DateTimeFromToMessage
2019-11-06 07:30:38 PM rebeccarodriguez How much of the brain does the average human use?
2019-11-06 07:31:07 PM crdsteele yes very true
2019-11-06 07:31:20 PM cchase hey welcome jcullum - this chat started half hr. ago - sorry you missed some
2019-11-06 07:31:23 PM amanda true
2019-11-06 07:32:01 PM jcullum That's Ok. I'm a new student. Started yesterday.
2019-11-06 07:32:44 PM splush2402 Welcome!
2019-11-06 07:32:50 PM crdsteele Welcome jcullum!
2019-11-06 07:32:58 PM amanda Welcome!
2019-11-06 07:33:00 PM cchase it was once believed that only 10% of the brain is used but
2019-11-06 07:33:17 PM cchase it is now explained that the majority of the brain is almost always active
2019-11-06 07:33:32 PM rebeccarodriguez :)
2019-11-06 07:33:38 PM jcullum I just saw that too.
2019-11-06 07:34:17 PM cchase I have read that we still have much of the brain power we do not fully utilize
2019-11-06 07:34:54 PM cchase so we discussed both short term and long term memories - are you all ok with that?
2019-11-06 07:35:12 PM splush2402 Yes, I understand more
2019-11-06 07:35:21 PM amanda Yes
2019-11-06 07:35:28 PM crdsteele Yes
2019-11-06 07:35:35 PM jcullum Yes
2019-11-06 07:35:49 PM cchase ok - so let's talk emotions
2019-11-06 07:36:11 PM crdsteele emotions are stronggggg
2019-11-06 07:36:34 PM cchase the last area of the brain holding emotions is the last part of the brain that the disease damages
2019-11-06 07:36:49 PM rebeccarodriguez what causes people to develop wernicke-korsakoff syndrom which results in the loss of the brain neurons?
2019-11-06 07:37:16 PM splush2402 I am at a loss with what to do with a resident we currently have. She is so on the edge of violent at alllll times.
2019-11-06 07:37:22 PM cchase it is known as the amygdala
2019-11-06 07:38:01 PM crdsteele Do you know what her triggers are Shae?
2019-11-06 07:38:41 PM splush2402 No. She is so unpredictable. Different every day.
2019-11-06 07:38:42 PM cchase violent emotions can be caused for a number of reasons
2019-11-06 07:39:09 PM rebeccarodriguez hydration, hungry
2019-11-06 07:39:14 PM cchase the pt. feels unheard, feels abandoned usually by the family,
2019-11-06 07:39:17 PM rebeccarodriguez unable to communicate
2019-11-06 07:39:39 PM amanda what about trama from the past?
2019-11-06 07:39:46 PM cchase feels they are not where they are suppose to be
2019-11-06 07:39:48 PM splush2402 okay. that makes sense. she is MUCHHHH worse after visits with family.
2019-11-06 07:39:57 PM jcullum I think some of the problem with these residents is that they have lost their filter or the ability to control their emotions.
2019-11-06 07:40:51 PM cchase Wernicke–Korsakoff syndrome results from thiamine deficiency. It is generally agreed that Wernicke encephalopathy results from severe acute deficiency of thiamine (vitamin B1), whilst Korsakoff's psychosis is a chronic neurologic sequela of Wernicke encephalopathy.
2019-11-06 07:41:03 PM splush2402 amanda, funny you bring up past trauma because sometimes the way she discusses off the wall things makes we think she may have been abused in the past.
2019-11-06 07:41:13 PM crdsteele Yes Amanda- had a resident who was very violent and would randomly start yelling if someone got close to her. Found out that she had been abused by her brother and did not like anyone to touch her
2019-11-06 07:41:48 PM cchase yes- agreed - past experiences come to haunt our elders quite alot
2019-11-06 07:42:18 PM cchase particularly when they are not kept engaged - they tend to wonder back in time
2019-11-06 07:42:23 PM splush2402 :'(
2019-11-06 07:42:32 PM amanda that makes more sense to me
2019-11-06 07:42:50 PM cchase so the last are hold emotions - that is information you can use
2019-11-06 07:43:19 PM splush2402 one of the last to go are emotions.
