DEMENTIA CARE – NORMAL DAY TO DAY ACTIVITIES FOR THE ELDER

Many people only think of activities in the large sense. Activities like; painting a great picture, a trip to the circus, working with clay, throwing a party or seeing live entertainment. All of these things are great, but day to day activities are just that, normal things you do every day. These activities are called “normalization activities,” and these are the activities of good dementia care.

Normalization activities help the confused elder with dementia feel that they are participating in daily life.  Participating in normal chores; dusting, setting the table, folding wash, gardening, washing dishes, raking, vacuuming, all of these are everyday activities. Activities that take the elder back in time are especially good. Instead of using the dish washer, let the elder wash dishes by hand. Polishing and shining shoes is a great activity for a man, especially if he served in the armed services.

Normalization activities give purpose to the elder’s life. Many years ago when the destitute elderly were housed in “poor houses” or “poor farms,” they were given jobs to “earn their keep.”  And as always seems to be the case, the pendulum swung much too far in fixing that issue. In today’s nursing home communities, it is very much frowned upon to “make residents work.” And so residents of nursing communities are to be cared for and occasionally entertained.

Normalization activities give the elder in the home, or the nursing home, an opportunity to have social interaction with others. They can have that special feeling of satisfaction doing a job together, and being part of something. Normalization activities provide a routine to the day, opportunities for pleasure, improved self-esteem and improved quality of life.

Some time ago I asked the activity staff of a nursing home, what gave them work related stress. One brave young woman said she felt that she wasn’t doing her job, if she wasn’t providing a three ring circus all the time. Three ring circuses aren’t the stuff of everyday life, washing dishes is, and washing dishes can also be, just great.

Virginia Garberding RN

Certified in Gerontology and Restorative Nursing