Tips for Personal Care

September 15th, 2009

Guidelines for Helping with Daily Self-care Tasks

  • *Simplify and clarify the task.  Clothing garments with simple fasteners or a permed hairstyle any go far in enabling the person to complete a task independently.  Clarify the task with environmental cues such as a comb and brush set out by the makeup mirror.
  • *Reduce distractions such as background noise to confusing cues (such as clutter or similarly colored toilet and dressing stool covers.)
  • *Keep a regular routine.  A regular routine makes life more predictable and easier to cope with.  This reduces confusion and improves the individual’s cooperation and ability to perform self-care.
  • *Be flexible and patient.  It is important to remain flexible and patient because the first attempt at getting a task done often will not work.  Also, remember to not take refusals personally, the person with Alzheimer’s disease cannot help his/her behavior.
  • *Use good communication techniques.

 

Techniques for Helping

  • *Break the task into steps that are small enough to match the person’s abilities.  For example, a person may need to have tasks broken into smaller steps such as:  put toothpaste on the toothbrush, brush your teeth, rinse your mouth, and dry off your mouth.
  • *Demonstrate the step.  For example, when you say “wipe your mouth” you can wipe your own mouth.
  • *Help begin the action.  Even when you demonstrate a step, the person may still not be sure what to do.  You can help by beginning the action until he/she remembers what to do.
  • *Give the person time to finish the step.  Rushing a person with Alzheimer’s dieses usually will increase confusion, embarrassment, and resistance.

 For more information contact 317-218-5111 or www.behomelivelife.com

Personal Care

September 8th, 2009

To Help or Not to Help:   Personal Care

 

Self care activities (such as dressing and grooming) are not just tasks that have to be done in order to remain physically alive.  They are opportunities caregivers have to help individuals with Alzheimer’s disease maintain their physical, mental, communication, and social skills, as well as their dignity and self-respect.  Using effective approaches to these activities can help enhance an individual’s overall well-being for as long as possible.

 

Encourage the person to do as much as possible for him/herself.  If your family member can comb his/her hair, allow him to do so while you make the bed or complete another quick household chore.  You may need to finish (such as combing the back of the head) but it strengthens self care independence while maintaining individual identity and self-esteem.

Tips for Challenging Behaviors

September 1st, 2009

The easiest way to cope with problem behaviors is to prevent them.

           

  • Be alert to verbal and nonverbal warning signs of possible problems developing.
  • Stop and think about the situation
  • Use the problem solving approach to help prevent problems, as well as to respond more effectively when problem behaviors occur.

 

The first step in problem solving approach is to try to identify the cause of the behavior.  What happened before the person began getting upset?  Talk with the person to see if she/she has any physical discomfort or unmet needs.  Try to identify the emotions he/she is feeling.

 

The second step is in the problem solving approach is to look for possible solutions or changes that will meet the person’s needs.  Once identified, some needs have clear solutions.  However, response to other problems may require creative thought and repeated efforts.  When unable to identify the cause, start with the basics, a drink, snack, or a trip tot the bathroom.

 

Also keep in mind that a response may work on time, not the next time, and work again later.

 

For more information contact 317-218-5111 or www.behomelivelife.com

Behavior Challenges

August 25th, 2009

Alzheimer’s disease and other dementias result in brain damage that impair function and can result in problem behaviors.  It is important to remember that the individual cannot help what he/she is doing; the behavior is caused by the disease.

 

What do difficult behaviors occur?

An environment can be bewildering, threatening, or frightening to a person with dementia.  For example:

  • Too much noise and stimulation
  • Inadequate lighting
  • Too much clutter
  • Confusing, insufficient, or confliction cues as to how specific spaces such as a bathroom, hall or dining room are to be used.

 

Any of these factors can make the environment seem bewildering, threatening or frightening to a person with e dementia and can lead to problem behaviors.

 

People in your home can contribute to the development of problem behaviors as well:

  • A lot of visitors or holiday gathering with many family members can feel overwhelming to a person with Alzheimer’s disease.
  • Verbal communication may be unclear
  • Nonverbal communication may conflict with words that are spoken or may be negative.  Emotional communication is particularly important for person with dementia who readily pick up on feelings of anger, happiness, frustration, ect.

