Please note: this is one event, set in a number of different time zones.
About the Webinar: People with all forms of dementia can experience changes to their walking and balance. There are many factors that can contribute to these issues that can be targeted within an individualised rehabilitation program. James will discuss some of the proactive ways neurological physiotherapy can help with treatment, training and support.
About James McLoughlin: James is an experienced neurological physiotherapist and Director of Advanced Neuro Rehab in South Australia, a neurological and vestibular rehabilitation clinic. In addition, James is an Associate Professor at Flinders University working part-time as a clinical Teaching Specialist. James is passionate in promoting best practice for people with neurological & vestibular conditions.
Wednesday, July 29, 2020 (USA/CA/UK/EU):
2:00 pm Pacific
3:00 pm Mountain
4:00 pm Central
5:00 pm Eastern
10:00 pm London/Glasgow/Dublin UK
11:00 pm Paris, Munich, Amsterdam, EU
Thursday, July 30, 2020 (AU/NZ/JP/SGP/TWN/CHN):
6:30 am Adelaide, AU
7:00 am Sydney/Melbourne/Canberra/Tasmania/Brisbane, AU
ARC Linkage Project – A good life: developing a new quality of life instrument with older Australians for economic evaluation in aged care.
This project sought to develop a suite of quality of life measures or quality of life scale for older personsthat can be used for quality assessment and economic evaluation in aged care across community and residential aged care settings.
In order to be used for economic evaluation, the measures must be preference-based. That means the identified quality of life domains will be weighted according to the importance of those domains to older people.
Unlike other quality of life measures, these measures were developed from their inception with older people.
The project has sought to be inclusive in recruitment, including people with cognitive impairment and dementia if they are able to provide informed consent to participate. Initial eligibility was determined by providers and final eligibility by the research team. Participants were not required to undertake any cognitive testing as part of eligibility determination or for data collection.
In late 2019 the project launched its website which will be updated throughout the project: https://www.qol-acc.org/
Chief Investigator organizations: Flinders University, University of Sydney, Australia National University and Dementia Alliance International, and our Chair Kate Swaffer who is based in Adelaide, has been actively invovled in the project.
DAI Members: we invite you and your families to contribute to the DAI Cookbook project.
Food made with love
Hello everyone and thank you for reading this blog!
September 2020 will be an important month for Dementia Alliance International; during the month of September we will commit all of our efforts to raise funds to ensure the continuity of DAI and our free membership, and member services.
With that, we would like to ask you for a contribution of a few minutes of your time to join us with this exciting venture.
Two of your members, Christine Thelker and Jan Douglas, along with Kate Swaffer are organizing the production of a DAI e-Cookbook…
It was inspired by another wonderful DAI member, Terry Montgomery! Thank you Terry.
We would all love for your favorite recipes to be included in this wonderful book.
We are asking that you submit two (2) of your FAVORITE recipes.
Depending on how many recipes we receive, and what category they are in, will determine which recipes are used in the book.
Please submit your recipes, photos and stories by July 16, 2020.
We have categories for the following recipes:
Salads and homemade dressings
Recipes specifically for brain health
Along with your submission, send us a photo either of yourself, or of the prepared recipe, and a short paragraph about the recipe, what the recipe means to you and your family. [we have already received a number of recipes – thank you!]
Please also note if your recipe is gluten free, sugar free, etc.
See this example of a short paragraph about a recipe:
Hearty Beef Vegetable soup “I always made this on cold winter days, for when the kids came in from playing in the snow and just in time for my husband to arrive home from work, this soup brought our family together, I made it with love.”
We all look forward to reading your stories and sharing your recipes to other DAI Members, and hopefully, to the world.
It will be produced it as an e-Cookbook available on Amazon, and ALL proceeds will go directly to Dementia Alliance International. Dementia Alliance International.
Hello, my name is Graeme Atkins. I was diagnosed with Younger Onset Dementia, and would like to tell you my dementia story. It’s actually our dementia story, as it is my partner Susan’s story as well. I will outline my background, the diagnosis itself, what it is like living with dementia and also how it affects our lives.
I’ll include why my partner Susan and I volunteer to advocate for people with dementia, and I will also explain the reason I joined the supportive Dementia Alliance International group.
Recently, I read DAI’s excellent interview with Theresa Montgomery entitled “Hello, My name Is Terry”. I was fascinated by some similarities between our stories and was thus inspired to tell mine. I have thus decided to interview myself and tell our story.
To this end I give thanks to Susan, my back-up-brain, for her fact-checking and editing. There will also be some internet addresses at the conclusion of this interview for you to click on if you wish. These will take you to various stories, music, and film of our volunteer work in advocating for better understanding and education of dementia.
This is how my interview with myself unfolded.
Graeme, tell us a few things about your background
I was born in Sydney Australia and was lucky to have survived as a baby. After being born with facial tumours I underwent many major operations and radiation treatment when I was only six months old in the 1950’s.
However, I did manage to overcome my childhood medical problems. I eventually became a teacher and taught for 32 years, working as a primary school teacher and also as a high school Mathematics teacher.
For fifty years now I have been enjoying playing the guitar and composing my own songs, which were advantageous in teaching children to read. For example, putting children’s names and spelling words into simple songs made a lesson more enjoyable and retained their interest longer.
