Online Dementia Journal 
What's Normal and What's Not - Tips For Better Sleep
by Teepa Snow, MS, OTR/L, FAOTA 


Realize that waking up in the middle of the night is normal!

  • We sleep in waves - light to deep and back to light
  • Short periods of consciousness are OK -
  • Wakefulness lasting longer than 30 minutes may signal concerns

Needing to pee triggers waking

  • Waking once at night to urinate is considered normal
Waking more than once may signal onset of some health conditions, or:
  • Excess intake of fluids during the day
  • High intake in the latter part of the day
  • Too much alcohol
  • Possibly the need to change the timing of taking a diuretic medication
PAC Skills Make The Difference 

This practical DVD focuses on care partnering techniques and skills that create positive outcomes for both the care partner and the person living with dementia. Watch and learn from Teepa Snow and her team as they demonstrate Positive Physical Approach™ and Hand-under-Hand®. Learn to use these techniques to help with activities of daily living, including mealtime care, brushing teeth, and helping out of bed. This DVD will help you change your approach and improve the standard of care you can provide.

Silence of the Lamb Chop 
The importance of meal preparation and quiet time for the body and the brain  
by Amanda Bulgarelli, PAC Mentor

Meals are one of the most important times of the day for many of us. If you are like me, in that silent time of my last bite of lunch I am already thinking about what I will have for dinner. I love to think about all of the delicious things that I see on all of the cooking shows that I can make with just a few mixed-up ingredients from the fridge and cupboards. However, most of the time when dinner time rolls around, I fall into my old routines and habits and make the same old, yummy, but boring meals that I always make. There is comfort in the routine, the same old smells, and the way I do things in my kitchen.
One Piece of a Wellness Puzzle - Hydration 
by Teepa Snow, MS, OTR/L, FAOTA

In order to live well and prosper, human beings require hydration, fluid intake. Seventy-five percent of a baby's body weight is water, while it makes up only 55% of the body weight of an older adult. It is interesting, however that there is actually very little concrete data available on how much and what types of fluid are the best to maintain optimal hydration as aging takes place, chronic conditions take hold, or dementia happens. We do have evidence that water is essential for cellular health as well as human life itself, however, we know less than we would think about how and why it matters so much. 



Two New DVDs 

Click on the images below for more information or to place your order! 

Six Ways That I Use PAC Skills During Lunch Each Day
by Rosanne Burke, 
PAC Certified Independent Trainer 
I first met Teepa at the Alzheimer Society Research Breakfast in Halifax, Nova Scotia back in January 2016. My immediate reaction was "this makes so much sense!" and "how can I learn more?" Since that morning, I haven't looked back. In September, I found myself in Asheville, North Carolina for the Trainer Certification Program.

I am a care partner to my father who has vascular dementia. He lives in a nursing home and each day, I visit him over the lunch break and we eat our lunch together. PAC skills have made all the difference in the world to the quality of our visits.
Six Easy Ways To Take Music From Entertainment to Engagement In Dementia Care  
by Mary Sue Wilkinson, Founder, 
Singing Heart to Heart 
Here's something I truly believe. Everyone can sing. It's as basic as walking and talking. I've heard people say they can't sing. But time after time when people hear a familiar song from their youth, almost everyone will join in.
In dementia care, singing together is a gift we can use to connect, awaken memories, and bring joy.
I often hear "I play music in the background all day. Isn't that enough?"
My simple answer? "No!"
It's not wrong - it's just not enough.
Because music can be such a powerful tool to engage people living with dementia.
Connecting through music gives us a way to maintain relationships when other communication is difficult. It's a pathway to emotional memories, helping us remember happy times. Music affects our mood and can lift our spirits. Can it be entertaining? Yes. But it can be so much more.

