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When someone you love has dementia, you’ll notice that things are changing quickly. When they make mistakes and fumble with the little things, our instinct is to correct and remind. That’s to be expected. After all, you’re hoping that a little push and a dose of reality would be enough to lead them back to the person you know and love.
As you will see below, corrections and
reminders won’t always work. Effective communication with a dementia patient
requires an adjustment of expectations. In the following, we’ll get you
started.
Forced choices
Everyone likes to have a choice. But
having too many options can actually be confusing to a patient with dementia.
That’s because their working memory is operating in limited capacity. Working
memory is where the brain retains just the right amount of information to
finish a task — think of dialing a new phone number. So you can see how loss of
working memory can be problematic in conversation and hinder decision-making.
That’s where the forced choice method
can lift that burden for your loved one, and cut the confusion. Watch the video here.
Help with sequencing
We take basic daily tasks for granted:
eating, standing, brushing our teeth. Though these tasks feel natural and
automatic, we rely on the frontal lobe to help us complete these tasks. When
someone is experiencing dementia, the brain degeneration can make them lose
their ability to access this command center. When you see your loved one
freeze, as if in confusion, you can help them through the basic task with
sequencing, by breaking down the tasks into simple steps. This video about
sequencing provides some examples.
The therapeutic fib
You can never go wrong with the truth,
or so you’re taught. But when it comes to dementia and Alzheimer’s, the truth
actually has a cruel side. Because when someone is living with degenerative
memory, they sometimes lose track of key details of their loved ones. The fact
that a partner or a child is deceased or gone can literally be forgotten. In
cases like these, telling the truth can be devastating — it will be as if
they’re hearing this horrible news for the first time. This is where a
therapeutic fib can get you both through the difficult moment, and this video explains
how.
Admit wrongdoing when
you’re right
Speaking of truth, sometimes your
loved one with dementia will get basic things wrong. They may insist, for
example, that they can’t possibly be a grandparent because in their mind,
they’re only 25 years old! This can be a painful moment, because this represent
a loss in your relationship with them — and you want to hold on. But fighting
these beliefs is futile. This video will show you how to gently move past
the conversation.
Repeating themselves
Hearing the same story, especially if
they think you’re hearing it for the first time, can get frustrating. The wrong
response is trying to make them understand they’ve already told it. In this
segment, we’ll show you how to get through the moment.
The important thing to remember is
when a person has dementia or Alzheimer’s, the brain is going through massive
changes. That can be difficult to take. Take a look at this video, What’s Happening
to Their Brain?, so you can put yourself in their shoes.
Understanding what’s at work can go a long way in good communication when your
loved one has dementia.
Learn more about how we provide specialized care in our series “Insights from Arthur’s” featuring educational videos from Arthur’s Director of Development and Senior Care Consultant Deb Nygaard.
Alzheimers is the most common type of dementia and occurs when plaques and bundles of proteins build up between nerve cells in the brain, ultimately causing brain cell death. Individuals often experience confusion, memory loss and inability to care for themselves. The disease is physically degenerative and is often mentally and emotionally draining on both the individual with the disease, as well as family members around them. If you or a loved one has been diagnosed with Alzheimers, you likely have a lot of questions. At BrightStar Care, our team has experience in working with clients and families dealing with Alzheimers and want to help you better understand the road ahead.Causes & Diagnosis of AlzheimersWhen caring for a loved one with dementia, knowledge and understanding of their condition can be invaluable. Although every case of Alzheimers disease is unique, there are some commonalities in terms of causes, symptoms and general prognoses.What causes Alzheimers?For people diagnosed with Alzheimers, the exact timeline, symptoms and primary causes will vary. There are many possible causes of Alzheimers disease that include genetic, environmental and/or lifestyle factors. Diet, sleep patterns and a lack of both cognitive and physical exercise may all play a role in the causes of Alzheimers.What is the difference between Alzheimer's and dementia?Dementia is not a disease itself, but rather a group of symptoms that impact brain functionality caused by various diseases and conditions. Alzheimers disease is the most common form of dementia, accounting for 60-80% of dementia cases.What is the 12-question test for Alzheimers? The 12-question test for dementia, also known as the Mini-Mental State Examination (MMSE), is a clinical tool used to evaluate cognitive impairment. It assesses several cognitive functions including memory, orientation to time and place, language abilities, and calculation skills. By asking a series of 12 questions, healthcare providers can gauge a person's cognitive status and help determine the likelihood of dementia.Alzheimers Symptoms & PrognosisThe earliest detectable signs of Alzheimers include memory trouble, apathy and depression. People in the early stages of Alzheimers might have problems completing familiar tasks or misplace things and be unable to retrace their steps. As the disease progresses, more severe symptomsincluding impaired communication, poor judgment and disorientationmay emerge. Each individuals experience with Alzheimers is unique. Your doctor and medical team can help you better understand your condition, symptoms and any treatment options as they relate to you. What are the symptoms of Alzheimers?Alzheimers is most commonly characterized by mental confusion and forgetfulness. Some common tell-tale behaviors are forgetting familiar names, getting lost in familiar places, and an inability to complete routine tasks.How can I tell