I met my partner Susan, who is also a teacher, 36 years ago. We currently live on the North Coast of New South Wales, Australia, having moved here because of proximity to a range of excellent hospitals and medical specialists. Along with Susan, they work very hard to keep me alive and interested in life.
Would you care to describe your main medical problems?
It took some time to overcome my childhood illnesses as my facial tumours and tongue continued to grow. I had numerous operations and radiation treatment as a baby. As time went on, I also required speech therapy and corrective dental work.
Later, I underwent a further operation, which reconstructed my bottom jaw with bone grafted from my hip. The radiation treatment to my head as an infant had stunted the bone growth in my jaw.
In 2009 I was diagnosed with Younger Onset Dementia and had to stop working and driving. More details about that later. I am also on medication for Parkinsonism, as I have some of the symptoms of Parkinson’s Disease.
Then in 2013, I was diagnosed with kidney cancer and had surgery to remove half of my right kidney. Luckily, the doctors were aware of the effects of anaesthetic on my brain in relation to my dementia diagnosis and so an epidural was administered.
In early 2019, I had a major heart attack and my life was saved by ambulance paramedics and hospital Emergency Department staff. I was very surprised to find out that I had eight heart blockages. It was too dangerous to undergo open-heart surgery. Heart surgery and dementia are not good friends, and that’s without even mentioning anaesthetic. Our Cardiology team suggested to just stent two arteries and to leave the other six risky ones alone.
After the heart attack I then experienced a small TIA and numerous seizures. More trips to hospital ensued, which resulted in us getting to know the local ambulance officers, doctors and nurses quite well.
In late 2019, after I become unwell again, I was diagnosed with complete heart block. I was flown to a hospital in Sydney, with a cardiac nurse accompanying me, where a heart pacemaker was implanted. Although 2019 was not a good year medically, I am feeling much better and am greatly indebted to our superb Australian health care system.
Naturally, I have even composed a tongue-in-cheek song about my major illnesses, called My Name Is CHAD. It’s an acronym, which stands for Cancer, Heart Attack, Dementia. I’m starting to think that cats are so inferior to me, as they only have nine lives.
Would you like to tell us more details about your dementia diagnosis?
I was diagnosed with Younger Onset Dementia in 2009 at the age of 54. To me, it doesn’t seem that long ago. This is possibly because I try not to dwell on it. Also, it helps that for much of the time I have probably forgotten about my diagnosis.
Leading up to my dementia diagnosis, my partner Susan had been suggesting that I visit my GP about my forgetfulness and confusion. Things like forgetting names, dates and appointments, using a wrong word in a sentence without realising, declining ability to multi-task, forgetting how to use appliances properly and losing possessions. These were all becoming more noticeable. Eventually I did go to the GP. However, upon returning home, Susan wanted to know what the GP had said. I had actually forgotten to discuss the intended issues.
Susan made another appointment for me and this time she attended it with me. Thus began the long haul for us, involving a timespan of three years, a total of seventy doctors’ appointments and nearly twelve thousand kilometres of travel. We heard many differing opinions, such as things like depression, stress, or even having a midlife crisis.
We had to keep pushing for further opinions, as I continued to decline. Eventually, there were rounds of cognitive testing, several MRI scans and a lumbar puncture. Each of these indicated a concern. I was finally diagnosed with Younger Onset Dementia. In a way, it was a relief. I was still able to do many things quite well, but other tasks were becoming difficult to do.
Life for me and my partner Susan changed forever from then on. We decided not to hide my diagnosis from friends, family and the general public, even though we already knew about the stigma and isolation that often accompany dementia. We have become quite used to being isolated over the years since my dementia diagnosis, as people’s contact seems to have dropped away. Dementia is not contagious. We are absolute experts at experiencing isolation. Under the current lockdown in relation to Corona Virus, we wonder how people would cope being isolated for years as is the case of people being diagnosed with dementia.
How has your diagnosis of dementia affected both of your lives?
It has life-changing effects. It affects work, driving, insurances, finances and daily living, to name just a few. I really miss teaching, especially the smiles on the children’s faces. I knew I could not afford for a child under my care to get hurt, if I forgot to give appropriate instructions or forgot to concentrate.
I also stopped driving. I definitely couldn’t afford an accident, let alone the awful guilt of possibly injuring or killing someone. It was probably a good thing that I was no longer driving, as this had featured prominently in our initial discussions about the need to see my GP. At one stage I had driven down a one-way street the wrong way and it was scary. So was the time when I drove onto the footpath and almost hit a boy who was riding his bike on the footpath.
My partner Susan needed to become my fulltime carer, and so was not able to work anymore as well. Our combined income and future potential finances were impacted enormously. We calculated that had we both been able to work until our retirement age, that my dementia diagnosis had conservatively cost us two million dollars in lost income and superannuation benefits.
Aged in my mid-fifties, I fell between the cracks. It was a year-long battle to get some sort of income. I had little choice but to take out my superannuation early, but even this was like wringing blood out of a stone. I never did get all of my entitlements!
