Sun04262015

News

LAH resident killed in cycling accident

LAH resident killed in cycling accident

A longtime Los Altos Hills resident and philanthropist struck by a bicyclist Monday (April 20) while walking along Page Mill Road has died from the injuries she sustained.

Kathryn Green, 61, died a day after the accident, according to the Santa Clar...

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Schools

LASD Junior Olympics scheduled Saturday

LASD Junior Olympics scheduled Saturday


Town Crier File Photo
The Los Altos School District Junior Olympics are slated Saturday at Mountain View High School. District officials say the opening ceremonies, above, are always memorable.

Los Altos School District fourth- through sixth-grader...

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Community

Altruism, adventure in Africa: Los Altos couple relates experiences in new book

Altruism, adventure in Africa: Los Altos couple relates experiences in new book


Courtesy of Wendy Walleigh
Rick and Wendy Walleigh spent a year and a half in Swaziland and Kenya.

Los Altos residents Rick and Wendy Walleigh experienced long, successful high-tech careers. But retirement? No, it was time for an encore.

Leavin...

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Sports

Workout warriors

Workout warriors


Megan V. Winslow/Town Crier
Los Altos High gymnast Jessica Nelson soars by coach Youlee Lee during practice last week. Lee is a 2005 Los Altos High grad.

Some coaches would like to see their athletes work harder. Youlee Lee has the opposite problem ...

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Comment

Ending the debate: No Shoes, Please

In a general sense, everything is up for debate with me: What do I cook for dinner? Did I do the right thing? What color paint for the bedroom? Do I really want to go? Has the team improved? What difference does it make? Should I give him a call? Is...

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Special Sections

Fitness focus: No holds barred for Los Altos sisters

Fitness focus: No holds barred for Los Altos sisters


Photos Courtesy of Barre 3
Gillian Brotherson, kneeling at left, guides studio instructors through a workout at barre3 Los Altos.

Health is all about balance. That’s what two Los Altos natives learned as they navigated work, motherhood and welln...

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Business

Physical therapist brings business background to new Los Altos clinic

Physical therapist brings business background to new Los Altos clinic

Courtesy of Eliza Snow
Strive owner Robert Abrams, kneeling, runs a balance test.

With more than a dozen physical therapy clinics in Los Altos, one new business owner streamlined his approach in an effort to set his practice apart.

“I always wan...

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Books

People

CAPTAIN: CHARLES THOMAS MINOR

CAPTAIN: CHARLES THOMAS MINOR

Age 96

December 7, 1918  - March 28, 2015 

Chuck passed away peacefully in the home he built in Los Altos surrounded by his beautiful wife of 69 years, Bonnie, his two sons and their spouses, David Minor & Caryn Joe Pulliam; Steve &...

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Travel

Cuba libre: Local residents join mad rush of travelers

Cuba libre: Local residents join mad rush of travelers


Natalie Elefant/Special to the Town Crier
Los Altos resident Natalie Elefant noted the vibrant street performances as a traveler in Cuba.

The U.S. restored diplomatic relations with Cuba late last year, enabling Americans to import $100 worth of cig...

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Stepping Out

Stage fright

Stage fright


Joyce Goldschmid/Special to the Town Crier
“The Addams Family” stars, from left, Betsy Kruse Craig (as Morticia), Joey McDaniel (Uncle Fester) and Doug Santana (Gomez).

The Palo Alto Players production of “The Addams Family”...

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Spiritual Life

Magazine

Food for thought: Hidden Villa programs offer teens training in sustainability on the farm

Food for thought: Hidden Villa programs offer teens training in sustainability on the farm


/Town Crier It’s not all cute and cuddly for teens participating in the eight-week Animal Husbandry Apprenticeship program at Hidden Villa in Los Altos Hills. Mia Mosing of Palo Alto, left, and Sophia Jackson of Los Altos clean the pigpens – one of...

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Inside Mountain View

Up to the challenge: Local leaders unite to help at-risk youth

Up to the challenge: Local leaders unite to help at-risk youth


Courtesy of Challenge Team
Jeanette Freiberg, bottom of pile, has fun with family members. The Challenge Team named Freiberg, a student at Mountain View High School, its 2015 Youth Champion.

There’s an ongoing joke among members of the Challenge...

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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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