Antipsychotics Worsen Behavior in Dementia 
A study of 500,000 Canadian nursing home residents found antipsychotic medications significantly worsened behaviors in patients, with nearly 68% experiencing increased issues. Antipsychotics are often prescribed “off-label” for dementia-related symptoms, despite serious side effects like tremors and cognitive decline.
Researchers advocate for person-centered care, emphasizing non-drug therapies like music, art, and exercise to address behavioral issues. Training staff to reduce reliance on antipsychotics could improve resident outcomes, fostering less agitation and a better quality of life. The findings call for a reevaluation of antipsychotic use in non-psychotic conditions.
Multi-sensory inputs such as sound and touch are effective natural
alternatives to pharma intervention with those living with dementia.
Key Facts:
1. Behavioral Decline: 68% of residents on antipsychotics showed worsened behavior.
2. Off-Label Use: 26% of nursing home residents received antipsychotics for unapproved purposes.
3. Non-Drug Therapies: Alternatives like music, exercise, and pain management improve outcomes without medication.
NOTE: Learn clear communication with someone living with dementia and there is no need for antipsychotic medicines - https://lnkd.in/gTQNVyVW
Source: https://lnkd.in/g8Em5gXc
#antipsychotics #non-drugtherapies #naturaldementiacare
Elder Law and Dementia: A Vital Intersection
Based on an ICA interview with Elder Law Attorney Patrick Cawley
Elder law is a specialized area of legal practice designed to address the unique needs of older adults. It combines estate planning, long-term care planning, and advocacy to ensure individuals maintain control over their health, finances, and well-being as they age. For families facing a dementia diagnosis, elder law becomes a critical tool in navigating the uncertainties of the future.
Patrick Cawley, a seasoned elder law attorney, highlights that proactive planning is essential. "The earlier families consult an elder law attorney, the better," he says. "It’s not just about protecting assets; it’s about maintaining dignity and autonomy, even in the face of a progressive condition like dementia."
The Importance of Planning Ahead
A dementia diagnosis often comes with a host of financial, medical, and legal challenges. Without proper planning, families may be left scrambling to make decisions during a crisis. Cawley emphasizes that elder law is not just for older adults. "Anyone can benefit from a sound plan," he explains. "You don’t have to wait until you’re in your 70s or 80s to think about these things."
One of the biggest misconceptions is that families can rely on default systems like guardianship courts or Medicaid to step in when needed. However, Cawley warns that these systems often lack the personalization and flexibility families need. Guardianship courts can be intrusive and costly, and Medicaid has strict financial eligibility rules, including a five-year look-back period to assess asset transfers. Without a proactive plan, families may find themselves forced to spend down assets to qualify for assistance. This can make a dementia diagnosis financially devastating.
Key Legal Tools in Elder Law
Elder law offers a range of tools to help families prepare for the future. These include:
• Durable Power of Attorney (POA): A POA allows any individual to appoint someone they trust to manage financial and legal affairs if they become incapacitated. Without this document, families may have to petition the court for guardianship, a process that can be both time-consuming and emotionally taxing.
• Advance Healthcare Directives: These documents, including living wills and healthcare proxies, ensure that an individual’s medical wishes are respected if they cannot communicate their preferences.
• Trusts: A revocable living trust can help families avoid probate and maintain control over their assets. Special needs trusts are also available to provide for a loved one’s care without jeopardizing their eligibility for government benefits.
• Long-Term Care Planning: Elder law attorneys can help families explore options for funding long-term care, including private savings, long-term care insurance, and Medicaid planning.
Cawley explains that these tools are not one-size-fits-all. "Every family is different," he says. "An effective plan takes into account the individual’s financial situation, health needs, and personal wishes."
Post-Diagnosis Planning
While early planning is ideal, it’s never too late to seek the help of an elder law attorney. Even after a dementia diagnosis, there are steps families can take to protect assets and ensure quality care. Cawley advises families to act quickly.
"Time is of the essence," he says. "The sooner we start, the more options we have."
For example, Medicaid crisis planning can help families preserve some assets while securing benefits to cover long-term care costs. Elder law attorneys can also assist in navigating the complexities of guardianship court if necessary.
Financial Ramifications
The financial burden of dementia care can be overwhelming. According to the Alzheimer’s Association, the average cost of care for an individual with dementia can exceed $300,000 over their lifetime. Without proper planning, these costs can quickly deplete a family’s savings.
Cawley emphasizes the importance of understanding Medicaid’s look-back rules, which penalize individuals for transferring assets within five years of applying for benefits. "We can help families structure their finances to meet Medicaid requirements while preserving as much wealth as possible," he explains.
The Human Side of Elder Law
Elder law is not just about legal documents and financial planning; it’s about helping families navigate some of the most difficult moments in their lives. Cawley shares a story of a client whose mother had been diagnosed with early-stage Alzheimer’s. By working together, they were able to create a plan that ensured her mother received the care she needed while preserving the family home for future generations.
"These are the moments that make this work so rewarding," Cawley says. "It’s about giving families peace of mind and helping them focus on what really matters—spending time with their loved ones."
Act Now to Avoid Problems Later
Cawley’s overarching message is clear: proactive planning saves time, money, and emotional stress. By working with an elder law attorney to build a comprehensive plan, families can navigate the uncertainties of aging and dementia with confidence. As he puts it, "The longer the period we have to plan, the more opportunities we have to protect assets and maintain control over the future."
For more insights on dementia care and legal planning, listen to the full episode of The Brain & Beyond podcast featuring Patrick Cawley.
#elderlaw #financialplanning #guardianship #competency
Unlocking Memories: How Dementia-Friendly Music Uniquely Supports Dementia Care
Based on an ICA interview with Alexis Baker, MT-BC, CDP
Entrepreneur Alexis Baker innovates on-demand, virtual access to dementia-friendly music programming for memory care residents.
Recent studies reveal that music can have profound effects on individuals living with dementia, particularly when used in a structured and intentional way. Music can unlock memories, improve moods, and create meaningful social connections that might otherwise remain inaccessible. Alexis Baker, a board-certified music therapist and certified dementia practitioner, has dedicated her career to pioneering such structured, “dementia-friendly” music programs, showing how they can transform lives in memory care settings.
“Music acts as a bridge,” says Baker. “It connects through song, helping unlock memories that seemed lost. But that’s just the beginning. The list of benefits cascades into many other areas, from reducing anxiety to fostering better social engagement.”
Baker’s work focuses on moving beyond casual sing-alongs or random playlists by designing therapeutic music sessions that intentionally improve cognitive, social, and emotional well-being. Her approach has been proven to ease psychological ailments like anxiety and isolation while reducing the need for pharmacological solutions. This not only benefits residents but also helps families and communities by lowering costs and avoiding the side effects of mood-altering medications.
Music with Alexis brings dementia-friendly music directly into memory care communities, 24/7, and customized to fit the specific preferences of residents.
Tailoring Music for Memory Care
Despite its effectiveness, implementing dementia-friendly music can be challenging for many Activity Directors in memory care communities. They often face limited budgets, diverse resident needs, and the difficulty of finding engaging programs that don’t require their own musical expertise.
Baker’s program, Music with Alexis, offers a practical solution. It provides on-demand, virtual music sessions that Activity Directors can integrate seamlessly into their schedules. These sessions are designed to be easy to use, requiring no prior musical knowledge. “We’ve created a program that gives Activity Directors access to various musical genres,” Baker explains. “It’s flexible enough that they can press play and step away if needed. I lead the session as though I’m there in person, providing an engaging experience, rooted in the principals of music therapy.”
Her program has already garnered praise. “Alexis is a great storyteller and singer,” says Viri Ramirez, Activity Coordinator at Ivy at San Ramon. “Her smile brightens up the residents, and they immediately become engaged. Sometimes we use instruments to deepen the interaction.”
Adapting Through the Pandemic
The idea for on-demand, dementia-friendly music took root during the COVID-19 pandemic when senior living communities were forced to limit outside visitors. With in-person sessions no longer an option, Baker turned to virtual programming to maintain the critical engagement her therapy provided.
