How to Talk to a Parent with Dementia

Caring for a loved one with Alzheimer's can be challenging, but Alzheimer's and dementia care offers vital support and resources as the disease progresses. It can be difficult to care for a loved one who has Alzheimers, especially when the disease progresses, and behavioral changes become more obvious. When this happens, relying on Alzheimers and dementia care can provide much-needed support and resources.  Identifying Behavioral Changes The hallmark of Alzheimers disease is a progressive loss of cognitive function, which frequently results in profound behavioral and personality changes. These changes may include the following: Aggression and Agitation: Unexpected bursts of rage, irritation, or unease are not uncommon. This could be the result of annoyance, confusion, or a poor ability to express needs. Wandering: Seniors who have Alzheimers disease may wander off from their house, frequently as a result of confusion or a wish to return somewhere they know well. Alzheimers and dementia care tips can assist family members in knowing what modifications they can put in place to make sure seniors are safe. Repetition: Repeating questions, phrases, or actions is a habitual behavior. Seniors may use this repetition as a coping mechanism for fear or memory loss. Sundowning: Sundowning is the term for heightened agitation, disorientation, or restlessness in the late afternoon and evening. It can make things especially difficult at night. Paranoia and Delusions: Seniors may start to believe things that arent true, like that someone is trying to break into their home or that family members are out to get them. Depression and Withdrawal: As the disease progresses, apathy, a loss of interest in activities, and social withdrawal are possible outcomes.   Understanding Behavior Triggers Certain triggers frequently cause behavioral reactions in seniors with Alzheimers disease. Understanding these triggers and utilizing tips from Alzheimers and dementia care providers will assist loved ones in controlling and minimizing problematic habits. Typical triggers might include the following: Environmental Factors: Disorientation and uneasiness might be brought on by crowded areas, loud noises, or strange environments. Physical Discomfort: Anger or agitation may be brought on by pain, hunger, thirst, or exhaustion. Communication Issues: Being unable to communicate needs or understand others can be upsetting. Routine Changes: When everyday routines are disturbed, it can lead to anxiety and disorientation. Overstimulation: Excessive activity or stimulation can be exhausting, particularly in large gatherings.   Techniques for Handling Behaviors with Alzheimers and Dementia Care Behaviors related to Alzheimers disease need to be managed with tolerance, adaptability, and understanding. The following techniques may be useful: Maintain a Regular Schedule: Seniors with Alzheimers disease may feel more secure when their environment is predictable and structured. Loved ones should make an effort to maintain regular daily schedules for meals, activities, and bedtime. Simplify Communication: Its important to speak slowly and in plain, simple terms. Additionally, dividing tasks into manageable steps and providing moderate direction can make a big difference. Redirect Attention: If loved ones start to show signs of agitation, attempt to divert their focus to another task or subject. For instance, offer to take them for a walk or have them go through a photo album if they are frustrated about not being able to discover what they are looking for. Focus on Compassion: Even if their concerns are unwarranted, family members should acknowledge seniors emotions and provide comfort. For example, if they are concerned that someone might take their possessions, gently assist them in locating a secure location to store those items.   Alzheimers disease naturally causes behavioral changes. While these changes can be difficult to manage, knowing what triggers them and using helpful coping mechanisms will greatly improve the standard of care seniors are given. Working together with the resources from Alzheimers and dementia care and loved ones can make things easier for seniors as the disease progresses.    If you or an aging loved one are considering Alzheimers and Dementia Care in Lakewood, CO, please contact the caring staff at Talem Home Care & Placement Services today. Call (720) 789-8529 At Talem Home Care of Broomfield, we provide passionate, understanding, and flexible caregivers in Broomfield, Arvada, Aurora, Boulder, Brighton, Commerce City, Denver, Erie, Firestone, Lafayette, Lakewood, Longmont, Louisville, Northglenn, Sherrelwood, Thornton, Welby, Westminster, Wheat Ridge and surrounding areas in Colorado. 

