Yes, they do need the stimulation of the activity room but on the flip side they also need to get off that bottom as well. Constantly sitting is not good for circulation or skin integrity on the pressure points. So yes there is a balance between the two. Many of our residents that are wheel chair bound are up in the morning for breakfast and early morning activities, then down for a nap before lunch, then up for lunch and early afternoon activities, then back down for a short nap. It's the best of both worlds. It is just that circulation which affects the lower extremities and skin integrity issues that have to be addressed before they become a problem.
I do have a problem with "asking" the demented patient what is best for them. Giving them choices to a point is necessary but when it comes to something that is health related, sometimes common sense has to prevail. Then you have the fact that they may or may not understand the question and may or may not give an informed answer that truly reflects their desires. We have one that you can ask if she wants to eat, ask her if she is hungry, ask her if she would like to come to lunch and the answer is ALWAYS an emphatic NO. Yet if you bring her to the table and sit a plate in front of her she will eat everything on it. You guessed it... if you ask her if she wants to stay in her room and miss lunch she also says no
In order to determine if they are giving you cognitive answers you have to ask the question in several ways that require both yes and no answers.
It is good that he is still using the walker first thing in the morning and that he does respond to the music. Music is amazing with cognitive decline. Many times that is the last thing they will respond to. It is the nature of music. Rather than using one brain center as we do in speech or other cognitive abilities Music uses every part of the brain and even if only one part responds.. you get a response. It's great therapy!... and I am glad they are using it
Just be sure they are watching the skin integrity on the bottom and for indication of lower extremity circulation problems such as ankle swelling