Baker’s husband, Tom, brought professional video production expertise to the table, helping Bridgetown Music Therapy create high-quality, virtual sessions. These on-demand programs ensured that residents continued to receive the cognitive and emotional benefits of therapeutically-informed music, even during periods of isolation.
This pivot not only addressed an immediate need but also laid the foundation for a scalable, affordable service model. “We realized we could reach more communities while maintaining a high level of desired impact,” says Baker.
A Therapy-Inspired Approach to Music
Music with Alexis offers a variety of sessions, each crafted with the needs of dementia care residents in mind. From intentional pacing to targeted prompts, every element of the program is designed to enhance engagement and connection. The sessions also feature a diverse range of music genres and themes to accommodate varied preferences.
These enhanced music experiences go beyond mere entertainment. They are designed to reduce anxiety, encourage reminiscence, and foster social interaction. “Our goal is to create an environment where music not only entertains but also uplifts and heals,” Baker says.
By offering ad-free, uninterrupted sessions, Music with Alexis builds trust and rapport between residents and the facilitator. The cost is affordable, too—less than a dollar per day—making it accessible to many senior living communities.
Simplifying Access Through Technology
The success of Music with Alexis is also due to its seamless integration of internet technology. The program offers 24/7 access to a vast library of therapeutic music sessions via a subscription-based service. This flexibility allows Activity Directors to select and implement sessions quickly, without worrying about technical difficulties or complex setups.
“Our platform is user-friendly, so even those without musical expertise can confidently provide high-quality, therapeutic experiences,” Baker explains. The ease of use ensures that residents receive the full benefits of the program, while Activity Directors are freed from the stress of pre-planning or managing complex activities.
Opportunities to Learn More
For senior living providers interested in bringing Music with Alexis to their communities, Baker offers free, 30-minute consultations. These sessions provide an opportunity to explore how the program can be tailored to meet specific needs, including integration into existing schedules and addressing resident preferences.
“Our mission is to make dementia-friendly music easily accessible to as many memory care communities as possible,” says Baker. “We want to bring moments of joy and connection to individuals living with dementia, no matter where they are.”
More information is available at www.BridgetownMT.com. Interested communities can also schedule a free consultation by emailing info@BridgetownMT.com or calling (503) 974-6729.
Currently, the company is offering a free first month of service. To start using the program immediately, visitors can enroll as members at https://www.bridgetownmt.com/musicwithalexis.
To view the full ICA podcast with Alexis Baker, simply press the play button on the video below.
#dementiamusic #musictherapy #musicfordementiacare
Dr. Jennifer Stelter on Sensory Stimulation: A Path to Better Dementia Care with Less Reliance on Medication
Based on an ICA interview of Dr. Jennifer Stelter, Psy.D., CDP, CADDCT, DCS, DCSCT
In a compelling discussion on the ICA podcast, The Brain & Beyond, Dr. Jennifer Stelter, founder of the Dementia Connections Institute, shared groundbreaking insights into the role of sensory stimulation and social prescribing in transforming dementia care. Speaking with Dr. Ethelle Lord and Bill Pemberton, Dr. Stelter emphasized that sensory stimulation, through tools like aromatherapy and other engagement strategies, can bridge the communication gap created by declining cognition in individuals living with dementia.
Her approach advocates for a shift from medication-first practices to non-pharmaceutical tools that promote meaningful engagement, improve quality of life, and foster deeper caregiver-patient connections. For example, Dr. Stelter explained how the simple use of citrus essential oils could naturally boost appetite, mood, and energy without resorting to traditional appetite-stimulating medications like Remeron. This method not only offers a safer alternative but also empowers caregivers at every level—from nurses and CNAs to dietary staff and even family members—to participate in the care process.
Dr. Stelter also underscored the challenges the industry faces in adopting these practices, particularly financial barriers and limited insurance reimbursement for such tools. She called for reallocation of resources and increased advocacy to help organizations and families afford these evidence-based interventions. She cited examples from countries like Canada, where physicians prescribe park visits or pet therapy, as a model for the U.S. to follow.
Dr. Stelter's vision aligns seamlessly with the mission of the International Caregivers Association (ICA), as highlighted by Dr. Lord, who expressed gratitude for Dr. Stelter’s contributions to the movement toward engagement-based care. Together, they champion a shift from the traditional medical approach to one that prioritizes social connection and person-centered strategies.
The conversation concluded with a shared optimism about the future of dementia care, with Dr. Stelter reiterating the importance of taking small, actionable steps toward this cultural change. Her message is clear: sensory stimulation and social prescribing can pave the way for more compassionate, effective care—benefiting not only those living with dementia but also the caregivers and professionals who support them.
To learn more about Dr. Stelter’s work and the resources offered by the Dementia Connections Institute, visit their website.
View the full ICA interview video podcast with Dr. Stelter via the viewer below.
#aromatherapy #sensorytherapy #Dr.Stelter
The Biggest Development in Dementia Care Might Be Hidden
in the Smallest of Places: Mitochondria
Based on an ICA interview with Dr. Hazel Szeto, M.D., Ph.D
The International Caregivers Association (ICA) recently sat down (via Zoom) with Dr. Hazel Szeto, a trailblazing scientist whose research into mitochondria—the tiny organelles in every human cell responsible for energy production—could revolutionize dementia care. Dr. Szeto’s work holds out new hope for preserving cognitive function by targeting the root cause of cellular dysfunction, offering a pathway to potentially slow, or even reverse, the effects of neurodegenerative diseases.
Dr. Szeto, a professor of pharmacology at Weill Cornell Medical College and a graduate of Cornell University’s Medical Scientist Training Program, made her groundbreaking discovery while studying opioid receptors in the brain. What began as a single, curious result has blossomed into a promising new field of research, one with the potential to change the way we treat conditions as diverse as heart attacks, strokes, diabetes, and dementia. At the heart of her work is a relentless focus on mitochondria, whose damage has been linked to aging and the onset of chronic diseases.
Mitochondria: The Powerhouses—and Protectors—of Brain Health
Mitochondria produce energy in the form of ATP, powering every cell in the human body. But as we age, mitochondrial function declines, creating a cascade of effects that impair cell metabolism and communication. This damage leads to oxidative stress, which can trigger cell death, disrupt neurotransmitter production, and ultimately contribute to diseases like Alzheimer’s and Parkinson’s.
Dr. Szeto’s research focuses on reversing these processes. By stabilizing mitochondrial function, her work seeks to protect cells from oxidative stress and enable the body to continue producing essential neurotransmitters like serotonin, GABA, and glycine. These inhibitory neurotransmitters are vital for maintaining cognitive balance, reducing anxiety, and preserving focus. Without them, the brain struggles to process information effectively, leading to cognitive decline.
The Role of Szeto-Schiller Peptides
In her quest to improve mitochondrial function, Dr. Szeto developed a groundbreaking class of compounds called Szeto-Schiller peptides. These peptides selectively target a phospholipid on the inner mitochondrial membrane called cardiolipin, compacting the cristae structure within the mitochondria. This leads to faster electron transport, increased ATP production, and improved cellular energy.
These peptides have been licensed by Cornell to Stealth Biotherapeutics, which has conducted clinical trials to explore their effectiveness. While the company has pivoted to focus on primary genetic diseases, Dr. Szeto’s peptides remain a significant breakthrough in age-related chronic disease research.
What sets these peptides apart is their ability to enhance energy production at the cellular level. However, ATP production also depends on the supply of macronutrients to mitochondria, which feed the tricarboxylic acid cycle (TCA). This is where Dr. Szeto’s new supplement, ReZilient (RZ), enters the story.
ReZilient: Supporting the Brain Through Nutrition
ReZilient is a supplement designed to support mitochondrial health by boosting the TCA cycle. It contains acetyl-carnitine, which helps transport fatty acids into mitochondria, and alpha-ketoglutarate, which bolsters the cycle’s enzymatic reactions. These ingredients work in concert with B vitamins to enhance mitochondrial fitness and support the biosynthesis of neurotransmitters critical to brain function.
