Category / Ageing and Dementia

Making a Difference with Music

I have to admit I was not having the best of weeks but being part of the BUDI Orchestra’s penultimate rehearsal yesterday was, as one of the participants said to me at the end the session, ‘better than therapy’. 

Some of the highlights for me of this week’s session were a couple celebrating their 59th wedding anniversary by bringing chocolates and biscuits to share with their orchestra friends and telling me this session was the ideal way to celebrate this pretty remarkable period of marriage; another couple who had told me they have been having difficulties communicating reaching out simultaneously for one another’s hands when Moon River was playing; and having people with dementia and their carers tell me that attending this group is the highlight of their week, indeed that they need no persuasion to get out of bed knowing they have their music group to come along to; and to hear that they consider the members of the group their friends. This all demonstrates the true achievement of the BSO musicians, BU students and my team members in rising to the deceptively simple challenge I set for this project: to create an atmosphere that was welcoming, fun, promoted equality between everyone, and where having dementia was not to be the guiding factor, rather for everyone to be part of a ‘normal’ group where people would learn and work together. And they have achieved this in spades!

Seeing for myself the progress and development in those with dementia who have participated over a 9 week period makes this project worthwhile. For example a man, who on week one who was having trouble remembering how to play his double bass (even though he didn’t need much encouragement to teach me some basic notes), now jamming with the professional musicians; how another man, who brought his mouth organ to the first session and began to recall how to play, now plays all the pieces by ear and is smiling from ear to ear after the session ends. Seeing the relaxation and concentration on participants’ faces who had been anxious about first week, but who are completely in the moment and whose verbal communication skills have, to me, taken an absolute upturn, and who now chat easily and at length during the break and at the session end. For example, one participant invited me to their previous home if I was ever passing, it doesn’t matter that they live in Dorset now and were talking about their old address, the important thing is they have increased their sense of social confidence and are reaching out and connecting with others, something that is, all too often, sadly lost by others failing to accommodate the communication needs of those with dementia.

 Have a look yourself at one of the items that will be performed by the BSO and BUDI Orchestra at the Winton life centre on Saturday 14 June, 11am, as part of the BU Festival of Learning programme. I’ve already shown this  to whomever I met yesterday afternoon, and the surprise on colleagues’ faces when they understood that this was a group of people with dementia who had only been rehearsing for 9 weeks and the majority of whom had never played an instrument before was fun to see! Moving from playing, to singing to body percussion in one piece is challenging and demonstrates the development in learning the musicians have enabled over the sessions.

https://www.youtube.com/watch?v=oscti3517ww

 To me, this project is a way to challenge the misconceptions and myths people hold about people with dementia not being able to learn and participate to a high level. I wish I could bottle the benefits that I observed in our participants, and, actually, the benefits that I have gained from being a small part of a truly special group that has created an amazing sense of community with acceptance, fun and friendship at its core.

 The group are already feeling the loss of these sessions as they know they only have one more rehearsal and then the performance and then our FIF funding stops. Yet this is what I would say is true impact: yes, we have the papers and other academic impact values, and we will seek to publish after the sessions end and the follow up period data is collected, but to see the development in how the professional musicians work with those with dementia, most who in the main had not worked with people with dementia before and their absolute engagement and commitment to creating a positive experience for the group; to see how our students have grown in confidence, and the relationships they have built with individuals with dementia is fantastic and demonstrates the impact of learning together. But most of all, to hear about, and see first-hand, the pleasure and benefits for those living with dementia and their carers makes this the best project I’ve ever had the pleasure of being part of, and if anyone has ideas about finding ways to fund this project beyond its research parameters as an on-going community engagement project, please do let me know!