the difference between Alzheimers and typical signs of aging?While forgetfulness and confusion are associated with Alzheimers, these symptoms also accompany normal aging. So, how can you tell the difference? The Alzheimers Association lists memory loss as a challenge that disrupts daily life, challenges in planning or solving problems, and difficulty completing familiar tasks. They also differentiate these symptoms from the milder signs of normal cognitive decline. For instance, while a normal older adult might occasionally struggle to balance their checkbook or forget an important name or date and then remember it later, these difficulties are more persistent or extreme for an Alzheimers sufferer.For example, occasionally losing your keys or forgetting what you had for breakfast that morning is common among older adults. However, a person with Alzheimers may show even more pronounced lapses in memory. For instance, they may not only lose their keys, but also completely forget what keys are for, showing a stark decline in cognitive connections. Whats the typical Alzheimers prognosis? For people diagnosed with Alzheimers, the exact timeline, symptoms, and severity of their disease can vary. However, the trajectory of the disease tends to flow through seven distinct phases, originally outlined by Dr. Barry Reisberg of New York University.The arc generally begins with symptoms similar to those of normal aging, proceeds through gradually worsening stages that can include difficulty with simple arithmetic and forgetting personal details, and ends with severe decline typified by the inability to swallow.Early stages: Early-stage Alzheimers typically includes mild decline, such as difficulty in finding the right word during conversation, losing personal possessions and having trouble remembering familiar names. At this stage, family members can typically manage care for their afflicted loved one. Middle stages: This period is marked by moderate decline in mental faculties, including poor short-term memory, inability to manage personal finances, difficulty dressing or grooming and significant confusion. In these stages, a person with Alzheimers may need occasional in-home care or nursing services.Late stages: In the final stages, severe decline is present, including inability to recognize familiar faces, inability to remember personal details, loss of bladder control and major personality changes. Individuals at this stage either relocate to a residential facility or have a full-time in-home caregiver.Is there a cure for Alzheimers? Theres no known cure for Alzheimers, only treatments that can ease symptoms. The FDA has approved two types of medications (cholinesterase inhibitors, such as Aricept, Exelon, and Razadyne, and memantine, found in Namenda) that diminish mental confusion, memory loss, and other cognitive symptoms, but these do not reverse the underlying causes.Recent research and clinical trials have made potential breakthroughs with immunotherapy treatments and monoclonal antibodies. Many also suggest herbal supplements like gingko biloba and coenzyme Q10, but these lack confirmation through clinical trials. Additionally, non-drug interventions such as cognitive behavioral therapy as well as caregiver support programs can improve quality of life, especially in early stages. Alzheimers Prevention and Management Understanding the nature of Alzheimers and how to manage it can positively impact families affected by this disease. Having accurate information about risk factors, early warning signs and how to manage each stage of Alzheimers can help support family caregivers throughout the progression of the disease. How can I prevent Alzheimers? There are no proven ways to completely prevent Alzheimers. As with many degenerative illnesses, a healthy lifestyle, including regular exercise, balanced diet, and effective sleep habits, may help lower the risk of developing Alzheimers. Research has shown a correlation between high blood pressure and high cholesterol and the incidence of the disease. Doctors recommend getting these numbers to a healthy level, not only for Alzheimers prevention but for general good health.There are a variety of ways to maintain good brain health that can also work toward a lower likelihood of Alzheimers disease. Regular social interaction, brain stimulating activities such as puzzles and learning new skills, and managing stress levels can help maintain cognitive health. Certain forms of physical exercise can also support brain health such as walking, swimming and strength training. Is Alzheimer's hereditary?There are rare familial forms of dementia caused by genetic mutations such as familial Alzheimers disease, frontotemporal dementia and familial vascular dementia, which are more likely to occur in people under the age of 65. However, research shows that most cases of Alzheimers are not linked to genetics.How prevalent is Alzheimer's?Before the age of 65, only 1 out of every 1,000 people develop dementia. The chance of having the condition rises sharply with age to 1 person in 20 over the age of 65. Over the age of 80, this figure increases to 1 person in 5.How does Alzheimer's disease progress over time?Alzheimers is a degenerative disease that progresses in stages from mild to moderate to severe. The disease usually starts with mild symptoms such as increasing forgetfulness, then progresses to general confusion and disorientation. Finally, Alzheimers patients end up with severe symptoms, such as an inability to communicate or care for themselves.Caregiver Support for Alzheimers Disease Caring for a loved one with Alzheimers disease can be difficult from both a physical and emotional perspective. Family caregivers can benefit from trusted resources to help them more effectively communicate with their loved one with Alzheimers. Having the right resources and information can help them learn to manage difficult behaviors like agitation and wandering and ensure safety and fall prevention in the home. At BrightStar Care, we can help connect you with resources to support family caregivers, including support groups, education and training. For those with family members in the early stages of Alzheimers, we offer respite care to help give you a much-needed break. And as their condition progresses, our team can match you with compassionate, qualified memory care professionals. Reach out today and let us know how we can help.To learn more please contact us at 303-300-6666.
Supporting Families on the Alzheimers Journey: Understanding, Compassion, and Help from Caring TransitionsAlzheimers disease touches millions of lives around the world. When a loved one is diagnosed, it can feel overwhelming not just for the individual, but for their entire family. The journey is filled with uncertainty, emotional ups and downs, and practical challenges. At Caring Transitions Twin Cities Central, we understand these struggles and are here to offer guidance, compassion, and support every step of the way.What is Alzheimers Disease?Alzheimers is a progressive neurological disease that affects memory, thinking, and behavior. In the early stages, a person may experience forgetfulness or confusion. Over time, tasks that once seemed simple like managing a household or carrying on a conversation can become difficult. Each persons journey is unique, and so is the way the disease progresses.Early detection can help families access medical treatments and support services, but receiving a diagnosis is never easy. It often raises more questions than answers and thats where education and community support play a critical role.Caring for a Loved One with AlzheimersCaring for someone with Alzheimers involves much more than meeting physical needs. It requires patience, empathy, and a deep understanding of the person behind the diagnosis.Simple adjustments can make a big difference: Create daily routines to offer a sense of stability. Communicate clearly and calmly. Modify the home environment to ensure safety and comfort. As the disease progresses, changes in behavior such as agitation, wandering, or withdrawal can be difficult for families. Its important to remember that these behaviors are symptoms of the disease, not a reflection of your loved ones feelings or character.The Emotional Impact on FamiliesAlzheimers doesnt just affect the person diagnosed; it impacts the entire family. Caregivers often experience a range of emotions sadness, frustration, guilt, and even grief for the person their loved one used to be. Its crucial for caregivers to acknowledge these feelings and seek support for themselves.Support groups, counseling, and respite care can provide much-needed relief and a sense of community. No one should have to navigate this journey alone.How Caring Transitions Can HelpAt Caring Transitions Twin Cities Central, we specialize in helping families manage some of the most overwhelming aspects of caring for a loved one with Alzheimers. When its time to downsize, declutter, or relocate, these tasks can feel emotionally and physically exhausting. Our team provides compassionate, professional assistance handling everything with care, patience, and respect.Whether youre preparing a safer living space, transitioning to a memory care community, or organizing a family estate, were here to help lighten the load.You Are Not AloneAbove all, remember: you are not alone. Countless resources and communities are ready to support you, including national organizations like the Alzheimers Association and Alzheimers Foundation of America, as well as local groups and online forums. And when you need hands-on help with lifes practical transitions, Caring Transitions Twin Cities Central is just a phone call away. Were honored to walk this path with you with understanding, compassion, and care. We can be reached at 651-504-4040 or visit our website at www.caringtransitionstccentral.com
Whether your aging parent is transitioning to assisted living, downsizing to a senior apartment, or moving in with family, planning ahead can ease the stress for everyone involved. Moving in later life comes with unique emotional and physical challenges, but you dont have to do it alone.As a senior living placement company in the Greater Pittsburgh area, weve helped many local families navigate this journey with confidence and compassion. Here are six practical tips to support you and your loved one every step of the way.1. Start Small and Share the LoadLets face it: a lifetime of memories can be hard to pack. Many older adults have spent decades in the same home, surrounded by treasured keepsakes and familiar routines. The thought of letting go can be overwhelming.Heres how to lighten the emotional load: Begin with low-sentiment spaces like guest rooms or bathrooms. That first win builds momentum. Sort together. Create keep, donate, and pass along piles. Encourage your loved one to gift meaningful items to children, grandchildren, or close friends. Make it meaningful. Donating to local Pittsburgh charities or giving heirlooms to family members can bring peace of mind. 2. Consider Senior Move Management ServicesHiring a professional can make a world of difference. While friends and family are often eager to help, a neutral third party especially one trained in working with older adults can ease tension and smooth the process.Look for services like: Senior move managers who specialize in downsizing and relocation