This powerpoint was created by a student at St. Thomas Aquinas College, studing the TTAP Method (TM) with residents diagnosed with moderate to severe Alz. disease in the Research Methods course.

1. Using the TTAP Method at Bergen Regional Medical Center with Moderate Alzheimer’s Patients Fall 2009 Lauren Miller

2. The 9 TTAP Method Steps From individual the idea thought to group thought From ideas to music off the page From music in the mind to image From image into sculpture From sculpture into movement From movement into words/poetry/stories From words into food for thought From thought into theme event From event into photography

4. Difficulty managing finances, planning meals, taking medication on schedule

5. Depression symptoms (sadness, decreased interest in usual activities, loss of energy)

6. Get lost going to familiar places

8. Continually repeats stories and/or asks the same questions over and over

9. Makes up stories to fill gaps

10. Difficulty performing tasks

11. Following written notes

12. Using the shower and toilet

13. Agitation, behavioral symptoms common

14. Restlessness, repetitive movements

15. Wandering

16. Paranoia, delusions, hallucinations

17. Deficits in intellect and reasoning

19. Behavioral symptoms common

20. Refuses to eat

21. Inappropriately cries out

22. Failure to recognize family or faces

28. In her meditation, Irene told us that she saw her parents. She said she felt like she was floating over them and looking at them from above.

29. She did not know what to draw. When encouraged, she began to draw the tree in the image.

32. They had very specific ideas as to what colors they choose and wanted to do.

33. They used various colors to create their memory box.

34. They both used one brush, unless a suggestion was made by one of the students to use a different one.Mary

35. <- Nick Nick did not seem to want to participate in this session. He continually asked the same few questions over and over. He did not want to do the activity, and once we got him to start painting, he used one color only. Marie did not know how she wanted to paint her box, she kept saying she liked it the way it was. We encouraged her to paint the box and individualize it. She started to do so once she saw everyone else was doing it too. Marie ->

36. Session Three: 10/14/09 TTAP Method: Step Three - Collage Music/Meditation: The therapist will play soft music and take the residents through a body relaxation and a guided imagery, which the topic correlates to the activity being done. Conversation: Therapists discuss guided imagery and meditation with the residents. The therapist asks questions like “What did you see?” “Who were you with?” “How did you feel?” Collage: Residents are given a large sheet of paper and small colored shapes. They make a collage out of the shapes by gluing them onto the paper in whatever pattern they want.

37. <- Virginia Virginia used her right brain to decide which pieces to use and how she wanted to place them on the paper. She was very careful where she placed each shape. Mary is very conscious of where she places each shape. She always asks if what she’s doing is okay and if it looks good. Every time she was ensured she was doing a great job, she would reply with “You’re the best! You know that?” Mary ->

38. Marie -> Marie is very sporadic in her placement of the shapes. She uses anything put in front of her, no matter how much of it there is. She will just put it on the paper and expect it to stay, sometimes even before gluing it. Jeanette was also pretty careful in her placement of the shapes. She had some suggestions made to her, but a lot of her work was from her own imagination and her own ideas. <- Jeanette

39. Session Four: 10/21/09 TTAP Method: Step Four - Sculpture Music/Meditation: The therapist will play soft music and take the residents through a body relaxation and a guided imagery, which the topic correlates to the activity being done. Conversation: Therapists discuss guided imagery and meditation with the residents. The therapist asks questions like “What did you see?” “Who were you with?” “How did you feel?” Mask Making: A mask is given to each resident, and they use paint to decorate it to their liking. Afterwards, they are asked to make up a story about their mask.

43. She goes through her project and continually asks for help and what she should do next. Her mask comes out very unique.

45. They remember us and the group each week, but don’t necessarily remember all of our names , which is very common in moderate stages of AD.

46. Residents keep their past projects in their room, which helps them remember us as well as what they did during that session.

47. We repeat and review what was done in the last session which has been very helpful.