After Susan wrote many letters to government departments, we found ourselves on a wild goose chase. In my application to the Australian Government’s social security department, called Centrelink, we discovered that they did not even have a box to tick on the form for Younger Onset Dementia. Hopefully this has changed. Trying to get a Disability Support Pension seemed to be too difficult. You can’t have dementia – you’re too young! We had of course included reports from medical specialists confirming my diagnosis.
Finally, I was put onto Unemployment Benefits, but of course I had to follow the required rules of turning up to a Job Network in order to be retrained and apply for jobs. I thought, this is going to be interesting. At one stage, in sheer frustration, I asked if I could be retrained as an air-traffic controller – but please, only send one plane at a time. Eventually, my situation was understood, and the appropriate things were put into place to assist us. This is one of the reasons that we advocate for changes, so that people understand younger people get dementia. It is not just an old person’s disease.
Due to your dementia diagnosis, what challenges do you face on a daily basis?
I am unsafe at home alone, after several worrying incidents involving falls, fire, and electricity. Susan has to be with me at all times in case further accidents occur. In the kitchen I have caused three microwave oven fires and we were just lucky they were noticed before they spread further. I have stumbles and falls throughout the house, sometimes requiring GP visits and physiotherapy. These are due to my visuo-spatial issues which are caused by my dementia.
I interchange things that are similar in some ways, yet clearly different. One day I tried to multi-task and feed the cat while also making Susan a cup of coffee. When I took Susan’s coffee into the loungeroom she looked in the cup and told me she couldn’t drink it. When I asked, Why not? she told me that it had the cat’s meal in it. We both paused and rushed to the kitchen to see whether Magic the cat was enjoying his bowl of instant coffee. He definitely wasn’t.
In the bathroom I invented a new danger. This also involved interchanging things but this time it hurt. While cleaning my teeth I had managed to put the toothpaste onto my razor blade, instead of my toothbrush. I was very lucky to have inflicted only minimal damage to myself. After that, Susan sensibly located the shaving gear in the laundry and left the teeth cleaning gear in the bathroom. Brushing your teeth with a razor is not a good idea.
On another occasion, after buying a new wallet in K-Mart, I sat outside the shop and transferred everything from the old wallet into the new one while Susan continued to shop. After she had driven us home, I proudly pulled out my new wallet. I was horrified. In my hand was the old one, which I thought I had thrown into the rubbish bin outside K-Mart. Back we drove and anxiously searched through that bin while the K-Mart security officer eyed us suspiciously. Luckily for me the bin hadn’t been emptied yet, so I happily retrieved my new wallet containing all my cards and cash.
Webster Packs are generally of great assistance when taking tablets, although I have already made at least four different types of errors. You can take the evening pills in the morning or perhaps take tomorrow morning’s today. Also, you can do a double-up by taking, say, Monday morning’s and then, ten minutes later, take Tuesday morning’s as well. Or, finally, why not just forget to take the tablets altogether?
Many of my daily challenges are referred to in the lyrics of my songs. For example, the difficulties of keeping up-to-speed while watching a television show are mentioned in my song entitled ‘But It’s Happening Now’. The lyrics refer to “In Midsomer Murders I’m always two bodies behind”. This is in keeping with my desire to try not to lose my sense of humour. I am happy for people to laugh at the lyrics of my songs as I know they are not laughing at me.
How do you feel you are perceived by other people?
The situations revealed in the previous section are the type of things that happen to me that people don’t know about. They can see me out and about in public, have a ‘normal’ conversation with me, then wander away and say to someone else “I can’t really see a problem with Graeme,” or that one people diagnosed with dementia especially hate, “They don’t look like they have dementia.”
But people can’t see inside my head, so they can’t see reduced blood flow, a glitch in the hippocampus, high protein levels in cerebrospinal fluid or the results of official cognitive testing. For protection against any diagnosis-doubters, Susan always carries copies of my diagnosis and also my pharmacy medication list, which includes Aricept, in her handbag.
People have no idea that the reason I may have seemed normal to them at that time is because I would have had a nap at home before going out so that I am refreshed. They don’t know that Susan, as my carer, reminds me to have a sleep before we leave home for an outing. She also makes sure our calendar does not have commitments on consecutive days.
One of the things I do find difficult is when people jump in too quickly to try to help me finish my sentence when I have hesitated. They genuinely think they are helping but I would prefer them to wait because their suggested answer can put me off. For example, if I said, ‘During our holidays I went … (pause), and then a kind soul added “to the beach?” this would then put me off any chance of recalling what I was actually going to say.. “on a helicopter ride.” I am thus visualising sand and surf thoughts, and, for me, these have actually replaced my initial thoughts about flying, rotors and a helicopter.
Tell us about your partner Susan’s role as a Care partner.
As a full-time care partner Susan, just like so many other carers, has made many sacrifices, having lost her career, work colleagues, future teaching income and associated superannuation. Most people would not know the extra tasks that fall to a full-time care partner who is looking after someone who has dementia. She is my partner, carer, nurse, secretary, manager, personal assistant, chef, chauffeur and extra memory bank, to name just a few.
I feel such a burden because she has few social contacts and, as I stated earlier, many friends and family seem to go missing when dementia is mentioned.
