Fit Minds Interact Individual Program and TBI Using Cognitive Coaching for Impact Caring. Connected. Inspired.™
Presentation Overview • Brain Science Primer • Cognitive Stimulation Therapy Review • Coach Approach • Five Key Areas of Cognition • Fit Minds Program Overview • Putting It Into Practice www.fitminds.ca 2
What We Exercise Gets Stronger www.fitminds.ca 3
Neuroscience Basics • Brain plasticity • Synaptic density and pruning • Cognitive resilience www.fitminds.ca 4
Brain Plasticity The brain has the capacity for continuous: • physical • chemical • functional brain change www.fitminds.ca 5
Synaptic Density and Pruning www.fitminds.ca 6
Research Proves We Can Grow Our Brains Medical students – University of Hamburg Gray Matter (the actual size of their brains) grew in a six week period! www.fitminds.ca 7
Cognitive Resilience Learning - New and Challenging Other Factors • Physical Activity • Good Nutrition • Social Stimulation • Meditation/Prayer www.fitminds.ca 8
Cognitive Resilience and Trauma www.fitminds.ca 9
Cognitive Resilience and Disease Sister Bernadette • Died at 85 of a massive heart attack • MRI scores - high amount of grey matter • High mental scores Autopsy of her brain.... www.fitminds.ca 10
Cognitive Resilience and Disease She had advanced Alzheimer’s (BRAACK Stage 6) She had NO symptoms 46% risk reduction www.fitminds.ca 11
Research Supports the Efficacy of CST • As effective as several dementia drugs • Increases quality of life for clients • Reduces stress for caregivers • Plays important role in delaying disease progression • The UK National Institute for Health and Care Excellence (NICE) mandates CST for individuals with mild to moderate dementia www.fitminds.ca 12
NICE Guideline 42 “People with mild / moderate dementia of all types should be given the opportunity to participate in a structured group cognitive stimulation programme. This should be commissioned and provided by a range of health and social care workers with training and supervision. This should be delivered irrespective of any anti-dementia drug received by the person with dementia”. www.fitminds.ca 13
Coach Approach™
Coach Approach™ • Emotional support • Understanding affection • Personal concern Emotional memory
Coach Approach™
Coach Approach™ • One thing at a time • Short, understandable, consumable • Processing time – patience
Coach Approach™
Coach Approach™ • Agitation and anxiety • Sufficient physical and mental activity • Pleasantly tired
Coach Approach™
5 Key Areas of Cognition • Language and Music • Visual/Spatial Orientation • Memory – Working & Long Term • Critical Thinking • Computation Global Is Best www.fitminds.ca 21
Language and Music • Speech Perception • Semantic Association • Speech Production www.fitminds.ca 22
What Does This Mean? • Rhyming and Rhythm Exercises = Speech Recognition • Word Matching = Semantic Association • Word Puzzles = Speech Production www.fitminds.ca 23
Time to Exercise Language www.fitminds.ca 24
Visual/Spatial Orientation www.fitminds.ca 25
Visual/Spatial Orientation www.fitminds.ca 26
Time to Exercise Visual Spatial www.fitminds.ca 27
Memory www.fitminds.ca 28
Working Memory Core Executive Functions Reasoning and Decision-making www.fitminds.ca 29
Time to Exercise Memory www.fitminds.ca 30
Critical Thinking www.fitminds.ca 31
Time to Exercise Critical Thinking www.fitminds.ca 32
Computation www.fitminds.ca 33
Time to Exercise Computation www.fitminds.ca 34
Fit Mind Interact Individual • Most beneficial program • Promotes brain health in both healthy people and people with dementia • Tailored to individual’s level of cognition across five key areas • Each session includes activities across all five areas of cognition pulled from a database of 2500+ exercises. • Delivered one-on-one by certified cognition coaches • Provides a positive environment that adds structure and mental and physical stimulation • Builds confidence through meaningful engagement www.fitminds.ca 35
Observed Benefits • Improved ability to communicate with others within the community • Improved desire to engage • Improved mood and reduction in anxiety • Reduction in challenging behaviours • Improved cognition - MoCA and MMSE scores improved • Improved quality of life – QoL scores improve www.fitminds.ca 36
Core Values: What We Believe at Fit Minds While dementia changes relationships, it doesn’t end them . Mom is still mom. Dad is • still dad. Individuals challenged by dementia still want and need human interaction. That is why our programs focus on supporting those relationships. We should have an attitude of gratitude towards our seniors. The individuals who • went before us, built the society we now enjoy. We owe them a debt of gratitude. We have a responsibility to support all people to age with dignity. With age comes • vulnerability. We deal with a body that is less strong than it was at twenty. A mind that may be a little slower. We need a little more support. However, we are still adults. That is why our programs our not ‘childish’ but focus on adult ideas and topics. Life can be full of joy – no matter how old we are. Life should be joyful and filled with • love.. Our programs aim at fostering a sense of fun. As we age, we still care about connecting with other people. Everyone has a • fundamental need to connect. That need impacts our mental health. Strong social networks help us age well. Our programs encourage building and maintaining these networks. We believe in drowning the evil of loneliness, isolation and despair in the abundant • goodness of caring and connecting. That is what motivates us each and every day. www.fitminds.ca 37
Thank You Nicole Scheidl Nicole.Scheidl@fitminds.ca www.FitMinds.ca www.fitminds.ca 38
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