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For elderly, having fun can be therapeutic

Julie Wade danced with Bessye Ravelson, 92, at a party at the Hebrew Rehabilitation Center in Dedham.

Brian Feulner for the Boston Globe

Julie Wade danced with Bessye Ravelson, 92, at a party at the Hebrew Rehabilitation Center in Dedham.

Not long ago, elderly residents in rehabilitation centers were limited to passive activities such as coffee klatches, knitting, and sing-a-longs. But now, despite walkers and wheelchairs, seniors are finding expression in yoga and drumming classes, computer courses, art workshops, and dancing.

“People assume that older adults don’t want to do anything but watch TV, but actually if given the option, they enjoy different activities,” said Julie Wade, 45, a recreational therapist and “community life leader” at Hebrew Rehabilitation’s NewBridge on the Charles campus in Dedham.

Wade, who has a degree in physical education, says the elderly in long-term care are often frail, but they still enjoy having fun, and haven’t lost their competitive spirit. “You don’t see many 90-year-old women playing field hockey in a chair,” she said, “but they’ll be laughing and hooting and hollering.”

You’ve worked in elder care for more than 17 years. What keeps you going?

These folks have such incredible life stories and a wonderful sense of humor. They have taught me never to take anything for granted. A lot of them have vision loss, so they can’t even see me but they’ll say, “Oh, Julie, I know you’re there.” It’s like having 300 grandparents.

How do you work with dementia and Alzheimer’s patients?

Breaking down a project step by step helps make it less overwhelming. If I’m going to do a current events program, for example, instead of reading the whole article, I’ll read the headline and then focus on some quick sentences. Or I’ll enlarge a crossword to a poster-size wall graphic and do one word at a time. It’s important to use more body language and visual aids.

How do you encourage residents to get involved?

If a resident is a loner, that’s fine, I just try to check in and make sure they’re choosing to be alone and that it’s a healthy isolation. Maybe they’re daydreaming, reading a book, or people watching. But sometimes seniors have lost a spouse and friends and don’t feel like making friends with strangers. I’ll encourage them to get out and as their confidence and comfort level builds up.

Elderly women are more likely than men to be in senior housing. How do men feel about being in the minority?

Sometimes there are one or two men in a unit of 12 to 14 residents. Some men are treated like kings and sit at the head of the table; other men are like, “I’m going crazy. I have all these women around me.”

What do you think you’ll be doing when you’re 82?

Telling everyone to leave me alone — no, only kidding. I’ll be taking naps, eating all the bad food that they tell me not to eat, and hopefully, all the 88-year-old men will be chasing me around.

Cindy Atoji Keene can be reached at cindy@cindyatoji.com.