Learning the Italian way

Last week we were on a study visit to Italy and were lucky enough to visit and meet Italian colleagues from four regions who are doing some pretty innovative work in their respective work places. Of particular interest to us was a museum project in Rome (given our visit to MOMA last year and the workshops they delivered last month for staff and students and also museum and heritage workers from across the UK), and two music projects, one a music therapy project in the North of Italy run, and another violin group in Rome (as we have our ongoing BSO/BUDI orchestra project) but what I ended up being surprised and really excited about was the work of a colleague, Dr Andrea Fabbo, a geriatrician who is responsible for dementia services for the Local Health Trust in Modena, an area devastated by an earthquake a few years ago but with the silver lining of many new dementia projects being funded as a result. The images included in this post are great examples to ‘myth bust’ the risk aversion that is often shown to those living with dementia. Those who attend the services in Modena are encouraged to cook, to garden and to swim, normal activities that are too often denied to those living with dementia who may lose some of their abilities to undertake such tasks and rather than assist them to retain their skills with the changes in their cognitive abilities too often these tasks are performed by others in well meaning attempts to provide the support people with dementia need. We were lucky to meet innovative academics and practitioners on our trip, but our Italian colleagues were clear that these type of project are highly unusual in Italy where a traditional clinical approach is taken based on a biomedical understanding of dementia, but as you can see from the images here Andrea and his team have created a fantastic example of psycho-social support for those living with dementia that promote social inclusion and fun for those with dementia.

MoMA lead the way – what does this mean for the UK?

BUDI were delighted to welcome colleagues from the Museum of Modern Art (MoMA) in New York to Bournemouth University from 20-23rd May 2014, thanks to Fusion Investment Fund Mobility Strand Funding. Our local partnership working was put into practice to host international workshop leaders attended by participants near and far. MoMA’s specially trained Museum Educators ran two workshops in which they shared their successful model and established approach for making their services dementia-friendly (validated via evaluation from New York University). These workshops showcased their innovative style of education delivery, and provided attendees with an opportunity to hear the success of their approach and view a practical demonstration in a gallery or museum space.

 On 21st May 2014, 15 members of BU Staff and PhD Students took part in a free workshop at Talbot Campus and in the Atrium Art Gallery. This was followed on the 22nd May 2014 with a second workshop at Poole Museum which was attended by 40 participants currently working in museums, art galleries and the wider heritage sector, from as near as Poole and as far as Paris. During this workshop participants learnt how they could implement these approaches within their individual organisations. Participant’s fed back how useful they found the workshop:

  • It was a really good insight into what it’s like to provide for people with dementia. It was great to spend time looking at the paintings in the museum in a new way.
  • I will adopt my art gallery sessions to follow many of MoMA’s techniques.
  • I found the workshop both enjoyable and constructive and hope BUDI will run others on related topics.
  • Very well facilitated, clear well structured presentations. Very useful for my professional work.

We look forward to seeing how the participant’s learning translates into their future practice, and the wider impact of this approach within museums, art galleries and the heritage sector in the UK. We would also like to thank Poole Museum for kindly providing the venue and refreshments for the second workshop.

Michelle Heward

SciTech postgraduate conference and poster presentation

Yesterday the postgraduate researchers in the Faculty of Science and Technology (SciTech) held their annual showcase of their research projects. For the applied sciences students this took the form of 15 minutes presentations and the design, engineering and computing students presented posters.

Former PhD student Kathryn Ross opened the presentations in the Lawrence Lecture Theatre and likened the process of studying for a doctorate to taking part in a 100 mile walk. Kathryn was an inspiration to her peers, showing how hard work and persistence can get results. Her own PhD project investigating the effects of sea-level rise on the avocet population in Poole Harbour yielded new and interesting findings about the birds’ diet.

The subsequent presentations were outstanding, covering a wide variety of topics including how parasites impact eco-systems, volunteer engagement, the process of ageing fish and the spread of the domestic chicken through Europe.

The posters were equally impressive, featuring rescue robots, intelligent call routing and lie detector technology among others.

The work of the Bournemouth University Dementia Institute (BUDI) postgraduate researchers was strongly represented, including a remarkable project looking at adapted home environments for people living with dementia.

It was wonderful to see the amazing research being carried out by BU’s postgraduate community, with the support of their dedicated supervisors. I have no doubt many of them will make valuable contributions to their field in the future.

