"When people keep telling you that you
can't do a thing, you kind of like to try it."
.. persons with Alzheimer's Disease have the same health problems and emotional needs as everybody else and derive the same benefits from a regular exercise program as their peers who do not have the disease. Plus, they can derive a benefit that is unique to their situation: the ability to gain skill and show regular improvement in physical fitness at a time when they are losing skills in every other arena of life.
Sound Familiar?  Here are some examples of what you may
hear in a nursing home or other long term care facility when
asking about activities for residents with Alzheimer's:

  • "We do have an activities calendar, and to avoid
    confusion we just keep it over here for the families."

  •  "They don't have the ability to stay focused enough to
    exercise, so we just don't have it."  

  • "Well we just let them wander, because they are so
    confused anyway, they are not interested in doing
    activities."
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Alzheimer's - Forget the Clinical  Often times,
people put the disease in front of the person.  They focus
so much on the fact that someone has Alzheimer's or
some other form of dementia, that every conversation or
action is based on some clinical diagnosis that says you
should communicate in a certain way and do certain
things.  Forget the clinical aspect, remember the person
and focus on what the person with Alzheimer's can do
instead of what they can't.
Some Tips
Individual Needs and Abilities - The Benefits  Even though
residents with Alzheimer's may be living in a specific section of the nursing
home or those with dementia may be grouped together, they still have
individual needs and abilities.  

It is extremely important to recognize that people with Alzheimer's have the
same needs as someone who doesn't.  They have physical needs and
emotional needs.  The enjoyment that a person realizes when they have met a
challenge can have the same affect on a person with Alzheimer's.  There
muscles still need to be challenged to stay strong and their balance needs to
challenged to reduce the risk of falling.  If you think about what benefits you
gain from exercise, such as stronger muscles, lower blood pressure, better
balance, a stronger heart, sleeping better at night and reduced stress levels,
why wouldn't a person with Alzheimer's have the same benefits?
  • If someone with Alzheimer's says they do not want to
    exercise, then respect their decision and ask them the next
    day.  Offer something they may enjoy.  Do not, do the
    same thing every day.  Remember, a person without
    Alzheimer's really doesn't benefit by doing the same
    exercises everyday, so a person with Alzheimer's may not
    either.  Offer variety.  Try walking, resistance bands,
    stretching, Tai-Chi, Yoga, Hand Eye Coordination,
    Balance and Strengthening.  Do your homework.  Any
    program that is being offered today in the gyms or for
    home use can be incorporated into a program for
    residents of a nursing home, including residents with
    Alzheimer's.  
  • Set goals.  Start out slow.  Make a chart.  Let residents
    know they are meeting challenges.  Start out today with 3
    arm circles and let them know the goal for the end of the
    week is 10.
  • Don't just go through the motions.  Help the residents do
    an exercise the proper way.  It doesn't need to be perfect,
    but if they absolutely can't do a certain exercise, modify it
    for them.
  • If you have residents who just can't stay awake
    during a group session, then they should be
    given some individual attention that is going to
    allow them to benefit from the program.  The
    idea with group exercise is to encourage, and
    therefore the atmosphere must reflect this.  
    Never exclude a resident, but just think about a
    way that is going to benefit all.  If all they need
    is to have a little extra assistance to stay awake,
    place them closer to you the instructor.  Just be
    sure that they are not in a position where  they
    become the focus of the exercise class.  This
    could be embarrassing for them and may
    distract from the rest of the group.  If the
    resident is unable to participate on a group
    level, then offer individualized exercise.   

  • Make it fun.  To make a class fun, you must
    use your imagination.  Lots of color, music,
    movement and interaction.  
The Senior Fitness Movement
"Keep Your Body in Sync with your Abilities"