 

Adapting daily activities to the person’s retained abilities is also key to preventing problem behaviors.

 

For more information contact 317-218-5111 or www.behomelivelife.com

Communicating with Dad

August 18th, 2009

Although people with Alzheimer’s disease gradually lose the ability to use words to express and understand ideas, they do retain the ability to communicate emotionally.  They can comprehend the meaning of a hug, a handshake, and a loving or disapproving glance.

 

Improving you own communication:

 

There are several things you can do to improve your own communication

 

  • Explain what is going to happen
  • Use short, simple sentences, being specific and direct about what you mean.
  • Use contract and common words, not abstract or fancy words.  For example say “use” instead of “utilize.”
  • Avoid clichés such as “A slip of the tongue” or “Don’t cry over spilt milk.”
  • Use the proper names and common nouns.
  • If the person has trouble understanding what you are saying:  repeat what you said twice.  Revise and restate using different words.
  • Assume the person can understand more than he or she can express.
  • Avoid logical discussions or debates.  Instead, respond to the feeling that the individual is expressing.
  • When asking a question, limit the number of answers or choices.
  • When giving instructions, give one direction at a time, breaking the task into small steps.  Allow time for completion of each direction before you go on.

For more information contact 317-218-5111 or www.behomelivelife.com.

Communication Tips

August 11th, 2009

 

Although people with Alzheimer’s disease gradually lose the ability to use words to express and understand ideas, they do retain the ability to communicate emotionally.  They can comprehend the meaning of a hug, a handshake, and a loving or disapproving glance.

 

Often a person with dementia will pay more attention to the nonverbal communication than the words used. 

 

  • Evaluate hearing and vision if possible.  Assess the person’s hearing and vision.  If hearing or vision aids are available, be sure they are in working order and are used.
  • If the person can’t find the right word, you can:
    • Encourage the individual to act out the meaning:  Demonstrate “want to eat” with an eating motion
    • Encourage the person to “talk around” what he/she is trying to say, gradually “zeroing in” on the meaning.
    • Say what you think he/she is trying to communicate, sort of like playing “20 questions.”  Remember that people with Alzheimer’s tend to recognize words that they hear or see even when they no longer can recall words.
    • Be cautious about correcting wrong words, such as when sugar is referred to as salt.  The purpose of correcting a mistake is to health other person learns the correct way to do or say something.  A person with Alzheimer’s disease may be unable to learn and remember the information you are giving.  Consequently your corrections may only serve to frustrate the person.

For more information contact 317-218-5111 or www.behomelivelife.com.

 

Tips for Meaningful Days

August 4th, 2009

Meaningful activities are those events or tasks that are failure free opportunities for success.  Here are some strategies for creating meaningful days for your loved one who has Alzheimer’s or another related dementia.

 

 

  • *Look for activities that will be failure free.   A craft project with a pre-set outcome or appearance may be too difficult, whereas arranging silk flowers in a vase is a failure free task.
  • *Reduce distractions so the person can focus on the task, eliminating things such as background noise from the television.
  • *Keep exercise and physical activity part of everyday, as it helps keep sleep and nighttime habits normal.
  • *Familiar activities such as setting the table and folding laundry should be part of the daily routine that the person with Alzheimer’s disease helps with.  The tasks are meaningful, familiar activities and assist to remain skills as long as possible.
  • *If music, exercise, or spiritual activities were part of your family member’s routine each week, those type of activities should occur frequently during the week now as well.

For more information contact 317-218-5111.

Meaningful Days

July 30th, 2009

 

 

A meaningful day is a day filled with activities that create a sense of belonging and well-being, and the person with Alzheimer’s disease can participate in easily.  Here are some strategies to create a meaningful day for you and your family.