Susan continues to run the household and drive me everywhere I would like to go, always with a smile on her face. Her only time to herself is when my respite worker arrives. Dementia is hard. She has had to get rid of all the coffee tables and furniture items that have a sharp corner – at times it’s like having a two-year-old in the house. I don’t know how she does it. She takes into account my other shortcomings, like declining short-term memory and difficulties with background noises, multiple conversations or rapidly changing television images. To me, as my care partner, she is like Wonder Woman.
At local meetings and also forums further afield, she has been advocating for carers in general for many years now. This can be any carer looking after someone who has any issue at all. Susan highlights the very important role of carers who are often undervalued in our communities.
In 2011 Susan was named New South Wales Caring Partner of the Year. She was also made an Ambassador to advocate for carers. We were both thrilled to be invited to Sydney as guests of the NSW Government for a lovely Presentation Day awards ceremony at Parliament House. I am aware there are thousands of carers out there in Australia but, even so, from my biased point of view, it was a just reward. I am very lucky to have Susan.
Tell us about the dementia advocacy work that you have both done
In being up-front about my diagnosis we decided to become advocates to improve the general public’s knowledge and understanding of dementia. Susan is a great public speaker, with a wealth of knowledge about dementia. Her mother had been diagnosed with dementia a few years before me, so Susan had the personal experience as well as a lot of imparted medical information. She had two people in her life to assist. Susan quickly learnt that there is some theoretical advice that does not always work in practice, and that every individual is different. Susan’s mother was only 67 years of age when she was diagnosed.
We started doing presentations to try to reduce the stigma and misunderstandings that exist. We have attempted to debunk the myths around dementia, having been invited numerous times by various organisations to explain dementia from our personal experience. In telling our story at forums and conferences, and participating in interviews for radio, newspaper, telephone and television, we have hoped that people have gained a better understanding of dementia.
Sometimes we feel it is very hard to change some people’s long-held incorrect view of some aspects of dementia. Then there are times when we feel we have actually made a difference and helped to affect changes. It seems that the best chance of achieving important changes to local, state or national government policies is when an important person in office has actually had someone in their own family diagnosed with dementia. Or perhaps they have previously worked in the health industry. Either way, they then know from personal experience the complex and long-lasting effects of the disease.
Our tag-team method seems to be popular. Susan speaks for several minutes on an aspect of dementia, then I follow her to sing a song that I have written about that topic. We have presented from just ten minutes up to ninety minutes. This method gives me a break between songs, which is necessary.
At one presentation, when we were on for three different times throughout the day, the Aged Care Facility hosting the conference had arranged a bed for me for some naps. Now that shows a real understanding of dementia.
We try hard to explain that younger people get dementia. We also try to make it clear that Younger Onset Dementia is when you are diagnosed under the age of 65. YOD is a key part of our story, because that is the age at which people are likely to be working, have mortgages, or are supporting children, parents or both.
Stigma and isolation, which are often experienced after a diagnosis, also feature prominently in our talks. Another important point we make is that a dementia diagnosis does not mean that a person is instantly incapable of doing things or unable to contribute to society. One time I was asked “When will you go mad?” while on other occasions people are quite surprised when I am still able to do some things well.
We also advocate for improvements to community facilities to make life a little easier for people living with dementia. We were also happy to participate in the YouTube educational movie ‘The Unspoken Impact of Dementia’. (Please refer to Internet addresses that follow this interview)
On the local front, I have been attending the local ‘Timeslips’ program, which is a creative storytelling technique which uses photographs to assist people with dementia to think, reason and speak.
As the other half of our dual dementia presentation, I enjoy having a special purpose for my song writing and singing. I have written many songs about aspects of dementia. It has been proven that music is especially effective in activating multiple brain parts simultaneously. The lyrics to my song “Spreading the Word” try to sum up the type of presentation that we do:
We travel and present so you’re aware, Here’s our dementia story that we share, She pleads and speaks it from the heart, I sing and strum to play my part – We won’t stop ’til people listen and are fair.
How do you try to keep your brain active?
These days I am still interested in life and still enjoy doing things, but I have had to slow down, learn to pace myself and rest, especially my brain. At home, I like word puzzles, watching soccer, reading books and computing. I especially love to play my guitars, banjos, keyboard and ukulele. As long as Susan can hear some sort of noise emanating from our garage/music room, even it is snoring, then she knows I’m still okay.
I still like to play lawn bowls with my supportive and understanding friends at my local bowling club. Recently I purchased a mechanical bowling arm to assist me, which has allowed me to continue playing.
This same enjoyment exists when we are with local ukulele group friends, or at the cinemas, local library or zoo. Socialisation is especially important after a diagnosis of dementia.
But it is important not to just do the same type of things repeatedly. Trying to learn new things, making new brain connections, is especially good for the brain. For example, on the advice of one of my Specialists, I have been learning to play the keyboard. As this instrument is played with my hands down at chair level, I am less affected by my tremors than when I play my stringed instruments.
How did you find out about Dementia Alliance International?
I first met Kate Swaffer at a respite forum in Sydney, about four years ago. I had heard that she is also a staunch advocate, so I started researching the dementia things she was associated with. When I read about Kate’s co-founding of DAI, I googled it and became quite interested in what it did.
