of Los Altos Stage Company
The Los Altos Stage Company production of “Urinetown: The Musical” opens this weekend.

The Los Altos Stage Company caps its 19th season with the musical comedy “Urinetown: The Musical,” scheduled to preview Th...

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Spiritual Life

Mercifully in His grip: Exploring our true position in Christ

I recently read a wonderful analogy about our true position in Christ. It was shockingly contrary to the messages impressed upon me in church, but deeply rooted in the Bible. The analogy is that of child and a parent. If you have ever taken a small ...

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Magazine

Practice prudent pruning: Maintaining manzanita, ceanothus and toyon

Practice prudent pruning: Maintaining manzanita, ceanothus and toyon


tanya kucak/Special to the Town Crier
Shrub manzanitas are known for their sinuous mahogany trunks and branches. If the foliage hides the bark, prune selectively to open the center so that the bark is visible year-round. This Montara manzanita is ...

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Inside Mountain View

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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