And to any postgraduate researchers reading this… If you would like to share your research more widely via the BU website or other channels, please do email me. I’d love to help you with that. Additionally, if you are interested in taking part in any public engagement activity, we have some great opportunities including a tent at Camp Bestival. If you like to find out more please email our Public Engagement Manager Barry Squires.

Free places available for BU staff – BUDI workshop hosted by Museum of Modern Art (MoMA) 21st May 2014

Thanks to FIF Mobility Strand Funding, Bournemouth University Dementia Institute (BUDI) are delighted to be welcoming colleagues from the Museum of Modern Art (MoMA) in New York to Bournemouth University from 20-23rd May 2014. As part of their visit, BU Staff are being invited to join a free workshop. In this workshop MoMA’s specially trained Museum Educators will share their successful model and established approach for making their services dementia-friendly (validated via evaluation from New York University). 

This workshop showcases MoMA’s innovative style of education delivery, providing attendees with an opportunity to hear the success of their approach and a practical demonstration in the Atrium Gallery. Staff with an interest in alternative teaching methods and those working with vulnerable groups may be particularly interested in attending. Please also pass on this information to any PhD students you feel may benefit from attending.

Date: 21st May 2014

Time: 11:00 – 15:30

Venue: Talbot Campus

There are a limited number of places available on this workshop for BU staff. To book a place, or for more information, please email mheward@bournemouth.ac.uk or call 01202 962538.

BUDI Open Public Meeting – 14 May 2014


This is a reminder that the BUDI Open Public meeting is tomorrow (14 May) there are still a few spaces available. 

This year’s event focuses on dementia friendly environments, how design helps to support people living with dementia.  The hospital environments and the philosphy of dementia friendly environments will  be covered by external speakers.

To book your free place please go to eventbrite http://www.eventbrite.co.uk/e/budi-open-meeting-dementia-friendly-care-environments-tickets-9876528964

 

Puerto Rico welcomes a new BUDI


Every year the prestigious Alzheimer’s Disease International conference welcomes practitioners, academics, people living with dementia, medical professionals and clinicians from all over the world to share their latest knowledge, experience and research about dementia careThis year I was lucky enough to attend and represent BUDI at the 29th International Conference of Alzheimer’s Disease International Dementia: Working Together for a Global Solution, hosted in San Juan on the beautiful island of Puerto Rico.

Three abstracts were accepted to be orally presented, so this was a great opportunity to showcase some of BUDI’s innovative research projects to world leading dementia specialists. The three presented projects were the Technology Club (Dementia Care and Technology), Tales of the Sea (Empowering people with dementia) and (Dont) Mention Dementia (Voices of people with dementia and their families).

All three presentations were well received and stimulated discussion and many questions. The feedback I received after my presentations and during the conference was that BUDI’s projects were seen as innovative, creative and great examples of how to engage people with dementia in research and how people with dementia should be at the core of all research.

Above and beyond presenting, I had the opportunity to catch up with Peter, an Australian colleague (who I have been working on the international GRIID research project with for around two years and have never met!) Peter presented the GRIID project (Gateway to Rural International Initiatives in Dementia) at this conference. After his presentation we were able to meet and come up with some really innovative ideas to take the GRIID project to the next level.

To top off a very successful conference, I won a huge kangaroo courtesy of the Australian Alzheimer’s Association. He was unfortunately a bit too big to fit into my case so he to travelled home with another colleague…I wonder if I will ever get him back as he was very cute!

Since returning home I have started to get in touch with some of the many contacts I made at this conference and look forward to potential international collaborations. This conference highlights all the good work currently being undertaken but also emphasises the amount of work we still need to do. I invite you to check out the below clip of Richard Taylor PhD, who presented numerous times at the conference. Richard is extremely funny and has a great approach and attitude to life. It is very thought provoking as he shares his thoughts about living with dementia. http://www.youtube.com/watch?v=lHQfc3KJ9qE.