The realisation that DAI offered a fun and friendly network of like-minded souls, just like me, was a great surprise.
My respite worker helped me find out what Zoom was and assisted me to buy a webcam for my computer. Not long afterwards, I had registered for DAI and was soon zooming all over Australia, and then the world.
Meeting up with understanding friends without even leaving the house – now that seemed a good idea!
Gone were the usual costs for transport, food and drink. The bonus was there was no need for Susan to stop what she was doing. Being at home, if I get tired, I just say ‘Well, I’m off for a nap. See you all later.’
My DAI Zoom buddies have taught me some new skills, so now I can even do chat and screen share. My weekly support meetings, involving the Australia/New Zealand/Singapore regions, are most enjoyable to attend. So are the monthly international meetings and the educational Webinars. It is interesting to be able to speak to and hear from people from all over the world who also have dementia, just like me.
I get to chat and have fun with my internet support network in a friendly atmosphere. Nobody minds if someone loses track of what they were trying to say, as we are all in the same boat. Nobody rings a conference bell and says that your time is up. At Dementia Alliance International I am accepted by the members, being among friends who show patience and compassion because they can relate to my situation.
DAI’s hosts and members treat each other with respect, equality and without discrimination or stigma. When I see all of our little heads, appearing in an array on the laptop screen, I think it makes us look and feel like a happy little family. Perhaps we look just like the start of the TV show The Brady Bunch, even though we are all in distant locations.
In my opinion, DAI have been trend-setters for a number of years now by supporting people online and by helping them to connect.
People with dementia, who have often been isolated, are still zooming in to their friends. This helps you to feel good. Under the current Coronavirus isolation rules, many people without dementia are not coping with isolation.
However, for many of us with dementia, we have been living in isolation for many years due to the fact that family and friends have often turned their backs on us. (Refer to my ‘Isolation’ song reference at the end, which was written a number of years ago.)
I think that one of the best things about Dementia Alliance International is that it is free to attend. Sure, you need to have a laptop or phone and also to pay for your own data, but’s fair enough. Most other organisations seem to charge you in some way to help you.
It would great if DAI could receive some extra financial assistance to pay for their zoom fees and other set expenses, as they exist on half a shoestring budget and are run only by volunteers.
I’ve been lucky enough to be able to give something back to DAI in the form of music. Sometimes at a meeting I am able to sing a song, for some extra enjoyment. Even my brain synapses must enjoy the extra connections. It has been especially pleasing to be able to contribute some live songs to the last few years of DAI’s annual WRAD – World Rocks Against Dementia – fundraiser meetings. My theme song for DAI describes the alliance as follows:
“We are Dementia Alliance International, Just for people with dementia, we run our own venture, We are birds of a feather, who have banded together, I implore you, to make sure you, do not doubt us, Nothing about us without us.”
Thank you Dementia Alliance International. It is great to belong to an organisation whose founders and volunteers know how to connect with and support people living with dementia.
For anyone interested, the internet references below will show you various stories, music or film of some of Susan’s and my advocacy work. We do not charge or get paid to present and we give out copies of my CDs and DVDs for free, just in the hope that people will gain a greater understanding of dementia.
DAI thanks Graeme Atkins, and his wife Susan for their story, and especially for their passion to make the world a better place for all people with dementia and our families. We love that he is our self proclaimed ‘Wreck’ officer (Recreational Officer!!!)
The following links from Graeme may be of interest:
In the last few weeks, a lot of people and organizations who have never before used zoom (or a similar online platform) have had to meet online for work, family and social gatherings.
Even organizations who have been using zoom for a long time, have started producing help sheets and other resources on how to use it. At last… the world is catching up, and people with dementia really appreciate it!
Online communicating is difficult, but for many who are diagnosed with dementia, is preferable to a phone call, as we can see the others persons face and expressions, and therefore alsohave a visual cue beyond a name of who we are talking to.
For those with dementia who also have aphasia such as Primary Progressive Aphasia, it is not easy to communicate in person, let alone online, hence we wanted to post this blog with some tips and other resources.
DAI has posted blogs on aphasia previously, including a short video in 2016 on a post titleed Understanding Aphasia. This DAI blog also has a caregivers guide, produced by the National Aphasia Association, and the following video is worth watching (again).
These tips may make it easier for you to understand and talk with people with any type of aphasia. To help a person with aphasia communicate with you, try the following:
Get their attention before you start speaking.
Keep eye contact.
Watch for body language and the gestures used.
Talk in a quiet place. Turn off the TV or radio, and reduce other noise. Ask others in the area to do the same.
Keep your voice at a normal level. You do not need to talk louder unless you are asked to (we are not all hearing impaired).
Keep the words you use simple but adult. Do not “talk down” to the person with aphasia, as if having aphasia (or dementia) means having intellectual deficits.
Use shorter sentences, and if possible, repeat key words that are important to understand.
Slow down your speech, but not so much that is sounds insulting or patronising.
Give the person time to speak; it may take longer.
Try not to finish sentences or find words for them; this poem may help explain why.
Try using drawings, gestures, writing, and facial expressions. People may understand those better than words sometimes.
