Objects that capture their attention are divided into two classifications: one hand or both hands.
Held in Both Hands
When caregivers are in close proximity to the person during self-care activities and other medical necessities, the person needs two handed objects to hold. Within ACL 2.8, caregivers are in danger of being grasped so tight that it hurts and can cause harm. The reason is probably a misinterpretation of the need for self-protection, and not because the person is vicious. The caregiver can be protected by giving the person a soft object that can be held in both hands: scarf, necktie, towel, flexible plastic tube, two empty plastic bottles.
The person can usually grasp an object when it is handed to them. They may not be able to let go of it or their release may be very slow. Release time can be measured with a stop watch, and the measurement helps caregivers know what to expect.
While seated, the person may enjoy singing along with simple songs that have associated actions. Everyone's memory is affected by a cognitive disability, which means that singing the same few songs over and over again is often enjoyed.
Held in One Hand
Some people enjoy carrying an object around and the selection is usually related to the individual's activity history. Activities that they have done a lot in their lives probably have pleasant procedural memories. Women, who have fond memories of babies, like to carry baby dolls. Finding other objects for individuals is a challenge.
Once an adult with a cognitive disability within ACL 2.8 holds onto an object, they may cling to it during all of their waking hours for months. The object will be subjected to a lot of wear and tear. When family and friends are involved in trying to find an acceptable object, they need to be warned about the requirements for durability, cleanliness, the necessary restrictions on removable attachments that might be chocked on and the necessity of avoiding objects that could be used as weapons.
Toys that were originally designed for teething toddlers have been a fruitful place to look. The similarities between toddlers and people with a cognitive disability who are standing up or walking carry over into doing similar activities with similar material objects. The challenge is to find objects that do not offend the person's dignity.
Provide objects that they can hold in both hands while walking if they grab onto people or objects as they pass by.