Clare Cutler, BUDI Project Manager

Progress with making music

This week I went along to the half way point in the rehearsals for the BUDI orchestra and as promised from my first post about this work here is a link to short video clip

(this was rather difficult as I managed to record my clips upside down on my iphone (how is that possible??), as well as create huge file sizes from 30 second clips, but thanks to David Stone in M&C we now have something postable that hopefully gives a bit of a flavour of the sessions- despite my very amateur recording skills! but do come to their performance on 14 June at the Winton Life Centre as part of the BU FOL!)

My observations of the process this time centre around three things – first, the strong sense of a social group that has been created/formed by all involved, from the friendly welcomes, the catch ups over coffee and the general encouragement the group offered each other during the session. Second, I was also pleasantly surprised that carers sought me out to thank us for putting this group together and to share the positive impact they had observed themselves during the sessions on their relatives with dementia, but also how friends and family at home had also remarked on a positive visible difference in their relatives. 5 sessions and observed differences – is this the power of music? I was also struck by the questions asked of me about ‘would the group continue’ and as with any short ‘intervention’ type study feel the weight of not being able to promise to deliver again on something that is being hugely enjoyed by participants (and which we all hope will evaluate positively in a research sense – but only time will tell…). I guess this lack of being able to promise to continue with a service is kind of like service providers with limited budgets and short term initiatives… Hopefully we will secure funding to enable this work to continue, as even the community musician from the BSO with huge experience of outreach work feels this is a ‘very special’ project with amazing and fast results that everyone involved is observing.  From week 1 where participants were nervous about trying out the instruments to now being very comfortable with playing around with (lots of experimentation in terms of how to hold a violin in a comfy position) and actually playing the notes. I was also struck by carers telling me of their attempts to ‘practice’ at home – downloading or recording the pieces they have been introduced to during the sessions and singing, humming and dancing along at home – as unfortunately the violins cannot go home with the participants – and how enjoyable they are finding the sessions beyond coming along to the rehearsals themselves. My final observation is also the growth in confidence of the musicians, our students as well as those with dementia and their carers in how they relate to one another, how they try out new pieces and are no longer as hesitant to experiment as they were in the first session. The combination of body percussion, instrument playing and singing that the musicians have created by paying close attention to how everyone responds has led to a session format that is uplifting, fun, creative while also creating intense concentration amongst all participants as they learn and work together. I wish I could find time in my diary to attend all the sessions as they leave me feeling upbeat and positive; something that was clearly evident not only from what I observed but from what I was told by everyone in the session yesterday.

Delivering healthcare in prisons

A special event has been arranged at BU that will focus on health care within prisons. The session to be held on 28th May will be led by Jane Senior from the University of Manchester. Jane is a clinician-researcher and Research Project Manager for the Offender Health Research Network. Jane is a qualified mental health nurse with over 20 years of post qualification experience of working in prison and secure mental health settings.

Jane’s session will be of great value to anyone :

  • thinking about undertaking research within UK prisons
  • wanting to know more about health care delivery in prisons
  • thinking of working with or in a prison health care team

During the session Jane will outline findings from her recent prison research projects. These include studies into how to manage the health and wellbeing of older prisoners and her recent work in developing the Older Prisoner Health and Social Care Assessment and Plan (OHSCAP). She will also highlight some of the specific issues that can arise when undertaking research within a prison environment.

Staff and students are welcome to attend the session. If you would like to attend please email Holly Crossen-White (hcrossen@Bournemouth.ac.uk).

Free places for BU staff at Museum of Modern Art (MoMA) workshop 21st May 2014

Thanks to FIF Mobility Strand Funding, Bournemouth University Dementia Institute (BUDI) are delighted to be welcoming colleagues from the Museum of Modern Art (MoMA) in New York to Bournemouth University from 20-23rd May 2014. As part of their visit, BU Staff are being invited to join a free workshop. In this workshop MoMA’s specially trained Museum Educators will share their successful model and established approach for making their services dementia-friendly (validated via evaluation from New York University).

This workshop showcases MoMA’s innovative style of education delivery, providing attendees with an opportunity to hear the success of their approach and a practical demonstration in the Atrium Gallery. Staff with an interest in alternative teaching methods and those working with vulnerable groups may be particularly interested in attending. Please also pass on this information to any PhD students you feel may benefit from attending.

