Sun02142016

News

SPLAT targets data, outreach as airplane noise continues

SPLAT targets data, outreach as airplane noise continues


Graphic courtesy of Don Gardner
Activists claim that a new SFO flight path leaves a “sound shadow” that impacts Los Altos and Los Altos Hills.

Sky Posse Los Altos Team – more simply known as SPLAT – seeks to squelch the noise...

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Schools

Los Altos High student-run charity plans '5 Gallon Gala'

Los Altos High student-run charity plans '5 Gallon Gala'


Courtesy of Lia Evard
Water by Youth members gave Egan students a chance to carry a 40-pound Jerry can, to see how difficult it is to obtain water in developing nations.

Water by Youth, a club at Los Altos High School, is making a splash by pla...

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Community

What would you do with a box of cookies? Local Girls Scouts help Tanzanian orphanage

What would you do with a box of cookies? Local Girls Scouts help Tanzanian orphanage


Courtesy of Alicia Madden
Sales of local Girl Scout cookies support service projects, such as funding an orphanage in the village of Mto wa Mbu in Tanzania.

Girl Scout cookies – whether you think of them as a treat, a tradition or a diet comp...

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Sports

Scoreless spells sink LA boys

Scoreless spells sink LA boys


Megan V. Winslow/Town Crier
Los Altos High point guard Nolan Brennan attempts a shot in Friday’s game versus Palo Alto. He scored eight points in the loss.

There have been several games this season in which the Los Altos High boys basketball t...

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Comment

New 'York' values

New 'York' values


Hughes

 

As we have witnessed California suffer through one of its worst droughts in history over the past few years, all of us, I’m sure, have been keenly aware of our surroundings and have done a small part in trying to conserve wa...

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Special Sections

Getting a charge  out of the Volt

Getting a charge out of the Volt


Courtesy of Chevrolet
The 2016 Chevrolet Volt can be driven up to 50 miles on the power stored in its batteries.

Just five years ago, we wondered in this column what the power supply would be for the car of the future. Gasoline, diesel, electric ba...

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Business

Nearing V-Day: Shops stock sweets, treats

Nearing V-Day: Shops stock sweets, treats


Megan V. Winslow/Town Crier
Los Altos resident Ella Roosakos, 11, with her mother, Gail, puzzles over which Gourmet Works sweets to buy as a valentine for Ella’s friend.

The gift-buying rush isn’t exclusive to Christmas. It may jump over...

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People

ALAN RODNEY MILLS

ALAN RODNEY MILLS

Alan Rodney Mills, PhD, 83, of Los Altos passed away peacefully on Saturday, January 30th, 2016. He was born in Rochdale, England in 1933 and came to California in 1962. He was a proud alumni of Manchester Grammar in England, University of Liverpoo...

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Stepping Out

PYT 'Gets Famous'

PYT 'Gets Famous'


Lyn Flaim Healy/Spotlight Moments Photography
Renee Vetter of Palo Alto, left, and Megan Foreman of Los Altos star in Peninsula Youth Theatre’s “Judy Moody Gets Famous.” Performances are scheduled Friday and Saturday.

Peninsula...

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Spiritual Life

A time to prepare: Fasting for Lent isn't limited to food

 

Today is Ash Wednesday, which in the Christian calendar marks the beginning of Lent – the 40 days of preparation for Resurrection Sunday, otherwise known as Easter.

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Inside Mountain View

New right-to-lease ordinance promises relief for renters

New right-to-lease ordinance promises relief for renters


Mountain View Tenants Coalition/Facebook
Residents gather in the fall to protest Mountain View’s rising rents. Rent relief is on the way in the form of a new ordinance.

A controversial Mountain View law requiring landlords to provide lease opt...

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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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