2019-11-06 07:43:22 PM rebeccarodriguez aggression can be a way of asking or calling for help
2019-11-06 07:43:27 PM cchase make it your mission to understand the emotion behind the behavior
2019-11-06 07:43:38 PM splush2402 okay
2019-11-06 07:44:00 PM crdsteele yes, thank you
2019-11-06 07:44:15 PM cchase yes - they are not able to say I need help- get frustrated that you are not understanding so they so agressive behaviors
2019-11-06 07:44:38 PM cchase the emotion will always drive them in their behavior
2019-11-06 07:44:54 PM cchase have you ever seen a resident rocker back in forth in a chair
2019-11-06 07:45:03 PM crdsteele Yes
2019-11-06 07:45:05 PM amanda yes
2019-11-06 07:45:08 PM splush2402 yes
2019-11-06 07:45:10 PM jcullum Yes
2019-11-06 07:45:15 PM cchase often they need to go to the bathrm
2019-11-06 07:45:27 PM cchase or they are overwhelmed
2019-11-06 07:45:45 PM splush2402 hmmm. good to know. thank you
2019-11-06 07:45:50 PM cchase they could also be saying that they feel anxious
2019-11-06 07:46:01 PM crdsteele Yes or they start pacing back and forth
2019-11-06 07:46:02 PM cchase look for the clue to the behavior
2019-11-06 07:46:21 PM cchase yes - pacing is common when anxious
2019-11-06 07:46:34 PM splush2402 We have a pacer who literally NEVER sleeps
2019-11-06 07:46:43 PM cchase it is not in of itself a problem when they pace so long as they are safe to do so
2019-11-06 07:47:02 PM amanda what if they are constantly trying to take everything apart is that common with being anxious?
2019-11-06 07:48:03 PM jcullum We have resident's who rearrange the furniture and take things apart.
2019-11-06 07:48:13 PM splush2402 I can not engage her with anything but snacks and she can not eat 100% of the time.
2019-11-06 07:48:27 PM splush2402 yessss. rearranging furniture.
2019-11-06 07:48:30 PM cchase we are learning that the internal circadian rhythm (clock) fails and is known to confuse when it day or night for sleep
2019-11-06 07:48:34 PM splush2402 what does that mean
2019-11-06 07:48:35 PM jcullum Have you tried music?
2019-11-06 07:48:49 PM cchase find something she can take apart
2019-11-06 07:49:00 PM cchase something that is ok to take apart
2019-11-06 07:49:00 PM splush2402 okay
2019-11-06 07:49:11 PM cchase huge legos - for example
2019-11-06 07:49:24 PM cchase stack cups and ask her to take them apart
2019-11-06 07:49:27 PM splush2402 ok. thank you!!! this is so helpful.
2019-11-06 07:49:40 PM crdsteele Interesting....I don't have anyone who takes things apart necessarily, but a lot of hoarders
2019-11-06 07:49:42 PM cchase find a focus for her energy
2019-11-06 07:49:55 PM cchase yes - hoarding is so so common
2019-11-06 07:50:14 PM cchase many hoard because they want to own something
2019-11-06 07:50:36 PM jcullum That makes sense
2019-11-06 07:50:42 PM cchase some hoard because they went through world wars when extras like food and clothing were scarce
2019-11-06 07:50:58 PM crdsteele They get very upset when family members come and clean their drawers out
2019-11-06 07:51:11 PM amanda Food is a big for me.
2019-11-06 07:51:15 PM cchase wish families would not do that
2019-11-06 07:51:35 PM cchase basically they are taking away what is important to the resident
2019-11-06 07:51:48 PM crdsteele agreed
2019-11-06 07:52:03 PM jcullum We have cloth napkins and find they store as many as 10 int their drawers
2019-11-06 07:52:40 PM cchase so here is a scenario that I would like each of you to give how you would respond
2019-11-06 07:52:44 PM cchase ready?
2019-11-06 07:52:50 PM splush2402 yes
2019-11-06 07:52:51 PM rebeccarodriguez ready Freddy
2019-11-06 07:52:51 PM amanda yes
2019-11-06 07:52:59 PM cchase (lol)
2019-11-06 07:53:40 PM cchase a resident comes up to you and accuses you of steeling her pocket book - what do yousay?