Date: 21st May 2014
Time: 11:00 – 15:30
Venue: Talbot Campus

There are a limited number of places available on this workshop for BU staff. To book a place, or for more information, please email mheward@bournemouth.ac.uk or call 01202 962538.

Please be aware that spaces for this workshop are limited, and will be allocated on a first come first served basis.

Seminars, hospitals, falls, and a cuddle with a koala

Earlier this month I was invited back to Australia for another research visit to Monash University. I was invited to visit Melbourne last year for a research visit and to present at a one-day seminar. This was along with two other UK colleagues from Birmingham and York, who also specialise in falls prevention (one is a geriatrician and the other a nurse). The three of us were invited back and this time we presented at two one-day seminars.

The seminars

Day 1: The first day was focused on falls prevention among older people. I was invited to give two presentations, one on an area of long-term interest to me; increasing older people’s uptake and adherence to falls prevention interventions. The other was to present findings on a pilot project funded by all the RCUK’s and departments of health (led by the MRC), on the topic of outdoor falls. This led to some interesting discussions, and it was also useful to hear other presentations from leading researchers from Sydney.

 

Day 2: The second day focused on patient safety. Some challenging issues were discussed such as learning lessons from mid-Staffs. There was also some discussion of preventive medicine, and I was invited to lead a workshop on behaviour change techniques to increase participation in physical activity interventions for the prevention of falls.

 

Research visit

Before the two one-day seminars, we had some engaging discussions sharing about the research being conducted at our respective institutions. This included work that will lead to an international position paper on how to advance the science of falls prevention research. We also visited a local hospital whereby we were invited for a Question Time type meeting, with the three of us UK visitors plus our host (Dr Anna Barker, Monash University) were quizzed on falls prevention in the hospital setting(!). This proved stimulating and interesting that the same issues being tackled over here are similar to what is experienced at the other side of the world. We also had the excitement of the first participant to be recruited into the RESPOND trial in which I am a collaborator. The RESPOND trial is a multi-site randomised controlled trial that will test the effectiveness of a patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall. The protocol paper should be published in the near future…

 

And the koala…

Before heading back to the UK I managed to get 24 hours in Adelaide to visit a colleague who visited the UK back in around 2007. We’ve kept in touch over the years as her PhD was on a similar theme to mine around the psychological barriers to older people’s participation in falls prevention interventions. We managed to get to a zoo and queue up for the much awaited cuddle with a koala. This was fab; like cuddling a teddy bear that is alive! My hosts also kindly arranged for a fish and chip meal on the beach before catching the flight home (felt a terribly British thing to do!).

 

On the whole this was a good visit to do. It led to several useful discussions that I have taken back with me that will shape my research direction, both in the immediate future with my current grant proposal writing and subsequent proposals. It was also useful to strengthen the collaboration between our institutions and engage in useful dialogue with practitioners about the issues I as a researcher am trying to help them overcome.

 

Dr Samuel Nyman

BUDI and Psychology Research Centre

Dr Fiona Kelly joins BUDI

I am delighted to have arrived at BUDI to start a new job with Anthea and her team of committed, enthusiastic colleagues. They have made me feel very welcome and I feel a part of the team already. My role in the team is to write funding applications, so I hope you will get in touch with me if you think you can contribute in any way.

I have been based for the past ten years at the University of Stirling; firstly as a student and then as a lecturer in dementia studies. At Stirling, I taught on the online programme in dementia studies and have met some fantastic students who I know will contribute to making things better for people living with and affected by dementia. I have worked with inspirational and committed researchers and academics, both nationally and internationally and have had the opportunity to travel widely to do research, teach and speak at conferences and, I hope, to inspire others to work to make a difference. Alongside my academic work, I am also a nurse and have worked, and will continue to work, in a little care home for people with dementia. I work one night shift a month partly because I love this work and am good at it and also because it stimulates new research ideas and enables me to teach with credibility. Probably the main reason I work in this little care home is that the people with dementia who live there have taught me about humanity, compassion, resilience, humour and dignity, and I am not sure I would have learned these anywhere else.