Communicating Beyond Words: 6 Dementia Communication TechniquesCaring for someone with dementia is a profound and emotional experience. Dementia impacts how individuals process and express thoughts, making communication challenging. Yet, as words become elusive, connections can still flourish through compassionate and effective dementia communication techniques.At Community Senior Life, we provide memory care services throughout Alabama and are committed to providing family members and caregivers with practical and effective strategies to communicate beyond words alone. Our team is sharing some of these dementia communication techniques to enhance your and your family members connection.The Importance of Non-Verbal CommunicationWhen verbal communication falters, nonverbal techniques offer a lifeline. Learning and incorporating nonverbal communication becomes essential. Simple gestures, expressions like a warm smile, familiar surroundings, music, and other nonverbal cues bridge gaps in understanding, providing comfort and connection. Leveraging these cues can create a more nurturing and supportive setting to help individuals feel seen and valued.6 Effective and Compassionate TechniquesUse Body LanguageBody language is one of the most powerful dementia communication techniques. Maintain an open posture, face the person directly, and use calm, slow movements. Avoid crossing your arms or displaying impatience, as these can create barriers and increase feelings of frustration or isolation. Instead, extend a hand or offer a gentle touch to show support and encouragement. Smiling and nodding can also help convey warmth and understanding, making the person feel more comfortable and valued.Create a Familiar SettingMaintaining a space that feels familiar can help your family member feel safe and ease anxiety. Surround your loved one with cherished items, photographs, and comforting scents that evoke positive memories and a sense of home. Consistent routines provide a sense of stability, reducing confusion and creating a predictable setting. Incorporating daily rituals, like having a cup of tea at the same time each day, can further enhance their sense of security and familiarity.Music for Mood and MemoryMusic is another one of the profoundly effective dementia communication techniques. Music can evoke emotions, trigger memories, and create connections that transcend verbal communication. Play familiar tunes or songs from their youth to stimulate joy and engagement. Encourage gentle humming or tapping along, fostering a shared moment of happiness and connection. Simple instrument playing or sing-alongs can further engage a family member with dementia in a therapeutic and enjoyable manner.Eye Contact and Facial ExpressionsEye contact can convey presence and attentiveness, making a family member with dementia feel valued and recognized. Combine this with warm, expressive facial expressions to show empathy and understanding. Smiles, nods, and soft gazes can transcend verbal limitations, bridging emotional gaps and fostering a deeper connection. Additionally, mirroring their expressions and emotions can help them feel understood and connected, reinforcing their sense of self-worth and significance.Voice Tone and Personal AppearanceA gentle, soothing tone of voice can reassure and calm individuals with dementia. Speak slowly and clearly, using simple phrases and pausing to allow them time to process information. Your personal appearance also matters; dressing neatly and maintaining a clean, welcoming demeanor can make interactions more pleasant and respectful. These elements combine to create a comforting presence, helping to set a positive tone for communication and interaction.Giving Personal SpaceWhile engagement is vital, an often overlooked dementia communication technique is simply providing space and respecting privacy. Allow your relative moments of solitude, ensuring they feel autonomous and dignified. Providing opportunities for independent tasks, such as simple occupations or hobbies, can enhance their sense of self and purpose. Balancing interaction with independence fosters a respectful and empathetic relationship, ensuring that their needs for both connection and privacy are adequately met.Enhancing communication with people we love and who have been diagnosed with Alzheimers disease or any other form of dementia requires patience, empathy, and creativity. Compassionate care is the foundation of our memory care communities in Alabama, enriching lives and nurturing bonds. Are you ready to enhance your communication with those close to your heart? Contact a member at 251-981-0200 of the Community Senior Life team to learn more about our programs, amenities, and services. Better yet, schedule a tour at any of our memory care communities in Alabama to discover how our compassionate caregivers can support your family member and provide them with a dignified lifestyle.