Ask the person with aphasia to draw, write, or point when having trouble talking.
Ask more “yes” and “no” questions. Those are easier than questions thatare need to be answered using lots of words or sentences.
It is ok if the peson makes mistakes sometimes. They may not be able to say everything perfectly all the time, but neither may you.
Let them try to do things for themselves, even if they need to try a few times. Help me when help is asked for. Unless it is dangerous there is no need to intervene uness asked to.
Aphasia does not equate to an intellectual disability, but rather is a language impairment or disability
Whilst DAI currently does not have peer to peer support groups specifically for people with aphasia, if we have enough requests to do so again, we will do o ur best to set one up. Contact us at [email protected] if you or someone you support is interested.
The video below introduces the DAI peer to peer support groups, with members from the weekly Sunday Living Alone Social Support Group. DAI members facilitate and provide online peer-to-peer support groups and social groups for people with dementia.
The DAI peer to peer support groups are run by people with dementia, for people with dementia, and are a meeting place for people diagnosed with all dementias including Alzheimer’s disease and any other type of dementia.
During the current COVID-19 Pandemic, meeting online has been more important than ever before, for everyone, and as it has become the current new normal for communicating, socialising and doing business all around the world. DAI is proud to have been providing online support to its members for since January 1, 2014.
Online peer to peer support groups are ideal for those who cannot drive to their local “in person” support group or who live in isolated areas with limited access to services.
Each support group has its own co-hosts, and runs autonomously, to ensure that our groups continue in the case of one person suddenly being unable to manage them due to health changes or a resignation.
DAI also provides peer-to-peer mentoring, if you prefer one to one support, rather than joining a group.
We are occasionally asked if peer-to-peer groups really work; it is clear they do, as well proven by Alcoholics Anonymous (AA) which was founded in 1935 by Bill Wilson and Dr. Robert Smith.
Dementia Alliance International (DAI is a non-profit group of people with dementia from around the world seeking to represent, support, and educate others living with the disease that it is possible to live more positively than advised with dementia. It is an organization that promotes a unified voice of strength, advocacy and support in the fight for individual autonomy, improved quality of life, and for the human and legal rights of all with dementia and their families.
Are you a person with disability living in Asia or the Pacific (including Australia and New Zealand)? We would like to better understand how disasters impact you through a10 minute online survey.
This online survey is anonymous and aims to understand whether and how people with disabilities in Asia and the Pacific are involved in disaster risk reduction, and what factors can help or hinder. You will be able to tell us your biggest concerns and recommendations in relation to disasters.
The survey has been funded by the Australian Government. The responses will be used to develop recommendations to give to people who implement disaster risk reduction projects in Asia and the Pacific.
The survey is available in the following languages: Auslan, Bahasa Indonesian, Bengali, Chinese (Mandarin), English, Easy Read English, French, Hindi, International Sign, Nepali, PNG Pidgin, Tagalog (some of these versions are not available yet so please check back soon if your preferred language is not yet available).
The Global Alliance for the Rights of Older People (GAROP) continues to advocate on behalf of all older persons. Established in 2011, the Global Alliance for the Rights of Older People was born out of the need to strengthen the rights and voice of older people globally. They provided the following statement yesterday, for wide dissemination, and DAI thanks them for their work and comprehensive approach to the rights of all older persons.
146 States sign a joint statement of support for the UN Secretary-General’s policy brief
146 UN Member States have signed a new joint statement supporting the UN Secretary-General’s recent policy brief on COVID-19 and older persons. You can read the statement and see the list of supporting States here. This is an important development and useful for our advocacy.
1. We encourage you to share this joint statement widely. You can consider using the following messages:
Thank your government for supporting this joint statement (or ask them why they have not supported it – it is important that governments know that civil society organisations are monitoring their actions).
Highlight the substantial number of supporting States from all regions of the world. This demonstrates growing international attention to older people’s rights and a clear consensus on the need to do more to protect these rights.
Encourage your government to support the ‘recommendations’ being negotiated remotely as part of the Open-Ended Working Group on Ageing (OEWG) process. This joint statement and the UN policy brief add to the global momentum building around older people’s rights and it is important that your government participates actively and has a voice in the OEWG process.
Official response to GAROP from the Director-General of the WHO
Please find attached the response received from the WHO Director-General to our letter of 20th April (also attached again for reference).
Thank you to those of you who followed up directly in support of our letter. You can refer to this official WHO response in your advocacy around older people and COVID-19.
The letter provides a helpful summary of how older people are currently included in the various WHO existing guidelines and resources. It also mentions the upcoming specific guidelines about older people. The GAROP Steering Group is considering our next steps and further opportunities for follow-up and collaboration. Please get in touch if you have suggestions.
Dementia Alliance International are delighted to have received permission to share with you the newly launched Dementia Action Plan for NZ, which we felt important to share this week following the 73rd virtual World Health Assembly in Geneva.
The Plan is the result of a collaboration between Alzheimers NZ, the New Zealand Dementia Cooperative and Dementia New Zealand.
The voices and input of over 300 individuals and groups have informed this important plan, which is to be launched in the media next week, an important the first step to encourage government support and a long term commitment to dementia.