But that’s not all. ReZilient also includes tryptophan, glycine, glutamine, serine, and betaine, precursors to key inhibitory neurotransmitters. These compounds cannot be supplemented directly, as they do not cross the blood-brain barrier, but by enhancing their biosynthesis within mitochondria, ReZilient addresses one of the root causes of neurotransmitter imbalance.
The result? Improved energy production in the brain, better cognitive function, and a stronger ability to stave off the sensory overload, anxiety, and agitation often associated with neurodegenerative diseases.
A Future Full of Promise
After leaving Cornell, Dr. Szeto continued her research with support from the Social Profit Network. Her team developed a new generation of peptides, even more effective than the Szeto-Schiller peptides, some of which could eventually be incorporated into ReZilient. Unlike her earlier work, these supplements do not require FDA approval, making them an accessible first step in the journey to better brain health.
Dr. Szeto’s story is a testament to the power of curiosity, persistence, and scientific innovation. By targeting the cellular mechanisms at the root of aging and disease, her work offers hope not just for those living with dementia but for anyone seeking to maintain a healthy, functioning brain as they age.
Join the ICA to Stay at the Forefront of Dementia Care
Dr. Szeto’s work is just one of many exciting advancements featured by the ICA. When you become a member, you’ll gain access to a wealth of resources, including our e-newsletter, expert industry content, and significant discounts on dementia care products and educational materials. The ICA offers Rezilient for sale on our website.
#mitchondriaandmemory #Dr.HazelSzeto #neurotransmitters
The Carousel Adult Day Care Center Partners with ICA to
Implement Groundbreaking TDI Model in Dementia Care
Kansas City, MO – The International Caregivers Association (ICA) has announced an exciting new partnership with The Carousel Adult Day Care Center to implement the revolutionary Transactional Dementia Intelligence (TDI) Model. The program, set to launch on January 1, 2025, marks a pivotal step forward in transforming dementia care at The Carousel, fully licensing Dr. Karen Allen, Founder and Executive Director, to integrate the TDI Model’s comprehensive systems approach into the organization’s daily operations. Dr. Allen is shown at left.“We are delighted to begin this new TDI Model support program for The Carousel Adult Day Care Center,” said ICA General Manager Bill Pemberton. “Dr. Allen is a very visionary leader and is committed to a vision of excellence and growth. Our TDI Model is an ideal choice for her in pursuing that vision.”
Transforming Care with the TDI Model
The TDI Model is the first and only systems-based approach to dementia care, designed to elevate both the quality of care and operational efficiency. It introduces a dedicated Dementia Coach role, reduces CNA shifts from eight to six hours while maintaining full pay, and integrates families as part of the care team.
By addressing key areas—people, programs, processes, and profitability—the TDI Model delivers transformational benefits:- Decreased administrator workload
- Near-zero staff turnover
- Reduced resident incidents
- Significant cost savings on recruitment and training
This groundbreaking approach provides a quantum leap in effectiveness and cost efficiency, ensuring a better work-life balance for staff and creating an empowered, engaged care environment.
A Visionary Partnership for Excellence in Care
Founded and led by Dr. Karen Allen, The Carousel Adult Day Care Center is a leader in providing adult and elder care for individuals with a wide range of physical, developmental, and cognitive disabilities. Located in Kansas City, MO, the center also specializes in serving veterans and individuals with traumatic brain injuries, serious medical conditions, and memory loss.
The Carousel operates under a medical model adult day care program licensed by the Missouri Department of Health and Senior Services. Its mission is to enhance the well-being of adults through comprehensive care that attends to their physical, emotional, spiritual, and social needs while fostering a safe, respectful, and compassionate environment.
“The Carousel is deeply committed to maximizing independence for adults and preventing premature institutionalization,” said Dr. Allen. “By integrating the TDI Model into our programs, we are taking a major step toward ensuring that our participants and their families receive the most innovative and effective care available.”
The Future of Dementia Care at The Carousel
As the program launches in January 2025, The Carousel will gain access to ICA’s full suite of TDI Model resources and training. This includes the tools necessary to implement a fully licensed systems approach to dementia care, designed not only to improve care outcomes but also to drive measurable organizational growth and success.
The inclusion of the TDI Model aligns seamlessly with The Carousel’s commitment to personalized care plans, which are tailored to the unique needs of each participant. Whether supporting individuals with Down Syndrome, Autism, Alzheimer’s disease, or other types of dementia, The Carousel’s team will benefit from the model’s advanced framework to provide exceptional care.
ICA’s Commitment to Innovation
This partnership exemplifies the ICA’s dedication to driving innovation in dementia care. By licensing the TDI Model to The Carousel, ICA continues its mission of equipping care organizations with cutting-edge tools to meet the challenges of caregiving in the 21st century.
The ICA’s TDI Model represents a bold new vision for dementia care, combining compassionate service with operational excellence. As the partnership with The Carousel begins, it sets a powerful precedent for how care organizations can adopt a holistic, systems-based approach to achieve exceptional results.
About the International Caregivers Association (ICA)
The ICA is a global leader in advancing dementia care standards, offering training, resources, and support for caregivers and organizations. Through its proprietary TDI Model, the ICA empowers care providers to deliver exceptional outcomes for individuals with dementia and their families.
For more information on the TDI Model and how it can transform dementia care, please visit the ICA website.
Persons wished to know more about The Carousel Adult Day Care Center can visit their website here.
#thebrainandbeyond #icapodcast #dementiacarepodcast
The Doctor Is In: Consulting with Dr. Ethelle Lord, DM
For over four decades, Dr. Ethelle Lord has been a trusted global leader in dementia care, training, and organizational management. Now, her wealth of expertise is available to individuals and organizations through online consulting sessions tailored to address a wide range of challenges.
Whether you're navigating the complexities of dementia care, seeking guidance in management strategies, or pursuing personal growth, Dr. Lord offers practical solutions rooted in her deep experience and evidence-based approaches.
Her specialties include:
- Dementia care consulting for families and professionals
- Nutritional and wellness guidance
- Management consulting tailored to care organizations
- Dementia Intelligence training and coaching
- Transactional Analysis training for communication and relationship
- Energy medicine and wellness assessments, including Voice Scan profiles
- Flexible and Accessible Support
Dr. Lord’s consulting services are designed to be accessible to a variety of needs. Sessions are conducted via Zoom, making it easy to connect from anywhere in the world. The initial “discovery session” is offered free of charge, providing an opportunity to explore your goals
and determine how Dr. Lord’s expertise can help.For ongoing support, her consulting rates are straightforward and flexible:
$100 per half hour
$175 per full hour
Customized pricing for specialized consulting needs is also available, with details provided after your complimentary session.
Why Seek Dr. Lord’s Expertise?
Dr. Lord’s insights are drawn from her extensive experience as a practitioner, educator, and thought leader in dementia care. She brings sterling credentials to her hybrid role as a Master Dementia Coach, gained through both rigorous academics and as a personal dementia caregiver for her husband, who survived 21 years under her dedicated care.
She authored a landmark book entitled Alzheimers Coaching (soon to be in its third edition). She has designed and authored a robust set of online courses that provide on-demand teaching and training 24/7, worldwide.
"My time spent in consultation with Dr. Lord more than paid for itself, many times over, in giving me breakthrough insights into reaching core goals."
— Ryan Stoffko, CEO, OPP Neuro SPA
"Working smarter feels better than working harder. Dr. Lord brings plenty of smarts through her consultation."
— Bill Pemberton, Principal, Stratos Communications
If you’re ready to gain clarity and direction, Dr. Lord’s consulting sessions offer a structured and insightful way forward.
Learn More and Schedule Today
Discover how Dr. Lord can help you achieve your goals in dementia care, organizational management, or personal growth. Visit her consulting page for details and to schedule your free discovery session.
#booksondementiacare #dementiacoaching #alzheimerscoaching #dementiaconsulting
ICA Launches "The Brain & Beyond" Podcast on Vimeo:
A 21st Century Journey into the Neural Universe
The International Caregivers Association (ICA) is thrilled to announce the launch of its brand-new podcast, The Brain & Beyond, available exclusively on ICA’s Vimeo platform. This engaging video podcast, hosted by ICA Founder and President Dr. Ethelle Lord and ICA General Manager Bill Pemberton, takes viewers on an extraordinary journey into the vast and complex world of the human brain.
