It’s almost Independence Day; Here’s How to Celebrate on The Memory Unit

I’ve said it before, and I’ll say it again… holidays matter on The Memory Unit. Most of us have been celebrating the same holidays (with usually the same traditions) our whole life. Using activities that tap into these long-term memories and feel-good emotions are some of the best ways to boost engagement when working with individuals living with dementia. And we’re all about maximizing quality of life over here!

Whether you’re a Therapist or a Life Enrichment Director, these Independence Day ideas are made for you!

Create Your Own Fireworks

Set Out a Patriotic Puzzle

Prepare a Festive Snack

Put on a Parade

Grab a bunch of streamers, tassels, bells, banners, and flags and have fun decorating everyone’s walkers and wheelchairs. Then put on a parade around the parking lot or facility. Make it a full occasion and invite families and friends to join. Then gather together for a cookout meal afterwards.

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Hold an Outdoor Cook-Out

Collaborate with the Dietary Department to host an outdoor cookout for lunch. Try and offer all the classic foods; hamburgers and hotdogs, pasta salad, watermelon, and ice cream for dessert. Inviting friends and family to join will make it extra special!

Now, let’s talk about making this skilled.

As with any intervention, you have to use your Activity Analysis skills. So the key questions you need to ask yourself:

  1. Why am I doing this with my Resident?
  2. What deficit’s or needs do they continue to show?
  3. What goals have I (or the OTR) written in the care plan?
  4. How can this activity address those needs and goals?

Your Resident might need to address community setting tolerance for safety and emotional regulation.

Literally any of these activities will address that. The focus will be on maximizing the Resident’s ability to easily transition to the task and remain in the activity for the duration. Document how many cues are required to initiate/transition to the activity and how long the Resident could tolerate the activity before self-terminating.

Your Resident might need to address cognitive function such as direction following, sequencing, problem solving, etc.

Again, most of these activities will address that. The focus will be on maximizing these skills, as evidenced by an ability to complete the task with the least amount of cues. Document how much cueing was required for each step of the task, how much assist was required for each step of the task, the aspects of the task that were the easiest, the aspects that were the most challenging, and any other notable behaviors.

Your Resident might need to address standing, balance, and mobility.

The obvious intervention idea for these skills is the parade. Puzzles can always be completed in standing. You could also create the paper fireworks while standing, and work together to find spots on the unit to place them as decoration. Or perform the cooking task in standing and then deliver the completed treat to others throughout the unit.

When documenting these mobility tasks, you’ll want to include standing balance grades, the amount of rest breaks, the amount of physical assist and cues provided, as well as the cognitive attention demonstration throughout and the ability to tolerate the task as a whole.

I hope these ideas spark the creative juices for you if you’re feeling stuck! Pop off in the comments with other ideas and beloved therapy activities!

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I’m Allison

I’ve been an occupational therapist for six years, and have spent all of those years working in skilled nursing. This community is a space where we collaborate and share all things dementia care, skilled nursing, adult rehabilitation, and long-term care. I’m so glad you’re here.

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