Covid-19 has highlighted how much of a challenge dementia is for New Zealand. The number of people with dementia is growing fast and services are just not keeping up with the need. Indeed, after Covid-19 dementia will be one of the most significant issues facing our health system this century.
In response to the World Health Organization’s calls for action on dementia, many countries around the world are implementing dementia action plans. In light of this urgent need, the dementia sector has worked collaboratively to prepare a Dementia Action Plan for New Zealand.
We have sent the Dementia Action Plan to Ministers Clark and Salesa. This Plan is the culmination of effort from right across the sector. Our three organisations (the New Zealand Dementia Cooperative, Alzheimers New Zealand, and Dementia New Zealand), along with our wider Working Group, spent many months undertaking the formation, analysis, and consultation of this important document.
However, we could not have done it without the support of the dementia sector. Thanks are due to everyone who took the time to provide feedback on the draft Plan. The draft Plan was circulated widely and consulted on from November 2019 to January 2020. We had a combination of written correspondence, survey feedback, phone conversations, and face-to-face meetings, and we received information from over 300 individuals and groups.
The response was invaluable – and affirming. There was overwhelming support for having a Plan and for the vision, mission and action areas. We took the feedback on board, and the Plan improved as a result. A summary of the consultation response is provided here.
We expect Ministers will take some time to consider this, but we are confident that it will achieve our goal – to put a stake in the ground and a call to action from the sector for Government to follow-through on a commitment to dementia.
We know that there is a high level of goodwill and can-do attitude throughout the sector – and plenty of collaboration happening. We just need some political leadership now to bring everything together cohesively. And we can’t afford to wait too long. The very unfortunate reality is that Covid-19 has made life harder for people affected by dementia.
This is not just because of the personal impact of the crisis, such as the problems caused by lockdown and isolation, but the pandemic has created a range of long-term and significant financial and funding issues for charities such as local Alzheimers organisations.
Inevitably, this will affect the services they provide, and there is a very real risk that existing services – which are already woefully under-funded – will be further compromised. The bottom line is that charities like ours must receive much-needed financial relief or the government must expect to shoulder much more of the community services load that we currently provide.
So, we stand ready, willing and able, right now, to work with the Ministry, District Health Boards, and across the community organisations to bring this into action. Covid-19 has brought the immediacy of the need for this Plan into sharp relief.
Having said that, we do understand that the world is currently going through an unprecedented scenario in dealing with the Covid-19 pandemic. Many organisations will continue to adapt their services over this time.
However: the principles and values of the Plan – and its role as a catalyst for change – remain the same. We know that ‘getting back to normal’ is probably a not really an option for much of our society – and we are eager for the innovation demonstrated in the sector to come to the fore in the way that this Plan unfolds.
Due to the current COVID-19 pandemic, the 73rd World Health Assembly will be virtual. The agenda has been reduced to fit into two days, starting on Monday 18 May and concluding no later on Tuesday 19 May. It can be viewed live. The programme will cover:
Opening of the Health Assembly by WHA 72 President
Election of the President and five Vice-Presidents
Statements by invited speakers
Address by the Director-General (on COVID-19 pandemic response)
Statements by Heads of delegation on COVID-19 pandemic
Closure/suspension (The WHA will consider suspending and reconvening later in the year to consider the remaining items on the agenda)
WHO Civil Society Working Group on NCDs May 2020 Statement
The 36 members of the WHO Civil Society Working Group on Non Communicable Diseases (NCDs) commend the World Health Organization and Dr Tedros for his leadership as the world grapples with the coronavirus (COVID-19) pandemic. An empowered, well-resourced World Health Organisation (WHO) is essential to lead governments, other stakeholders, and people through these trying times.
The COVID-19 pandemic has demonstrated more than ever the need for resilient health systems, especially ones that are equipped to respond to the growing burden of non-communicable diseases (NCDs). NCDs and their risk factors are exerting a heavy toll on health systems around the world, draining scarce resources even though they are largely preventable. The current public health crisis illustrates that health promotion is essential both for health emergency preparedness and sustainability of health systems, as is universal health coverage that ensures access to essential services and care without incurring financial hardship. Both COVID-19 and NCDs are indiscriminate actors, disproportionately impacting the poorest and most vulnerable people in all countries.
Emerging evidence from the COVID-19 pandemic suggests that people living with NCDs and other chronic conditions – in particular hypertension and cardiovascular diseases, cancer, diabetes, respiratory diseases, obesity, and mental and neurological health conditions such as dementia – are at higher risk of severe illness or death from the virus. Yet, even in the midst of a public health emergency of international concern, companies that produce harmful products, such as tobacco, alcohol and sugar-sweetened beverages, continue to spread misinformation and deny the link between the harmful effects of their products and COVID-19 to protect their markets.
We call on governments to ensure:
● NCDs prevention and treatment are included in national preparedness plans, beginning with inclusion of NCDs in national COVID-19 responses as part of global health security, acknowledging the links between COVID-19 complications and underlying chronic conditions.
● The continued delivery of routine chronic care, supplies of essential medicines and technologies, screening and diagnosis, access to resources, and supportive and palliative services for ongoing management of NCDs, mental health, and other chronic conditions.