With its first episodes now live, The Brain & Beyond aims to explore every facet of the neural universe—from high cognitive performance to the most advanced approaches in dementia care, and even the intersection of thought, personality, and the esoteric realms of soul and spirit. Each episode features deep-dive discussions with leading voices in neuroscience, dementia care, and related fields, offering insights and best practices that push the boundaries of what we know about the brain.
“I am very excited about our new podcast,” said Dr. Lord. “It provides us with a forum to bring leading voices in the dementia care field into in-depth discussions. The answers represent the latest thinking and best practices in their respective fields.”
What Makes The Brain & Beyond Special
One of the standout features of The Brain & Beyond is its home on ICA’s Vimeo Video Platform. Unlike podcasts hosted on YouTube, which are frequently interrupted by ads, Vimeo ensures a seamless, top-tier viewing experience free of distractions. The platform’s high-quality streaming capabilities make every episode visually crisp and professional, matching the caliber of the groundbreaking content delivered by Dr. Lord and Pemberton.
“Our choice to host The Brain & Beyond on Vimeo was deliberate,” said Bill Pemberton. “We wanted to provide our viewers with an uninterrupted and immersive experience. This aligns with the ICA’s commitment to excellence in everything we do, including the way we share knowledge and resources.”
A Podcast for Everyone
Whether you’re a seasoned dementia care professional, a neuroscience enthusiast, or simply someone curious about the workings of the human brain, The Brain & Beyond offers something for everyone. Episodes delve into a range of topics, including:
- The Brain in High Gear: Unlocking cognitive potential and peak mental performance
- Understanding Dementia: Exploring cutting-edge practices in memory care and the TDI Model
- The Human Psyche: Examining the interface between thought, emotion, and imagination
- The Spiritual Brain: Investigating the connection between brain, soul, and spirit
With live Zoom interviews and an ever-growing archive of recorded episodes, viewers have ample opportunities to engage with topics that resonate most deeply with their interests. Subscribers also receive exclusive invitations to participate in live discussions with podcast guests.
Join the Adventure
Dr. Lord and Pemberton invite listeners to join them on this unparalleled journey into the most personal and fascinating frontier—the human brain. With its mix of expert insights, thought-provoking discussions, and a touch of wonder, The Brain & Beyond is set to become a must-watch series for anyone eager to better understand the three-pound marvel between their ears.
To explore the podcast and subscribe for updates, visit the ICA Vimeo platform and start your journey to The Brain & Beyond today! View our Promo Video Below:
Introducing the Fundamentals of TDI Course: Your Gateway
to Transformative Dementia Care
The International Caregivers Association (ICA) is thrilled to announce the launch of its groundbreaking course, Fundamentals of Transactional Dementia Intelligence (TDI). Designed for dementia care providers of all kinds, this innovative program offers a unique opportunity to gain a comprehensive understanding of the TDI Model while earning a prestigious certification.
In just under four hours of engaging, on-demand video content, participants can master the essentials of the TDI Model from anywhere in the world, at any time. Whether you’re a medical professional, occupational therapist, family caregiver, or dementia coach, this course is tailored to help you elevate your expertise and provide exceptional care for those living with dementia.
What Sets the Fundamentals of TDI Course Apart?
Led by Dr. Ethelle Lord, founding president of ICA and creator of the TDI Model, the course consists of four dynamic modules that provide a deep dive into dementia care's most essential principles and practical applications. With a focus on real-world skills and theoretical knowledge, the course prepares participants to implement the TDI Model effectively in their daily caregiving roles.Participants who successfully complete the course will earn a handsome diploma certifying them as TDI Specialists. They’ll also gain the right to add the prestigious letters CTDI (Certified in Transactional Dementia Intelligence) after their name, signifying their expertise and commitment to excellence in dementia care.
Dr. Lord highlights the program’s significance, stating, “The Fundamentals of TDI Course is the foundation of our work at ICA. It equips caregivers with the tools and confidence they need to transform lives through the TDI Model. We’ve already seen strong demand for this course, and we’re excited to make it even more accessible during the first quarter of the year.”
Limited-Time Offer: 50% Discount
To celebrate the course launch and meet the growing demand, ICA is offering the Fundamentals of TDI Course at an incredible 50% discount during Q1. This special offer makes it easier than ever for caregivers to gain certification and elevate their practice.
What You’ll Gain:
Certified Credit Hours: Earn four hours of certified credit that can boost your professional credentials.
A Frame-Worthy Diploma: Upon completion, you’ll receive a formal certificate validating your expertise in the TDI Model.
Real-World Skills: Through fieldwork assignments at the end of each module, you’ll reinforce your learning and enhance your practical caregiving abilities.
Exam Confidence: The final pass/fail exam ensures you’ve mastered the material, with the option to retake it as many times as needed.
Course Materials and Support
To enhance the learning experience, participants will benefit from two companion books: Alzheimer’s Coaching: Taking a System’s Approach to Creating an Alzheimer’s Friendly Healthcare Workforce by Dr. Lord (complimentary upon request) and TA Today by Ian Stewart and Vann Joines (available on Amazon).
Ready to embark on a transformative journey? The Fundamentals of TDI Course is your stepping stone to becoming a certified expert in dementia care and making a meaningful impact in the lives of those you serve.
Learn more and enroll today by visiting our website. Don’t miss this opportunity to join the ranks of TDI-certified caregivers and elevate the standard of dementia care worldwide.
#tdicertification #memorycarecourses #memorycarecredithours
In Q4 2024, the International Caregivers Association (ICA) proudly launched the ICA Fellow Program, an extraordinary opportunity for individuals passionate about transforming dementia care to join a global movement. More than a membership, becoming an ICA Fellow means becoming an integral part of a mission to define and implement the new gold standard in dementia care—the Transactional Dementia Intelligence (TDI) Model.As an ICA Fellow, you gain unparalleled access to a world of resources, research, and the latest developments in dementia care. With the ICA’s pioneering approach, Fellows join forces with like-minded individuals to disrupt outdated care models and champion a new systems-based approach that prioritizes effective, compassionate, and intelligent care.
Dr. Ethelle Lord, ICA founder and president, shares her deeply personal journey of creating the ICA over two decades ago. Her inspiration was born from her husband’s battle with vascular dementia, fueling her commitment to revolutionizing the care landscape for millions worldwide. “The work of the ICA around the globe is essential, and so is your membership,” Dr. Lord explains. “By joining us as an ICA Fellow, you’re investing in a better world for people living with dementia and their caregivers.”
Benefits of Becoming an ICA FellowWhen you join the ICA Fellow Program, you step into a leadership role within the global dementia care movement. This prestigious membership offers a wide range of exclusive benefits:
- Preferred Content & Research Access: Stay informed with free access to ICA’s extensive library of blogs, podcasts, webinars, white papers, and proprietary research. Fellows also enjoy member-only offers on select products and services.
- 10% Off All ICA Training & Certifications: Elevate your career in dementia care by earning TDI Dementia Care Specialist credentials at a discounted rate. This distinction enhances your resume and LinkedIn profile, positioning you as a leader in the field.
- Quarterly Updates and Consultations: Participate in quarterly Zoom calls led by Dr. Lord and ICA’s leadership team, where you’ll hear from top dementia care professionals about cutting-edge practices and innovations.
- Exclusive Access to the ICA Talent and Jobs Bank: Whether you’re seeking career opportunities or looking for top talent, the ICA Jobs Bank connects Fellows to the best in the industry.
Beyond these tangible benefits, ICA Fellows become active participants in defining the future of dementia care. They gain a platform to contribute their ideas and experiences while remaining at the forefront of groundbreaking advancements in the field.
Join the Movement
Becoming an ICA Fellow is more than a professional step—it’s a commitment to shaping a brighter future for dementia care. Whether you’re driven by curiosity, passion, or a desire to make a difference, the ICA Fellow Program welcomes you.
Take advantage of exclusive discounts on training and certifications, priority access to resources, and the opportunity to collaborate with the brightest minds in dementia care. Now is the time to step forward and play your part in the mission to elevate care standards worldwide.
Apply today and become a leader in redefining dementia care for the next 50 years. Together, we can build a future where every individual living with memory loss receives the dignity, care, and support they deserve. You can purchase your ICA Fellow membership here.
#DementiaCareLeadership #TDIModel #RedefiningCare
Finding Solutions to Caregiver Burnout
You’ve seen the face.
It may be in the mirror.
Lined with fatigue, hollowed by worry, held together by the thinnest thread of resolve. This is the face of caregiver burnout—and it’s reaching epidemic proportions.
Burnout is no longer a vague term used to describe a bad day. It is now one of the sharpest, most dangerous threats facing caregivers at all levels—from unpaid family members to frontline workers in senior communities, memory care units, and long-term care centers. And no area of caregiving is more vulnerable than dementia care.
Dementia caregiving presents a uniquely potent challenge. It’s not just the physical labor—bathing, lifting, managing medication, supporting basic functions. It’s the emotional and psychological load that builds from constantly navigating cognitive decline, disorientation, and communication breakdowns. It’s the grief that never fully ends. The need to improvise constantly. The emotional weight of being invisible while giving everything.
Caregivers, both professional and personal, are rarely trained to handle this type of sustained emotional attrition. And so burnout creeps in—first as fatigue, then disconnection, then illness, absenteeism, and turnover. In clinical settings, it’s a major driver of low morale and staffing instability. At home, it’s the silent precursor to neglected care, broken relationships, and even unintentional elder abuse. According to recent studies, up to 60% of dementia caregivers report high levels of stress, with significantly elevated risks of anxiety, depression, and physical illness.
The economic costs are staggering. Burnout contributes to soaring staff turnover, which disrupts continuity of care, compromises safety, and increases training and hiring costs. For every team member lost, precious experience disappears—and with it, trust, familiarity, and stability for the vulnerable elders they serve.
But there’s hope—and help.
In this special edition of the ICA Informer, we focus on the burnout crisis not as a sign of failure, but as a call to innovate. Across the industry—and beyond—new tools, approaches, and solutions are emerging that hold real promise.
Some are systemic—like rethinking shift models, redesigning dementia care training with emotional resilience in mind, or implementing ICA’s own Transactional Dementia Intelligence (TDI) to improve clarity, compassion, and connection between staff and residents. Others are environmental or biological—including the rise of advanced bio-molecular supplements that naturally boost cognitive and emotional resilience, or aromatherapy programs now being used in memory care environments to soothe both care recipients and caregivers alike.
Some innovations are community-based, such as specialized adult day care programs that offer true respite, not just for those living with dementia, but for the exhausted families trying to keep them safe and connected at home. Others involve digital and communication platforms that streamline team coordination, reduce isolation, and offer real-time guidance for both paid and unpaid caregivers.
And most promising of all is the growing recognition—from regulators to operators to families—that burnout is not a personal weakness. It’s a systemic signal. One that we must learn to recognize, respect, and respond to.
In this issue, we’ll dive deeper into this burnout phenomenon—from its personal toll to its broader consequences for healthcare systems—and explore real, actionable solutions that are already making a difference.
Because the future of dementia care depends not just on how we treat the person with dementia, but how we care for the people doing the caring.
Welcome to the Burnout Issue.
Causes. Costs. Solutions. Feel free to share the link!
#CaregiverBurnout #Caregiving #Burnout
Beating Caregiver Burnout, The Silent Killer
By Dr. Ethelle G. Lord
The journey of a dementia caregiver is one of devotion, sacrifice, and unwavering commitment. Family members who step into this role often do so out of love and a deep sense of duty, yet few anticipate the overwhelming toll it will take on their physical, emotional, and mental well-being. Today, as the number of individuals diagnosed with dementia continues to rise, so too does the silent crisis among caregivers—burnout.
Burnout is not just exhaustion; it is a creeping, insidious force that can consume even the most dedicated caregivers before they realize what is happening. The experience is much like stepping into a seemingly calm ocean. At first, the water feels refreshing, the waves gentle, the task at hand manageable. But lurking beneath the surface is a hidden rip current.
The undertow is invisible until it’s too late—until the caregiver, like an unsuspecting swimmer, finds themselves pulled under by an unrelenting force. The harder they fight against it, the more drained they become. Panic sets in, followed by desperation, and soon, survival becomes the only thought. Even worse, for many, including me at the time, it can be so worn down that ending it all seems the only choice left.
In the world of dementia caregiving, this undertow manifests as physical fatigue, emotional depletion, and an unshakable sense of isolation. Well-being transforms into a battle for survival. Only the most skilled and prepared caregivers can navigate their way out; for many, intervention by a trained lifeguard—whether in the form of professional support, systemic change, or community resources—is the only way to reclaim their strength and stability.
I know this because it happened to me. This is my story.
My Personal Battle with Burnout
I’m Éthelle Lord, DM, founder of the International Caregivers Association. I dedicated 21 years to caring for my late husband, Maj. Larry S. Potter, USAF Retired, who was diagnosed with vascular dementia (VaD). Like many family caregivers, I had no formal training. I was simply a loving spouse doing everything in my power to maintain his dignity and quality of life. But I had no idea how unprepared I was for the all-consuming nature of caregiving.
For the first several years, I managed his care at home. I felt anxious, overwhelmed, and often angry at the unrelenting demands placed on my time, energy, and emotions. I struggled to balance his schedule with my own, but over time, his needs took precedence. My sleep was disrupted, and in my desperate search for relief, I tried everything—sleep teas, hot chocolate, even eating heavy meals before bed in hopes that I would sleep longer. Nothing worked. My exhaustion became chronic. My patience wore thin. My world became increasingly isolated. I was in the grip of burnout.
When my husband’s condition progressed, doctors recommended assisted living to provide him with socialization and structured activities. While this helped him, my responsibilities did not end. I visited daily, advocated for his care, and remained his voice when he could no longer speak for himself. When his health declined further, he transitioned to skilled nursing, where I had to oversee every detail to ensure he was not neglected.
Five years into this phase, I reached my breaking point. I was physically unwell, emotionally drained, and completely disconnected from my own needs. Like so many caregivers, I did not know how to ask for help. I felt isolated, unable to access resources, and trapped in a cycle of relentless giving. It took years after his passing in 2020 for me to recover fully—physically, emotionally, and intellectually.
A Lifeline for Caregivers: The TDI Model of Care
Caregivers should not have to reach the breaking point before receiving help. My experience led me to develop the Transactional Dementia Intelligence (TDI) Model of Care—a systems-based approach designed to rescue caregivers before they are caught in the undertow of burnout.
TDI offers a structured framework that acknowledges the realities of dementia caregiving and provides strategies for maintaining balance, preventing emotional collapse, and ensuring both the caregiver and the patient receive the support they need.
This newsletter is dedicated to exploring the complex issue of burnout and the multi-faceted solutions required to make family dementia caregiving sustainable. Burnout is not inevitable—it is preventable. With the right tools, resources, and a supportive network, caregivers can navigate these turbulent waters and emerge whole.
In the companion articles, we will examine the key risk factors of burnout, practical interventions, and real-world strategies that empower caregivers to sustain their role without sacrificing their well-being. Because no one should have to face the undertow alone. Today, I know that there are many amazing tools and opportunities to lessen the risk of being overwhelmed by burnout.
Sometimes, I wistfully realize that my own odyssey as a family dementia caregiver could have been a much more pleasant experience for both me and my beloved spouse, Larry. However, if I can use what I’ve learned to alleviate the suffering of families around the world who get a dementia diagnosis--all of that pain will have been worth it. I can think of no better tribute to validate Larry’s suffering.
Please read our entire newsletter, and then share it with 10 people you love. Because all ten will one day be faced with providing family caregiving at some level, or perhaps faced with a dementia diagnosis themselves. Understanding how to beat burnout, before it ever gets started, will make all the difference in outcomes.
About the Author: As ICA's Founder and President, Dr. Ethelle Lord is a pioneer calling for a global shift in dementia care centered around dignity, compassion, and realizing human potential. With over 30 years immersed in advancing elder empowerment, Dr. Lord sees a pressing need to re-envision how we connect with people experiencing cognitive decline through a systems approach to dementia care. She coined the term Transactional Dementia Intelligence to crystallize her unique and highly effective approach. See www.icacares.com.
#Dr.EthelleLord #BeatingBurnout #PreventBurnout
Breaking the Burnout Cycle with TDI
How Transactional Dementia Intelligence (TDI) Is Reshaping Care from the Inside Out
Burnout isn’t just a caregiver problem—it’s a systems failure. And in memory care, that failure comes at a cost few communities can afford. From chronic absenteeism and low morale to high turnover and poor resident outcomes, burnout saps the strength of even the best-intentioned teams. Add the uniquely emotional weight of dementia care—marked by communication gaps, unpredictable behaviors, and the steady fading of personhood, and the demands become exponential. Far too often, the result is a work environment defined by exhaustion, emotional detachment, and growing disconnection from those caregivers are meant to serve.
But what if burnout isn’t inevitable?
What if the problem isn’t the people, but the process? That’s the promise of Transactional Dementia Intelligence (TDI)—the first true systems-level solution to the chronic strain of dementia caregiving. Born from decades of clinical insight and operational research, TDI reimagines the caregiving experience from the ground up. It shifts dementia care from reactive to relational, from task-based to transformational—not only improving resident outcomes but restoring the humanity, purpose, and sustainability of the caregiving role itself.
“Burnout is not a moral failing. It’s not a lack of caring,” says ICA founder and TDI pioneer Dr. Ethelle Lord. “It’s the predictable result of asking people to do an impossible job with inadequate tools and broken systems. TDI gives them what they’ve been missing—a true map.”
A System Built for Emotional Success
TDI begins with a central, evidence-based insight: dementia is not just a medical condition—it’s a disruption of the social contract. And in that disruption, both residents and caregivers often lose access to healthy, two-way emotional exchange. Without that connection, burnout thrives.
TDI reframes care as a series of transactions—dynamic exchanges of emotion, need, and response. It teaches caregivers how to recognize, shape, and guide these transactions to preserve dignity, reduce confusion, and foster trust—even when verbal communication is limited or lost.
This model replaces “fix-it” thinking with relational fluency, equipping staff to:
• Recognize behavior as communication.
• Shift from control to co-regulation.
• Create safe, mutual experiences of presence, purpose, and respect.
But it doesn’t stop at theory. TDI provides the structures—from staffing patterns to leadership training—to make this relational model operational across an entire community.
The Shift That Changes Everything
One of the most radical—and impactful—TDI recommendations is the adoption of 6-hour shifts. Traditional 8- and 12-hour shifts leave caregivers physically and emotionally depleted, especially in memory care where the demands are unrelenting. By moving to six-hour windows, communities report a dramatic increase in:
• Energy levels and focus across shifts.
• Consistency and continuity of care.
• Staff satisfaction and retention, especially among frontline aides.
This shift is supported by intentional scheduling that includes time for daily team huddles, skill refreshers, and self-care practices—all of which reinforce a more sustainable, engaged work environment.
At the heart of this new experience is a pivotal role: the Dementia Coach.
The Power of the Dementia Coach
TDI-trained communities embed Dementia Coaches as daily facilitators of communication, culture, and care quality. These are not top-down managers—they’re peer leaders, mentors, and relational translators who:
• Help interpret resident behavior through the TDI lens.
• Support staff during moments of emotional or relational strain.
• Lead debriefs and ensure constant learning from lived experience.
In doing so, they become the “connective tissue” of the system—ensuring that TDI isn’t just taught, but lived.
“Coaching is the heart of sustainability,” says one administrator at a TDI pilot site. “It’s what keeps the model alive, day to day, moment to moment.”
Better Care, Better Economics
The human benefits of TDI are reason enough. But the economic case is just as strong.
Communities implementing TDI report measurable improvements in:
• Staff retention, especially among CNAs and med techs.
• Fewer resident incidents related to aggression, wandering, or resistance to care.
• Higher family satisfaction scores due to more consistent, person-centered engagement.
• Lower reliance on psychotropic medications and reactive interventions.
These results translate directly into dollars—through reduced recruitment costs, fewer adverse events, and stronger census performance. And more importantly, they rebuild the sense of shared mission that drives real excellence in care.
“When burnout goes down, everything rises—morale, connection, outcomes, and trust,” says Dr. Lord. “TDI is the catalyst.”
A Place to Begin: The ICA Foundations Course
For communities ready to make the shift, the journey starts with the ICA Foundations Course in Transactional Dementia Intelligence—an accessible, self-paced program designed to bring the core principles of TDI to life for staff, leadership, and families alike.
This isn’t just another training. It’s an operational blueprint for transforming your dementia care culture—one transaction at a time.
Participants will:
• Learn the emotional map of dementia through real-world scenarios.
• Practice the core skills of relational intelligence.
• Gain tools for staff coaching, family engagement, and systems leadership.
• Explore how to build the TDI framework into staffing, scheduling, and daily workflow.
And for a limited time, ICA is offering the course at half off for new participants. To register, visit:
👉 www.icacares.com/ica-foundations-course-page
The New Gold Standard
Burnout doesn’t need a band-aid. It needs a new model—one that restores care to its relational roots and gives staff the tools, time, and support they need to truly connect. That’s what Transactional Dementia Intelligence delivers. It’s not just a better way to care.
It’s the gold standard for the future of dementia care.
And it starts right here.
#TransactionalDementiaIntelligence #NewApproachesToDementiaCaregiving #Dementiacaregiving
Guest Contributor
Reclaiming Vitality: How We’re Fighting Burnout
with a Natural Ally
By Colonel Philip Blair, MD
Burnout isn’t a buzzword anymore — it’s a national condition. I often see patients who are physically exhausted, mentally depleted, and emotionally tapped out. They come to us not just looking for a check-up — they’re looking for a reset. A way to turn the corner on feeling overwhelmed, foggy, or stuck in a body that won’t cooperate with their mind anymore.
I founded BMG with a clear purpose: to be a place where modern medicine and nature’s intelligence work together to bring people back to life, not just treat symptoms, but truly restore energy, clarity, and resilience. Over the years, I’ve tested countless interventions that promised to help with chronic stress, inflammation, anxiety, and fatigue. Some worked temporarily. Others not at all.
But one natural compound has consistently stood out: beta-caryophyllene.
Most people have never heard of it — yet they’ve already encountered it. Beta-caryophyllene (BCP) is a terpene found in black pepper, clove, cinnamon, and hemp. What makes it remarkable is that it’s not just aromatic — it’s biologically active. BCP directly binds to the body’s CB2 receptors in the endocannabinoid system, which are deeply involved in regulating immunity, metabolism, neurotransmitters, and mood, without producing any psychoactive effects. And, because it’s already in nutritious foods, the FDA has approved BCP as a safe and non-toxic food flavoring additive.
Let me be clear: this isn’t a “trendy” supplement. It’s a clinically relevant tool with powerful anti-inflammatory and stress-modulating properties, and it’s a game-changer in the way we approach burnout at BMG.
Burnout isn’t just about mental stress. It’s about cellular stress. Chronic inflammation, disrupted sleep, cortisol dysregulation, and emotional exhaustion all wear down the body’s ability to bounce back. The beauty of BCP is that it doesn’t mask these issues — it works with the body’s own regulatory systems to correct them.
At Blair Medical Group, we’ve integrated BCP into a comprehensive protocol for people dealing with modern life's wear and tear. Whether it’s the executive who can’t shut off at night, the caregiver pushed past her limit, or the athlete whose joints are screaming, our approach is the same: reduce internal inflammation, restore emotional equilibrium, and rebuild resilience.
We use BCP both as a targeted supplement and as part of a broader neuro-regenerative strategy that may include adaptogens, hormone balancing, precision diagnostics, and guided coaching. Our outcomes speak for themselves — patients report deeper sleep, reduced pain, calmer mood, enhanced energy, and improved focus within days.
But what makes BMG unique isn’t just the tools we use — it’s the philosophy behind them. We believe that healing should feel empowering, not overwhelming. Every protocol is personalized. Every touchpoint is intentional. We listen. We track. We will evolve your care plan with you.
I often say that we’re not here to “treat burnout,” we’re here to end it. That starts with giving people back control — control over their time, their energy, their bodies. Beta-caryophyllene is one of the most powerful natural levers we’ve found to help make that happen.
This is not fringe science. This is 21st-century integrative medicine, backed by evidence, driven by empathy, and focused on outcomes that matter: sustainable energy, real recovery, and the return of joy to everyday life.
If you’re feeling like you’ve tried everything, or worse — like you’re supposed to just “deal with it” — I invite you to rethink what’s possible. At Blair Medical Group, we’re not in the business of masking burnout. We’re in the business of reversing it. And beta-caryophyllene is helping us lead the way.
Retired Colonel (Dr.) Philip Blair is a board-certified Family Physician licensed in Washington State. A 1972 graduate of West Point, he earned his medical degree from the University of Miami and trained in family medicine. His military medical career included assignments across the U.S. and internationally, including Korea, Italy, Germany, and the Gulf War I.
Today, COL Blair leads Blair Medical Group SPC, where he researches innovative approaches to all chronic and disabling conditions. He is available for private consultations and speaking engagements.
Contact: DrBlairMD@icloud.com or (360) 991-4791.
Meet Your Body’s Endocannabinoid System (ECS): It’s the Super Highway to Brain Balance
In the softly lit study of scientific discovery, the human body reveals secrets that often hide in plain sight. One such marvel is the endocannabinoid system (ECS), a network of receptors and signaling molecules that plays a central role in maintaining our body’s equilibrium. Though its name might evoke thoughts of cannabis, the ECS is far more complex and impactful, encompassing far-reaching roles in regulating mood, energy, and cognitive functions—an area of great promise for dementia caregivers and those living with dementia.
The story of the ECS began in earnest during the early 1990s, when researchers like Dr. Raphael Mechoulam were probing the effects of tetrahydrocannabinol (THC)—the principal psychoactive component in marijuana. In their pursuit, scientists stumbled upon a previously unknown regulatory system. This system, now known as the ECS, comprises naturally occurring compounds called endocannabinoids, the most noted being anandamide and 2-arachidonoylglycerol (2-AG). These molecules interact with two primary receptors: CB1 receptors, which are largely concentrated in the brain and central nervous system, and CB2 receptors, which are abundant in the immune system and peripheral tissues.
One of the most captivating aspects of the ECS is its role as an internal communication channel that modulates neural function and emotional well-being. CB1 receptors, for example, influence memory, appetite, and pain, while CB2 receptors assist in managing inflammation and immune responses. As modern science began to delve deeper into these connections, evidence mounted that the ECS has substantial regulatory influence over factors such as anxiety, depression, and energy levels. This, in turn, has ignited interest from researchers at institutions like Blair Medical Group, led by Dr. Scott Blair, who are exploring how modulation of the ECS can support patients and caregivers facing the challenges of dementia.
Curiously, the exploration of cannabis-based substances served merely as the gateway to understanding this broader system. While THC originally illuminated the existence of the ECS, it quickly became apparent that other compounds could interact with this network without the psychoactive side effects. Enter beta-caryophyllene (BCD), a terpene extract found in cloves. Unlike THC, BCD is non-psychoactive and interacts directly with the CB2 receptor. This binding is significant because it bypasses the central nervous system’s psychoactive pathways and instead offers anti-inflammatory and neuroprotective benefits. These properties have made BCD an ideal candidate for complementary treatments aimed at alleviating the symptoms of anxiety, depression, and even PTSD. In the case of dementia, where caregivers face constant fatigue and emotional strains, BCD’s ability to ameliorate stress and promote mental clarity can be transformative.
Further exploration into BCD has revealed an astonishing range of benefits. For caregivers dealing with the physical and emotional toll of caring for dementia patients, BCD may reduce burnout by easing fatigue and promoting a more stable mood. For individuals living with dementia, its potential to relieve anxiety and depressive symptoms could lead to improved quality of life. Intriguingly, early research even suggests that BCD might help in managing PTSD by rapidly modulating the emotional impact of traumatic memories. This broad spectrum of positive effects highlights why the ECS is fast becoming a frontier of hope in medical science.
As our understanding of the ECS deepens, so does its potential to unlock novel therapies. The intricate dance of endocannabinoids binding to their receptors orchestrates a delicate balance within our physiology—one that, if modulated correctly, could lead to groundbreaking advances in treating neurological disorders. With dedicated research driven by experts such as those at Blair Medical Group, the promise of the ECS is coming into sharper focus. In the near future, we may see targeted interventions that leverage naturally occurring compounds like BCD to address the multifaceted challenges of dementia care, offering relief and resilience to those most affected.
In summary, the human endocannabinoid system is much more than a pathway involved in the effects of cannabis—it is a master regulator of physiological and emotional well-being. From its origins in THC research to its present-day exploration as a bridge to innovative treatments, the ECS represents a promising frontier in medical science, offering hope and relief for a diverse array of challenges in the modern world.
#ImmuneCells #BlairMedicalGroup #EndoCannabinoidSystem
Reducing Stress at The Carousel: How TDI Team Optimization and Team Me Are Transforming Caregiver Culture
At The Carousel Adult Daycare Center in Kansas City, Missouri, a quiet revolution is underway. Known for its compassionate care for adults with dementia and developmental disabilities, The Carousel has partnered with the International Caregivers Association (ICA) to implement TDI Team Optimization, a groundbreaking approach to reducing caregiver stress and enhancing team cohesion. Care Changes
Understanding TDI Team Optimization
Transactional Dementia Intelligence (TDI) is a comprehensive model that reimagines dementia care by focusing on relational dynamics and emotional intelligence. TDI Team Optimization extends this model by integrating Team Me, an archetypal analysis tool that helps staff members understand their innate strengths and how they contribute to the team's overall effectiveness.
By identifying individual archetypes—such as the Caregiver, the Organizer, or the Innovator—Team Me fosters self-awareness and mutual respect among staff. This understanding reduces workplace stress by promoting synchronization over self-preservation, enabling caregivers to work together more effectively and empathetically.
Voices from the Field
Dr. Allen, Director of The Carousel, notes, "Implementing TDI Team Optimization has been transformative. Our staff now communicates more openly and supports each other in ways we hadn't seen before. The reduction in stress levels is palpable."
Dr. Ethelle Lord, founder of ICA, adds, "The integration of Team Me within the TDI framework empowers caregivers to recognize their unique contributions. This not only enhances team dynamics but also improves the quality of care provided to our clients."
Real-World Impact
Since adopting TDI Team Optimization, The Carousel has observed:
• Improved Team Cohesion: Staff members report a stronger sense of unity and purpose.
• Reduced Burnout: Understanding individual roles and strengths has led to decreased stress and
increased job satisfaction.
• Enhanced Client Care: A more harmonious team translates to better attention and service for clients.
The Carousel's experience demonstrates the profound impact that structured, intelligence-based approaches like TDI Team Optimization and Team Me can have on caregiver well-being and client outcomes.
For more information on TDI Team Optimization and Team Me, visit the ICA's website at www.icacares.com. Visit The Carousel Adult Daycare Center's website.
Announcing the ICA Advanced Transactional Analysis Course: Earning the ATDI Designation
The International Caregiver Academy (ICA) is pleased to announce the launch of its Advanced Transactional Analysis Course, a groundbreaking program designed for professionals seeking deeper insight into the psychological dynamics that shape communication in dementia care and beyond. This advanced-level course offers a unique blend of academic rigor, practical application, and global relevance—culminating in a prestigious Advanced Transactional Dementia Intelligence (ATDI) certification and the award of four hours of academic course credit.
