In this series of articles, leading Occupational Therapist specialising in dementia Jackie Pool, recently appointed Head of Memory Care and Programming at Sunrise Senior Living UK and Gracewell Healthcare, will be making the case for ‘rementia’ – the possibility of reversing the symptoms of dementia.
Here, she explains what rementia is, why researchers are increasingly exploring it for those living with dementia, and why it is so important to take an open and constructive approach to brain conditions like dementia. You can read Jackie’s first piece in this series here.
Irreversible is a daunting word; it indicates finality, and no way back. However, in the 1980s, a school of thought was developed which made the case against dementia being an irreversible condition, and which has sought to show how the symptoms, if not the diagnosis, of dementia can be reversed.
Followers of this school of thought, of which I am one, argue that the social and care context within which a person lives can have a considerable impact on the progress of dementia – and that there is even the possibility of some degree of ‘rementia.’
Rementia is the regaining of lost cognitive and functional abilities, when a more positive approach to dementia care is taken.
This view builds on the idea that society as a whole and individuals within that society can either enable or disable others by their attitudes and approaches. As the late Tom Kitwood, a pioneer in the field of dementia care, said: If we lose faith in people with brain conditions, the chances of rementia are slim. And I would like to add to his wise words that with belief, will, knowledge, and skills, the chances of rementia are enormous.
You may be asking how it is possible for a damaged brain to repair itself.
It was once believed that as we aged, the brain’s networks became fixed. In the past two decades, however, an enormous amount of research has revealed that the brain never stops changing and adjusting. The brain is plastic, meaning it can re-organise itself by forming new connections between brain cells – neurons – in response to new experiences.
In addition to genetic factors, the environment in which a person lives, and the actions of that person, play a role in plasticity. This can occur at the beginning of life, when the immature brain organises itself; throughout adulthood, whenever something new is learned and memorised; and, in the case of brain injury, to compensate for lost functions or maximize remaining functions.
A surprising consequence of neuroplasticity is that the brain activity associated with a given function can move to a different location as a consequence of normal experience, brain damage, or recovery. Therefore, changing your brain moves entirely into the realm of the possible.
To return to dementia care, evolving research on neuroplasticity and rementia demonstrates just how crucial it is that carers are given all the tools they need to help those living with dementia.
A person-centred approach is at the heart of rementia. This means carers working to restore function by consciously supporting nutrition, emotions, and cognition, so that an individual no longer has the symptoms of dementia, has fewer symptoms, or has less disabling or distressing symptoms. In the next article, I will outline how lifestyle changes and the right care and support can help reverse symptoms, and how important it is to use emotional intelligence to develop supportive relationships with those living with dementia.