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Movement with Meaning: A Multisensory Program for Individuals in Early-Stage Alzheimer's Disease

Those of us in the field of dementia care are reexamining our philosophical beliefs and exploring practical, hands-on approaches in our relationships with individuals living with Alzheimer's disease. We are creating innovative programs and developing a new framework for preserving the emotional health, autonomy, and dignity of those who need us to walk hand in hand with them, witnessing the process of their experiences with empathy and respect.

A brief round-up of a few of the latest findings reinforcing the fact that academic achievement is not all about academic ability or skills.Most of these relate to the importance of social factors.

Improving social belonging improves GPA, well-being & health, in African-American students

Brain tissue is divided into two types: gray matter and white matter. These names derive very simply from their appearance to the naked eye. Gray matter is made up of the cell bodies of nerve cells. White matter is made up of the long filaments that extend from the cell bodies - the "telephone wires" of the neuronal network, transmitting the electrical signals that carry the messages between neurons.

The volume of gray matter tissue - a measure you will see cited in various reports - is a measure of the density of brain cells in a particular region.

Forget the persistent myth that everything is remembered; that our brains are video cameras whirring away recording everything, and that such 'hidden' knowledge can be brought to light by a hypnotist or alien artefact. Such things are the stuff of fantasy. Of course, there is a nugget of truth there: we can, and do, remember things we've paid no conscious attention to. Sometimes the right question can elicit memories we didn't know we had, in more detail than we imagined we could have. But for the most part, what's not noticed is not remembered. Attention is crucial to memory.

There was an alarming article recently in the Guardian newspaper. It said that in the UK, diabetes is now nearly four times as common as all forms of cancer combined. Some 3.6 million people in the UK are thought to have type 2 diabetes (2.8 are diagnosed, but there’s thought to be a large number undiagnosed) and nearly twice as many people are at high risk of developing it. The bit that really stunned me? Diabetes costs the health service roughly 10% of its entire budget.

Creating a face-name association

• Select a distinctive feature of the face (nose).
• Select a word or phrase that sounds like the name (con rat for Conrad).
• Create an interactive image linking the distinctive feature with the keyword(s) (a man in a prisoner’s uniform — con — rides a rat that slides down the nose).

To remember the name on seeing the face again, you must:

• Identify the distinctive feature that you used when encoding (nose).

We don’t deliberately practice our memories of events — not as a rule, anyway. But we don’t need to — because just living our life is sufficient to bring about the practice. We remember happy, or unpleasant, events to ourselves, and we recount our memories to other people. Some will become familiar stories that we re-tell again and again. But facts, the sort of information we learn in formal settings such as school and university, these are not something we tend to repeatedly recount to ourselves or others — not for pleasure anyway!

As I said in my discussion of different scripts, Russian uses the Cyrillic alphabet. Here it is (the 3rd column shows the English counterpart):

А  а   a

Б  б   b

В  в   v

Г  г   g

Д  д   d

Е  е   ye

Knowing a number of effective strategies for reading and note-taking, practicing and memorizing, is vital, but it's not the whole story. There is also a category of strategies we might term 'support' strategies. These include strategies aimed at setting goals, managing time and effort, and monitoring your performance and progress. In study, these come under the concept of self-regulation, which is related to the more general concept of metamemory.

Distributed practice more effective than massed practice

It has long been known that spacing practice (reviewing learning or practicing a skill at spaced intervals) is far more effective than massed practice (in one heavy session). An interesting example of this comes from a study that aimed to find the best way of teaching postmen to type (this was at the request of the British Post Office). The researchers put postmen on one of four schedules: