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Press Herald

Friday, April 30, 2004

Alzheimer's inspires puzzle maker
by VICTORIA GANNON, Portland Press Herald News Assistant

Daniel Cahill never got to see the puzzles he inspired or the business his daughter is building around them. Suffering from Alzheimer's disease, Cahill died in January 2003, shortly before his daughter completed the first prototypes.

Patricia Thompson, Cahill's daughter, is the founder of PuzzledMinds, a Yarmouth company that produces therapeutic wooden puzzles with 12 or fewer pieces. With large knobs, the pieces are easy to reassemble and printed with such iconic images as the American flag and Statue of Liberty.

The puzzles are designed for people with Alzheimer's disease, a progressive degeneration of brain cells that commonly leads to severe dementia. It afflicts an estimated 4.5 million Americans. That number is expected to jump to as many as 16 million by 2050, as the nation's population continues to age and enjoy longer life spans.

A growing number of businesses - including big pharmaceutical companies like Pfizer, assisted-living corporations such as the 126-site Altria Senior Living Group, and massive retailers like Amazon.com - are selling products for this market. But while entrepreneurs such as Thompson lack the financial backing or marketing power of such big-name firms, they have a passion for their products that is borne from personal experience.

Thompson, who retired after working 25 years for the federal government, came up with the idea for the puzzles during her struggle to find appropriate activities for her father. She tried to engage him with magazines and newspapers, photographs and television. Then she thought of jigsaw puzzles.

She was dismayed to find the ones that he could manage were printed with images intended for children. "I couldn't give my father a puzzle with a duck on it," she said.

Eleanor Goldberg, director of the Maine Alzheimer's Association, an organization providing support services to people affected by the disease, agreed that finding activities for people with Alzheimer's is difficult.

"People with Alzheimer's disease are adults and we need to treat them accordingly, and work with them on that level," she said. "Puzzles are a good activity for some people and (it's a good idea) to have those pictures relevant to their lives."

People with Alzheimer's, just like anyone else, respond well to activities with familiar themes.

"For example, if I'm not someone who was a cook, a cooking activity probably would not capture my attention," said Goldberg.

It's also important that activities are formulated to meet each person's skill and comprehension level. "You want them to experience success, rather than frustration or failure," she said.

Thompson considered these factors when developing her puzzles. She went through a process of trial and error to create a puzzle that Alzheimer's patients can do and still retain a sense of dignity. Those in early stages of the disease can assemble them. Those in later stages can simply handle the wooden shapes.

She debuted the puzzles in July 2003 at the National Alzheimer's Disease Education Conference in Chicago.

Thompson made several adjustments to her initial design, hoping to make the puzzles as adaptable and facile as possible. She abandoned interlocking pieces for smoothly cut ones, chose a matte finish for the images rather than glossy.

She reproduced simple pictures - of the Brooklyn Bridge, a Maine lighthouse, the Eiffel Tower - that adults had a good chance of recognizing. "Every time they recognize an image, it triggers their long-term recall," she said.

Thompson's hope is that use of the puzzles may slow progression of the disease. She hopes to secure grant money so formal research on the puzzles' benefits can be done. Initial feedback from Alzheimer's caregivers and experts suggests the puzzles are effective for engaging the minds of patients.

Produced in Mexico, the puzzles became available in November and sell for $39.95. One of Thompson's two employees markets them to assisted living facilities, nursing homes, hospitals and adult day-care centers. The product also is available at medical conferences that Thompson attends and through the PuzzledMinds Web site, www.puzzledminds.com. Like most startups, the business is not making money yet.

Her father's memory fuels her entrepreneurship, said Thompson. "I would fail my father if I stopped," she said. "I'm interested in making a profit, but I'm also interested in those 4.5 million people (with Alzheimer's) sitting out there doing nothing."

News Assistant Victoria Gannon can be reached at 791-6309 or at:

vgannon@pressherald.com

 

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