Introduction: I felt strongly compelled to write this blog on heart failure as it is such a pertinent issue in the aging population today. Before I go into details on this, Id like to address the definition of this disease process. Heart failure occurs when the heart doesnt pump well and fails to deliver adequate oxygen to the body. As a result, fluid builds up in the body and vital organs dont get the blood that they need. This can make it harder for individuals to perform everyday tasks and can lead to eventual overall decline. Problem:Heart failure is the number one reason for hospital admissions in older adults, and often leads to multiple readmissions (Agarwal et. al., 2021). As a cardiac nurse for many years, I can attest to the fact that heart failure is the biggest reason for multiple hospitalizations in seniors. Patients come in and out for problematic symptoms, sometimes coming into the hospital as often as every month. The three biggest symptoms I see that result in hospital admissions are shortness of breath (particularly when lying flat), weight gain, and swelling in the legs.One reason for such frequent admissions is the complexity of heart failure itself. It is a complicated clinical syndrome and is notoriously difficult to manage. A lot is put on patients to manage their heart failure at home, and this can be a challenge. In addition, individuals may have some level of cognitive impairment or multiple other comorbidities, making it even more challenging to perform the extensive monitoring needed to prevent heart failure from worsening. The importance of education:Education is also important in the treatment of heart failure. Unfortunately, this often does not get done. When I first started working in acute care back in 2004, every patient received extensive education in managing their heart failure prior to discharge. Nurses would provide lengthy verbal education on the importance of medication adherence, daily weights, low salt diet, and other factors, in addition to providing the patient with a heart failure educational pamphlet prior to discharge. Over the years, however, hospitals have increasingly faced staffing shortages and high nurse turnover. As a result, a lot of important patient education is not getting addressed. A lack of awareness and understanding in patients on how to manage their heart failure is definitely a key reason for worsening heart failure and repeated hospitalizations. Management:From a clinician standpoint, the goal in addressing heart failure is twofold: we want to reduce symptoms and prevent mortality. The best way to do this is through patient/family education and implementation of a treatment plan. A proper treatment plan will include such lifestyle modifications as a low salt diet, quitting smoking, and getting regular physical activity. A low salt diet can be incredibly helpful in preventing further fluid build up in the body. The American Heart Association recommends that all individuals consume no more than 2,300 mg of sodium per day (AHA, 2024). In todays era of processed and packaged food, a majority of the American population consumes much more than that, and it comes in the food itself rather than the saltshaker. Maintaining a low sodium diet has one other priceless benefit that I often do not see emphasized enough in heart failure: it can help reduce blood pressure. Almost half of all heart failure patients have uncontrolled hypertension (Heart Failure, 2022). It is a major risk factor in the development of heart failure and managing it can greatly reduce heart failure symptoms and decrease stress on the heart. Current guidelines recommend maintaining a systolic blood pressure of less than 130. Medication management is another important factor in the management of heart failure. This often includes the use of diuretics, beta blockers, and other medication classes that I will not go into detail on. I wanted to discuss diuretics and beta blockers because these are the two medications in heart failure that I see non-compliance with the most. I witness individuals often not taking one or the other for two main reasons:  they either dont understand the importance of them or they dont like the side effects. Seniors can often have difficulty getting up to go to the restroom. Diuretics cause frequent trips to the restroom because their purpose is to get excess fluid off the body. Many individuals do not comply with their prescribed diuretic because of the hassle of frequent bathroom trips. Unfortunately, ineffective diuresis causes heart failure to worsen and puts further stress on the heart. I often see non-adherence to beta blockers due to their side effects. The two biggest symptoms that get reported to me are fatigue and dizziness. As in the diuretic, a beta blocker can also help reduce the stress on the heart, and heart failure symptoms can worsen if the prescribed dose is not adhered to. Its important to maintain prescribed medication regime and if any negative symptoms are experienced to discuss them with the doctor. One final thing:I wanted to touch on one final monitoring recommendation for heart failure because it so often gets missed: daily weights. Weighing oneself daily is of tantamount importance in heart failure and can identify early on if heart failure is worsening. This can lead to early intervention, thus decreasing potential hospitalization. Adherence to this all too often does not occur. I see patients come into the hospital for large amounts of weight gain often 20 or more lbs. Many patients report that they never stepped on the scale to assess for weight gain and often do not get admitted to the hospital until symptoms are severe such as severe weakness and shortness of breath. In heart failure its recommended to contact the doctor if weight goes up by more than 2 pounds in a day or greater than 4 pounds in a week. The doctor can make modifications in the treatment regime and hence reduce potential hospitalizations and mortality. Conclusion:Heart failure is complex but manageable. Early action can prevent hospital admissions, reduce mortality, and optimize quality of life. Having ongoing guidance from an experienced clinician can be of great benefit if you or your loved one is having difficulty managing heart failure and other disease processes. Please do not hesitate to reach out to me if you have any further questions. I want to help and make the process of aging as stress free as possible while promoting positive health outcomes.  My name is Laura Carson and I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. Contact me for a 20 minute free consultation at 714-403-7040.  References:Blood Pressure and Glycemic Control Among Ambulatory US Adults With Heart Failure: National Health and Nutrition Examination Survey 2001 to 2018 (April 28, 2022). Heart Failure. Almost half of heart failure patients have uncontrolled hypertension and diabetesAgarwal, M., Fonarow, G., & Ziaeian, B. (February 10, 2021). National Trends in Heart Failure Hospitalizations and Readmissions From 2010 to 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC7876620/Weber, C. (May, 2023). Heart Failure Pharmacology.  How much sodium should I eat per day? (2024). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day