2019-11-06 07:54:27 PM crdsteele And this is someone who has Alzheimer's?
2019-11-06 07:54:29 PM splush2402 Ask to help them look for it?
2019-11-06 07:54:35 PM cchase yes Alz pt
2019-11-06 07:54:37 PM jcullum I would say I know you are upset about losing your pocket book. Let's go look for it in your room.
2019-11-06 07:55:08 PM rebeccarodriguez you can redirect the resident, or "can I help you find it?" Show that you care and never argue!!
2019-11-06 07:55:26 PM crdsteele I would immediately say oh no you're pocket book is missing? Let's go look for it together! And completely ignore the accusation
2019-11-06 07:55:47 PM amanda I would say, Lets see if its in your room, let me help you find it.
2019-11-06 07:55:56 PM cchase super great answers!!!!
2019-11-06 07:56:26 PM cchase talk about how scary it must be to lose something and immediately offer to look for it!!
2019-11-06 07:56:42 PM cchase you are all pros. in the Alz dept
2019-11-06 07:56:48 PM cchase (y)
2019-11-06 07:56:49 PM splush2402 yessss.
2019-11-06 07:57:10 PM cchase and indeed - never, never, never argue - you will lose
2019-11-06 07:57:30 PM crdsteele Yes! Adapt to their world
2019-11-06 07:57:48 PM splush2402 Yes. THEIR reality. Not ours.
2019-11-06 07:57:49 PM cchase that's the line - step into their world
2019-11-06 07:58:04 PM cchase great job everyone !!!!
2019-11-06 07:58:18 PM rebeccarodriguez what is round has a dot?
2019-11-06 07:58:34 PM cchase hmmm ????
2019-11-06 07:58:48 PM rebeccarodriguez spot
2019-11-06 07:59:03 PM cchase :D
2019-11-06 07:59:22 PM cchase have you all learned something new tonight?
2019-11-06 07:59:28 PM amanda hahaha
2019-11-06 07:59:29 PM rebeccarodriguez Yes!!
2019-11-06 07:59:29 PM jcullum yes
2019-11-06 07:59:31 PM amanda yes
2019-11-06 07:59:37 PM crdsteele Yes definitely!
2019-11-06 07:59:40 PM splush2402 Absolutely! Thank you so much!
2019-11-06 07:59:51 PM cchase super - feel free to email me with any questions
2019-11-06 08:00:07 PM rebeccarodriguez Thank you and will do! :)
2019-11-06 08:00:07 PM crdsteele Thank you!
2019-11-06 08:00:10 PM amanda Thank you
2019-11-06 08:00:11 PM cchase I do post a weekly article in my Help Desk
2019-11-06 08:00:20 PM splush2402 Thank you so much.
2019-11-06 08:00:27 PM jcullum Thank you!
2019-11-06 08:00:30 PM splush2402 How do we get the weekly article?
2019-11-06 08:00:32 PM cchase it ranges from Alz. to adult day and lots of clinical infor
2019-11-06 08:00:59 PM cchase you sign up for it - check your classrm community forum
2019-11-06 08:01:08 PM splush2402 ok. ty
2019-11-06 08:01:14 PM cchase good job
2019-11-06 08:01:20 PM cchase (F)
2019-11-06 08:01:44 PM rebeccarodriguez Good night awesome people!
2019-11-06 08:01:54 PM amanda Good night
2019-11-06 08:01:58 PM rebeccarodriguez left the chat room
2019-11-06 08:01:58 PM cchase be safe - be well everyone !!!
2019-11-06 08:02:07 PM jcullum Good Night
2019-11-06 08:02:11 PM splush2402 Good Night ! You too!
2019-11-06 08:02:18 PM crdsteele Goodnight!
2019-11-06 08:02:23 PM crdsteele left the chat room
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2019-11-11 07:23:43 PM spassa enter the chat room
2019-11-11 07:24:00 PM spassa Good night everyone
2019-11-11 07:25:25 PM spassa I work in an facility that has an assisted living area and independant area and skilled and nursing home areas of living and i just wish to say how nice it is to be able to get care from all different areas in one facility and not having to go place to place
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