Rooted in the enduring principles of Transactional Analysis (TA)—a psychological model first introduced in the 1950s by Dr. Eric Berne—this course explores the timeless relevance of TA in understanding human interactions. Over the decades, TA has gained international recognition across healthcare, business, and education, offering professionals a powerful framework for analyzing and improving communication.
This new ICA course takes TA to the next level. Dr. Lord Ethelle G. Lord, the visionary founder of the Transactional Dementia Intelligence (TDI) Model, integrates her lifetime of training, research, and personal caregiving experience into this advanced curriculum. Since introducing the TDI Model in 2009, Dr. Lord has demonstrated how TA must be thoughtfully adapted for the unique cognitive realities of those living with dementia. Her work, known as Lord’s Theory, positions TA as the optimal relationship model for dementia care—provided it is tempered by the concept of dementia intelligence: the nuanced understanding of how communication shifts as cognitive abilities change.
The ICA Advanced Transactional Analysis Course is structured into three comprehensive modules:
-
Module 1: Foundations of Advanced TA in Dementia Care
-
Module 2: Applying TA Principles in Real-World Caregiving Scenarios
-
Module 3: The TDI Perspective—Integrating TA for Relationship-Centered Dementia Care
This course builds on the concepts introduced in the ICA Fundamentals of TDI Course and is designed for professionals who are ready to deepen their expertise and apply TA at an advanced level within dementia care contexts.
Graduates of this course will receive a distinguished Advanced TDI (ATDI) Certification and a diploma, recognizing their mastery of advanced Transactional Analysis principles within the TDI framework. Additionally, all course participants will enjoy one year of complimentary ICA Fellow status—an exclusive membership offering a range of benefits for ICA alumni.
For a full course description and to enroll, visit the ICA Course Catalog at the bottom of the page on the ICA website. There, you can review the full program details and purchase access directly. Questions or comments may be submitted via the ICA Contact page.
We invite you to embark on this transformative learning journey—and join the global community of professionals committed to advancing dementia care through deep relationship insight and communication excellence.
#dementiacaretraining #dementiacourses #transactionalanalysis
Meet Suzanne Crippin: Pioneer of the DementiaBuddy (TM), Now an Exclusive Technology for the ICA-1.jpeg?width=250&height=333&name=Suzanne%20Crippin%20(1)-1.jpeg)
Suzanne Crippin is an artist, author, systems thinker, and lived-experience advocate whose journey bridges the worlds of art, trauma, chronic illness, and innovative dementia care. Raised in the village of Culcheth, Cheshire, UK. Suzanne’s early life was shaped by adversity, deep sensitivity, and creative resilience. She received an unconditional offer to study Fine Art at both Manchester and Cumbria. She chose to attend Cumbria Institute of the Arts (2004–2007), earning her BA with Honours in Fine Art. Following university, Suzanne relocated to Cyprus for a short time.
She returned to the UK with several medical conditions and diagnosis -- her lived experience with chronic illness and neurodivergence became a gateway into advocacy, deep personal research, and trauma-informed exploration. She later joined the University of Manchester, rising from data input to Systems Administration Manager. In 2024, Suzanne began publishing a series of academic and creative research papers that evolved into Crippin Theory—a living framework rooted in lived experience, trauma-informed reflection, and creative-critical thinking.
Crippin's Theory explores the intersections of neurodivergence, invisible disability, chronic illness, and system failure. It calls for care models that are emotionally intelligent, inclusive, and grounded in narrative understanding rather than clinical detachment (such as the Transactional Dementia Intelligence Model of dementia care - https://lnkd.in/eVk8xn6G
#SuzanneCrippin #NeuroDivergence. #DementiaBuddy
The Sweet Smell of Wellbeing
How Aromatherapy Is Bringing Comfort, Clarity, and Connection to Dementia Care
It doesn’t look like medicine. It doesn’t sound like therapy. But the right scent—released at the right time—can unlock calm, awaken memories, and ease distress in ways that pills and protocols often cannot.
This is the quiet power of aromatherapy, and no one knows its potential better than Dr. Jennifer Stelter, a licensed clinical psychologist, dementia care expert, and the woman known affectionately in ICA circles as “The Oil Doctor.”
Dr. Stelter is a pioneer in the field of sensory-based dementia therapies, with a particular focus on aroma and essential oil interventions that stimulate the limbic system—the emotional and memory center of the brain. Her work centers on helping people with dementia remain connected to themselves, their surroundings, and their caregivers through the language of scent.
“Aromatherapy isn’t about making a room smell nice,” says Dr. Stelter in a newly released ICA podcast interview. “It’s about using targeted olfactory signals to reach parts of the brain that are still highly responsive—even when language and cognition begin to fail.”
Reaching Memory Through the Senses
The limbic system, particularly the amygdala (which governs emotion) and the hippocampus (which manages memory), is one of the few regions of the brain that remains active well into the later stages of dementia. And unlike other parts of the brain, the limbic system is directly and powerfully influenced by smell.
What makes aromatherapy so effective is that essential oil molecules are lipophilic, meaning they can cross the blood-brain barrier and interact directly with brain chemistry. This opens the door to highly specific outcomes: calming anxiety, elevating mood, supporting focus, and—perhaps most significantly—triggering familiar, soothing memories through scents long embedded in the brain’s emotional core.
Think of the smell of cinnamon at Christmas. Fresh lavender on a summer breeze. The sharp comfort of peppermint on a cold day. These aren’t just pleasant fragrances. They’re emotional time machines.
A Clinical Approach to Comfort
Dr. Stelter’s approach to aromatherapy isn’t based on folklore or guesswork—it’s clinical, evidence-based, and deeply personalized. Through her protocols, caregivers can identify which scents match specific behavioral or emotional goals, and how to deliver them safely and effectively, whether in a home or care setting.
For example:
• Lavender and chamomile may be diffused in the evening to reduce agitation and prepare for sleep.
• Peppermint and lemon can support alertness and engagement during the day.
• Vanilla or cinnamon may be used to trigger warm, personal associations—inviting verbal expression, eye
contact, and moments of connection.
The delivery methods are simple: a few drops in a diffuser, a scented cloth, or even personal inhalers designed for use on the go. And the outcomes, when done right, can be profound, offering non-pharmacological relief from stress, confusion, sundowning, and even episodes of aggression.
“I’ve seen aromatherapy soften a tense moment, bring a tear of recognition to someone’s eye, or create a quiet space where fear used to be,” says Dr. Stelter. “It’s small, but incredibly powerful.”
A Burnout Remedy, Too
Importantly, aromatherapy doesn’t just benefit the person with dementia. It also supports caregivers, who often carry the invisible emotional toll of constant vigilance, emotional labor, and interrupted sleep. ICA’s own research into Transactional Dementia Intelligence (TDI) reinforces that emotional regulation and sensory grounding are vital tools for caregivers, not just care recipients.
In many ICA-trained communities, scent stations are being incorporated into break rooms and staff areas—providing a simple, restorative experience between shifts or challenging encounters.
“The same limbic systems exist in all of us,” Dr. Stelter notes. “Calming the caregiver calms the care. It’s a ripple effect.”
Bringing Aromatherapy to the ICA Community
To spotlight Dr. Stelter’s groundbreaking work, ICA has produced a special podcast episode featuring her insights, clinical examples, and guidance for incorporating aromatherapy into everyday dementia care. Whether you’re a family caregiver or a senior living administrator, this conversation is a must-listen.
Listen to Dr. Stelter Explain Aromatherapy in Dementia Caregiving
Dr. Stelter also co-authored The Busy Caregiver’s Guide to Advanced Alzheimer’s Disease, a practical resource that includes aromatherapy strategies along with a full range of best practices for supporting those in later stages of dementia.
A Natural Solution in a Clinical World
As we continue exploring the theme of burnout and restoration in this issue, aromatherapy offers a deeply human—and refreshingly hopeful—reminder: sometimes, healing doesn’t require technology or theory. Sometimes, it comes through the nose, travels to the brain, and settles in the heart.
And as more ICA-trained communities and caregivers integrate multisensory, person-centered solutions, we move one step closer to a future where care isn’t just delivered—it’s felt.
#Aromatherapy #SensoryTherapy #PowerOfSmell