 

  • *Enjoy reminiscing with your family member.  Short-term memory may be damaged, but long-term memory often remains.  When reminiscing it is helpful to talk about subjects such as winter snowstorms or making holiday dinners rather than a specific memory or event from the past.
  • *Recognize the special abilities that often remain and enjoy them together.
  • *All people, with or without Alzheimer’s disease enjoy the same things:  a good meal, animals, babies, or favorite music.
  • *People with Alzheimer’s disease enjoy other forms of affection.  Sit close and look at pictures.
  • *Look for activities that will be interesting to the person.  In seeking activities the individual would enjoy, it helps  to think about past work experiences and past and present interest.

For more information 317-218-5111 or www.behomelivelife.com.

Tips for Summer Fun and Safety

July 24th, 2009

Summer Safety Tips

 

            Summer provides wonderful opportunities for families to create meaningful moments with loved ones diagnosed with dementia.  Enjoying gardens, family cookouts, or holiday celebrations are fantastic ways to reminisce with your loved one.

            There are a few safety tips to remember.

 

  1. Be sure to use sun block.  As a person ages, their skin becomes thinner and will burn more easily.  Also many medications can cause a person to burn more easily the longer they are in the sun. 
  2. Provide plenty of beverages.  Dehydration can be a serious issue for aging seniors.  Someone with dementia may not realize they are thirsty or overheating. 
  3. Sit under a shaded area.  This will also help prevent sunburn or over exposure to the sun.
  4.  Avoid areas where the side walk is uneven or has broken concrete.  A person with an unsteady gait may be more likely to fall if the pavement is not smooth. 
  5. Utilize courtyards or fenced in yards to avoid wandering.  Wandering can become a serious problem in the heat of summer. 

Remember, spending time outdoors is an important part of an aging persons daily routine.  Practicing good safety tips will ensure that everyone has a great time without stress.

 

 For more information call 317-218-5111 or www.behomelivelife.com.

 

Elder Abuse

July 17th, 2009

Providing care for someone with Alzheimer’s or another related dementia can be one of the most stressful events in a person’s life.  Often, caregivers are the children of elderly parents requiring 24 hour care.  These adult children are not medical professionals nor do they have prior experience providing medical care.  The typical caregiver often has a job during the day and is “sandwiched” between raising a family and caring for their parents.

            According to the National Center on Elder Abuse, “between 1 and 2 million people have been injured, exploited or mistreated by someone on whom they depended for care or protection.”  It is also estimated that only 1 in 14 cases of abuse are reported for investigation.  Nearly everyone would assume that caregivers described in the previous statistics are paid caregivers.  This is not always the case.  It is estimated that nearly 50% of all abuse reported is perpetrated by an unpaid caregiver, typically a family member.

            There are a variety of reasons caregivers become abusive to the aging senior for whom they are caring, especially if the individual has a diagnosis of dementia.  Often people with dementia experience personality changes.  A common statement professionals hear when interviewing a family caregiver is, “My dad was never like this before.”  The person with dementia may refuse to bathe, eat, sleep, or even participate in activities he once enjoyed. Another common complaint is, “My mom asks me the same questions over and over.”  Those repetitive statements and questions can be overwhelming to caregivers already burdened with tremendous responsibilities. 

Many times caregivers will say, “I don’t know who I am anymore.  All I do, day in and day out, is take care of someone else.”  Caregivers forget to take time out to care for themselves.  Often they don’t know where to turn for help, or refuse to ask for help from anyone.

How does a caregiver avoid becoming abusive?  First, the caregiver must have a good support system.  Attending routine supports groups can provide opportunities to vent, ask questions, and receive advice.  It’s important to realize that no one has to go through this alone.

Next, the caregiver cannot be afraid to ask for help.  Relying on other family members, friends, members of their church, and community outreach programs may provide support to give the caregiver respite.  Taking a break to care for one’s self is vital to being fresh and alert in order to provide for needs of their aging senior.

Caregivers should take every opportunity to learn as much as possible about the needs of their aging senior.  For example, if a daughter is taking care of her father with Alzheimer’s, she should attend sessions and seminars which provide education, information and insight for the “just right” care he needs.

Caregivers also need to take credit for the care they are providing.  Being “sandwiched” is not an easy task, but can be accomplished, and good quality of life can be maintained.

 

For more information contact Sollievo at 317-218-5111 or www.behomelivelife.com.