Become a PAC Certified 
Independent Professional

Upcoming Events

The Dementia Action Alliance
Is Hosting the

Re-Imagine Life with Dementia
Annual Conference

June 25-27, 2017 in Atlanta

Click on the image below to download the flier
Green Means Go! 
Getting Emeralds ready to go out in a positive way
by Amanda Bulgarelli, PAC Mentor 
8:30 AM - My alarm sounds and I get up and out of bed. I come downstairs to find my Care Partner already dressed with coffee brewing. This is what I am used to and I greet them with a hug and thanks.
"Hey Amanda, we are going out in 15 minutes, it is really cold, so make sure to get your coat!"
A Pearl Music Moment 
by Mary Sue Wilkinson, Founder 
Singing Heart to Heart

Alec is a handsome man. He has Alzheimer's. He sits in a big, specialized wheelchair with a tray in front of him. Alec has difficulty hearing and most of the time he is asleep during music. He has never shown any response. Today he sat front and center, dozing as usual, while we sang Christmas songs. But then I sang "Silent Night." Alec slowly drew his head up; I saw him struggle to open his eyes and gain focus. And then his face broke out into a beautiful smile as he looked right at me and said, "Wonderful, wonderful, wonderful."
I often use the word "awaken" when I describe what can happen with music. Today Alec's face showed the true meaning of the word. As he smiled throughout the song, I knelt down so I could look right at him and sing with him. When the song ended, I stroked his hand, leaned in, shared a smile, and thanked him.
We moved on to other songs. First up was "I've Been Working on the Railroad." Alec did not retreat! He stayed "in the music," dancing his hands on the tray in front of him, in time to the beat, beaming all the while. As the song went on, Alec reached his hands up to me. I took them, and together we swayed back and forth. He was connecting and I will never forget that smile or the magic of a single song.
Mary Sue Wilkinson is the founder of Singing Heart to Heart and the author of "Songs You Know By Heart: A Simple Guide for Using Music in Dementia Care", from which this Music Moment is an excerpt. The book includes contributions from Teepa Snow as well as Mary Sue's recording of 18 favorite sing along songs. Buy the book HERE. Visit her website to learn more.
February 2017
In This Issue
Upcoming Events
Close-up top-view photo of calendar with a datum circled by young woman with red nails with a back marker, concept of time management at work

March 1, 2017
Educational Day
Lakeland, FL

March 6, 2017

Educational 2-Day Conference
Winnipeg, MB

March 13, 2017
Refresh Your Soul 2017
Cincinnati, OH

March 14, 2017
Dementia Care Summit
Cincinnati, OH

March 31, 2017
Education Day
Marietta, GA

April 5, 2017
Educational Day
Sioux City, IA

April 6, 2017
Educational Day
Cedar Falls, IA

April 14, 2017
Educational Day
Lacey, WA

April 27, 2017
Educational Conference
Tyler, TX

Book your event today for staff training, family nights, professional referral source events, or refresher workshops .
PAC Training increases awareness, knowledge, and confidence among care staff and educates resident families.

Positive Approach Partners  
Levenson & Associates
Attorneys at Law  

Mr. Levenson is partnering with us to answer your legal questions. 

  Check out these new items in the Care Store

Be Brave Enough To Start A Conversation That Matters

To Learn More

and the
Caring Conversations Tool Kit 

Positive Approach to Care now offers
TWO New Webinar Series! 

Learn with Teepa Snow from the comfort of your own home or office.

Participate in the LIVE events or view the recordings through our online streaming portal.

Teepa Snow 
Today's Voice for Dementia
Teepa is an advocate for those living with dementia and has made it her personal mission to help families and professionals better understand how it feels to be living with dementia related challenges and change. Her company, Positive Approach, LLC was founded in 2005 and offers education to family and professional care partners all over the world. Her goal? Making a mind at a time.

If you know someone working or living with dementia who might benefit from
the teachings of Teepa Snow, please forward this to them now. 

Be knowledgeable. Be prepared. Be positive.
If this journal was helpful to you, we would appreciate your feedback.  Please
share your comments and further interest with us.

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