The very first sense we acquire is the sense of touch. We
rarely consider how much or how little time we spend providing touch that is
not part of the daily routine care for individuals with Alzheimer's or
dementia.
Dr. Matthew J. Hertenstein, professor at DePauw University,
has conducted studies on the benefits of touch. Some of his research centered on
babies and how they respond positively to touch, even when they are in the
neonatal unit of the hospital. Similar research on the impact of touch
identifies physical benefits such as decreasing blood pressure and pain,
improving mood and outlook, and decreasing stress-related cortisol and heart
rates.
Touch activates part of the orbitofrontal cortex of the
brain and stimulates production of a hormone known as oxytocin, what scientists
call the "care and connection" hormone. This reaction in the brain
leads to feelings of safety, trust, and a reduction in stress and anxiety.
Researchers suggest that touch is truly fundamental to human communications,
bonding and health.
For the individual with Alzheimer's or dementia, touch may
be the only way of reciprocal communication when that individual becomes
nonverbal or at the end stage of the disease. When a gentle caring touch is
offered to someone with Alzheimer's or dementia, it can ease anxieties and help
increase feelings of general well-being. Even individuals with advanced
dementia do not lose the capacity to recognize caring touches. Touch can calm
agitated behaviors, reduce agitation, ease physical discomfort and promote
sleep. Touch also can make emotional connections to others, particularly
because individuals with Alzheimer's or dementia have such difficulty with
communication.
There are many ways to provide touch to affected
individuals. Hand massages with lotion, pats on the arm or shoulder, hair
combing or brushing, or even licensed massage therapy can all help reduce
anxiety and fear. However, it is important to keep in mind that
"touching" is for the affected individual's well-being and calm, but
it does not necessarily mean that the individual will be a willing receiver.
Consider the particular culture of that individual, assess their personal
nature, and always ask permission to give a hug or offer a hand massage. The
act of touch does not have to be anything complicated, like a long,
professional massage. Keep it simple and use aromas to accompany the touch
therapy. Watch your body language and always give a gentle, reassuring smile.
SOURCE: The Advocate
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