I look forward to working with the BUDI team and people beyond the team and hope to meet some of you in the future.

Dr Fiona Kelly
Associate Director (Research)
BUDI
fkelly@bournemouth.ac.uk

Making music

Today was the first session for our rehearsal for the BUDI orchestra. We (BUDI team and the BSO players) had no idea how this would pan out as this is the first time that we are aware of where people with dementia have been given the opportunity to work alongside orchestra musicians and to gain confidence/ relearn or to learn for the first time instruments. It was something of a leap of faith to try to do this based on a hunch I had that if people can come together as a choir could we not also do this as an orchestra? Anyway, I was completely humbled by the successful use of the creative skills of the BSO musicians and BUMusic scholars as they led an initiative for those living with dementia and their family members and support workers today. As a result I have decided to do a regularish piece on my observations of the process (not the actual research which we are doing as part of FIF grant) as the sessions progress that will then culminate in a BU FOL performance on the 14 June at the Winton Life Centre. The photo gives you an idea of what happened, and when our video clips become available I will post these, but it was amazing to experience people with dementia who had lost their musical skills or perhaps more accurately their confidence bringing their instruments – a double bass and mouthorgan and regaining their musical confidence to play alongside the professional musicians. And perhaps more amazing that some of our participants who had never touched a string instrument learn some notes and then play a piece, Bolero, together –  and some other classical piece that I had never heard of before (I am not a musician). I too managed to play a few notes on a violin, or maybe it was a viola, anyway the community musician knows his stuff and directed us all to enable the musicians to get us all to play something – and in relative harmony! Two of our BUMusic scholars, while a little hesitant initially, then took the initiative to lead some of the singing that was part of this initial rehearsal and again their skill in using their talents to engage and encourage the group was amazing to watch. I had the pleasure of being taught how to play a few notes (badly) on the double bass by one of our participants with dementia which was probably the best part of the morning for me. I have a soap box position that many will have heard before about how when someone has dementia it is possible to continue to learn new things and also for people with dementia to help us learn new things. Today was just another inspiring example of that.

Fusion – Establishment of research collaboration, student and staff exchanges with the University of KwaZulu-Natal, South Africa

 My application to the Fusion Investment Fund (FIF) has been successful.  The funds will be used to establish research collaboration, student and staff exchanges with the University of KwaZulu-Natal (UKZN), South Africa. I will be travelling to the UKZN during Easter this month for an exploratory visit. While at UKZN, I will present a paper to the School of Accounting, Economics and Finance. This will be followed by a series of meetings with students and staff. On my return, I will apply to Bournemouth University to put in place the three relationships.

 A successful establishment of the three aforesaid relationships will have many enormous benefits to the students and staff of BU and UKZN. For example, students should benefit culturally in terms of spending sometime in South Africa and UK respectively due to differences in the two countries’ cultures. In addition to cultural awareness, the staff exchange will benefit the staff involved through observing how lecturers in a different country deliver lectures. Apart from co-authoring academic journal articles, research collaboration between BU and UKZN staff should be beneficial where the research call (e.g. Horizon 2020) requires that researchers from Europe collaborate with a partner from South Africa.

 At an institution level, the relationships should help BU in two main ways. Firstly, student exchange should increase awareness of BU in Africa which may translate into increase in percentage of African students enrolled at BU. Increasing the percentage of students from Africa is important for BU because currently less than 4% of our students are from Africa compared to 8% UK universities average. Secondly, the increase in student population from Africa will also help BU achieve the strategic plan objective of increasing overseas students’ recruitment by 15% by 2015.

 UKNZ is the third largest university in South Africa and a very good university and also shares great similarities in university teaching, research and enterprise activities with those of the Business School, School of Tourism, Design, Engineering and Computing, School of Health and Social Care. Further information about the university can be found on: http://www.ukzn.ac.za/.

 Dr Ven Tauringana, Associate Professor of Accounting – The Business School