● Precautionary measures are taken to protect both people living in care homes and other residential facilities and children, who may be predisposed to chronic, long-term morbidity due to COVID-19 infections, as evidenced by a multisystemic inflammatory response that may cause damage to multiple organ systems.
● Healthcare workers are recruited, trained, protected, and well-resourced to meet the current and future demand for chronic care and the COVID-19 pandemic. Special attention is needed to ensure the mental health and well-being of healthcare workers is supported.
● People living with NCDs and comorbidities, older people, young people, civil society and those most affected are consulted and meaningfully involved in the development, implementation, monitoring and evaluation of international, national, and local COVID responses.
● NCD prevention and health promotion continues to be prioritised to protect and strengthen population health and health systems, especially under ‘lockdown conditions,’ and is aligned with the WHO NCD Global Action Plan. Regulations and restrictions for industries that produce health-harmful commodities, including tobacco, alcohol, sugar-sweetened beverages, and fossil fuels, should be reinforced and not relaxed during the pandemic.
● Legally binding policies are created and implemented in collaboration with civil society for greater transparency, accountability, monitoring and enforcement in order to achieve good health and well-being for all, while preventing and addressing conflicts of interest.
● Particularly harmful products, such as tobacco and alcohol, are declared non-essential within pandemic responses with restrictions on availability and marketing. Physical activity and healthy diets should be actively promoted and supported, measures to reduce air pollution implemented rapidly, and food security should be addressed with due consideration to nutrition and health of diets.
● Engagement with unhealthy commodity industries is limited or ceased. This includes where there are real or perceived conflicts of interest through corporate social responsibility activities such as production and provision of PPE, sanitizers, processed food and beverages in care packs, new logistics partnerships, publication and reporting of pseudo-science, and political influence on policy.
● Digital health solutions are identified and scaled up by developing data systems that provide clear and accurate information for national health experts and the general public.
● Media are sensitised to report responsibly on health issues especially where misinformation is suspected, and to prevent uptake and promotion of such misinformation.
The WHO Civil Society Working Group on NCDs and the NCD community remains committed to elevating the voices of civil society and people living with NCDs and supporting WHO and governments during this pandemic and in the post-pandemic recovery period.
Members of the World Health Organisatin (WHO) Civil Society Working Group (CS WG) on Non Communicable Diseases (in alphabetical order):
1. Dr Monika Arora, Healthy India Alliance, India
2. Ms Kwanele Asante, Our Views, Our Voices global advisory committee, South Africa
3. Prof Naby Baldé, International Diabetes Federation, Guinea
4. Mr Stephane Besançon, Santé Diabète, France
5. Mr Enzo Bondioni, World Dental Federation, Switzerland
6. Ms Chantelle Booysen, Youth Leaders for the Lancet Commission on Global Mental Health and Sustainable Development, South Africa
7. Dr Beatriz Champagne, Healthy Latin America Coalition, Argentina
8. Dr Stephen Connor, World Palliative Care Alliance, USA9. Ms Katie Dain, CEO, NCD Alliance (Co-Chair)
10. Dr Mitra Rouhi Dehkordi, The Association for International Sports for All, Iran
11. Dr Ulysses Dorotheo, South East Asia Tobacco Control Alliance, Philippines
12. Dr Ibtihal Fadhil, EMRO NCD Alliance, Iraq
13. Dr Mychelle Farmer, NCD Child, USA
14. Mr Juan Núñez Guadarrama, Salud Justa, Mexico
15. Sir Trevor Hassell, Healthy Caribbean Coalition, Barbados
16. Mr David Kalema, Hope and Beyond, Uganda
17. Mr Chris Lynch, Alzheimer’s Disease International, United Kingdom
18. Princess Dina Mired, Union for International Cancer Control, Jordan
19. Dr Mwai Makoka, World Council of Churches, Malawi
20. Ms Narcisa Mashienta, Ikiama Nukuri, Ecuador
21. Dr George Msengi, NCD Child, Tanzania
22. Mr Christophe Ngendahayo, International Federation of Medical Students Associations, Rwanda
23. Ms Leslie Rae, Framework Convention Alliance, Canada
24. Ms Johanna Ralston, World Obesity Federation, USA
25. Ms Belen Ríos, O´Neill Institute for National and Global Health Law, Georgetown University, USA
26. Prof Trevor Shilton, International Union for Health Promotion and Education, and International Society for Physical Activity and Health, Australia
27. Dr Sudhvir Singh, EAT Foundation, Norway
28. Dr Tara Singh Bam, International Union Against Tuberculosis and Lung Disease, Nepal
29. Ms Anjali Singla, Movement for Global Mental Health, India
30. Ms Kristina Sperkova, Movendi International, Slovakia
31. Ms Charlene Sunkel, Global Mental Health Peer Network, South Africa
32. Ms Kate Swaffer, Dementia Alliance International, Australia
33. Ms Phaeba Thomas, HealthBridge South Asia, India
34. Dr Nick Watts, Lancet Countdown on Health and Climate Change, United Kingdom
35. Prof Gerald Yonga, East Africa NCD Alliance, Kenya
36. Dr Yoshitake Yokokura, World Medical Association, Japan