Patients with Alzheimer-type dementia routinely forget recent events, but remember old events very well. This method allows the patient to have a pleasant time, by drawing on his/her nostalgic and enjoyable memories and sharing his/her experiences. The patient is encouraged to take the lead in talking about these, so that he/she becomes more positive and emotionally stable. It is recommended to use toys, tools, photos, etc., from old times to kick off the conversations.
This is aimed at relaxing both the mind and body and reducing anxiety and stress, by having the patient listen to nostalgic songs and classical music. In addition, encouraging the patient to sing and tap rhythms with musical instruments, such as bells and tambourines, along with the music can be expected to improve his/her physical ability.
Reality orientation (reality orientation training)
This is aimed at deepening the awareness of the patient of reality, by encouraging the patient to properly understand what he/she has done in his/her daily life, focusing on his/her name and family as well as the current location, date, season, etc. This therapy also encourages the patient to connect with other people and to become interested in the surroundings, which is expected to lead to an improvement in the symptoms.
Exercise therapy (physiotherapy/occupational therapy)
This is aimed at preventing the patient from becoming bedridden by moving his/her body regularly and staying physically active, and at reducing behavioral disorders, such as sleep disorders and excitement. The patient is taught to perform simple exercises, such as stretching the body while sitting on a chair, while taking precautions to prevent falls.
*It is important to do the exercise safely without overdoing it, taking into account the patient’s physical condition and presence of chronic underlying diseases.
Other treatments (recreation therapy)
Recreation therapy assists in emotional stabilization by encouraging the patient to enjoy drawing pictures, playing with pets, pottery-making, gardening, playing games, etc. Activities that the patient is good at, or is interested in, will help him/her to cultivate a positive attitude and motivate him/her.