for older adults. Companies affiliated with the National Association of Senior Move Managers (NASMM) for trustworthy help. Local resources in Pittsburgh that offer packing, organizing, estate sales, and post-move support. If youre juggling work, caregiving, and moving logistics, outsourcing some of these tasks can give you much-needed peace of mind.3. Make Travel Safe and ComfortableGetting from point A to point B isnt always easy for older adults. Whether youre moving your loved one across town or across state lines, transportation should fit their health and comfort needs.Travel tips for seniors: Add buffer time. Frequent breaks help with circulation and comfort. Plan around mobility needs. For flights, request wheelchair service and pre-boarding. For car trips, pack medications, snacks, and extra pillows. Look into senior transportation services. In Pittsburgh and beyond, some companies offer non-emergency medical transport, including services equipped with stretchers, wheelchairs, or even nursing staff. 4. Set Up Health Care Before the MoveA new ZIP code may mean a new doctor, pharmacy, and care team. Take care of these logistics early to ensure a smooth transition especially if your loved one has ongoing health needs.To-do list: Transfer prescriptions to a nearby pharmacy. Verify insurance coverage in the new area check which local specialists and clinics are in-network. Connect with a geriatric care manager. These experts often know the best local healthcare providers and in-home care agencies in Western PA. Having a plan in place ensures continuity of care from day one.5. Help the New Space Feel Like HomeEven if the new apartment or assisted living suite is smaller, it can still feel cozy, familiar, and full of life. Small touches make a big difference.Ideas to personalize the new home: Recreate familiar spaces by placing photos and dcor just as they were before (snap a few reference photos before packing). Unpack favorite blankets, books, or that special coffee mug first. Bring beloved furniture or artwork, and explore fun updates like a new recliner or colorful accent wall. Many senior living communities surrounding Pittsburgh encourage residents to decorate their rooms to reflect their style this helps ease the emotional transition.6. Emphasize the PositivesYour loved one may be leaving behind a house filled with memories, but theyre also stepping into a new chapter one filled with support, activities, and connection.Help them see the bright side: Less worry. No more home maintenance or mowing the lawn. More connection. Many assisted living communities offer events, exercise classes, and outings. Opportunities for joy. Explore local senior centers, volunteer programs, or art classes in their new neighborhood. Encourage them to explore and celebrate whats next.Ready to Take the Next Step?Moving a senior loved one can feel like a huge undertaking but you dont have to navigate it alone. As a trusted senior living advisor in Pittsburgh, weve helped thousands of families find the right care options, whether it's assisted living, independent living, memory care, or downsizing solutions. Let us guide you through the process from personalized placement help to local resource referrals. Contact us today at Serving Our Seniors to speak with a compassionate senior care advisor who truly understands the Pittsburgh area.
Specialized CareArthur's can support almost every need for care, based on 40 years of experience caring for the medically fragile and aging population. In addition to memory care we have experience with challenging conditions such as Parkinsons, Multiple Sclerosis, ALS, Huntingtons, and PSP, as well as with ostomies, feeding tubes, nebulizers and supplemental oxygen.Memory CareThe staff at Arthurs are extensively trained in memory care and are prepared to assist through the later stages of dementia and Alzheimers. Our high staffing ratios and person-centered plans are designed to address the deep emotional and spiritual needs that, if unmet, can lead to a sense of loneliness and isolation and produce challenging behaviors.Dementia-Friendly HomesOur homes are designed in consultation with a number of experts to accommodate individuals in all stages of dementia. They look like typical homes in beautiful suburban settings, while offering features such as secured entrances, seamless neutral flooring, and blinds/drapes on the windows to minimize issues associated with Sundowners Syndrome. The walls are painted in colors that are contrasting to the fixtures (sinks, toilets, etc.) throughout the house in order to help those with dementia to locate these critical objects.On-Site Medical CareWe provide in-house RN nursing assessment and care on-call 24/7. Our RNs and caregivers work closely with Bluestone Physician Services to provide on-site doctor visits, lab tests and x-rays. Arthurs also provides transportation and staffing for outside clinic appointments. We facilitate clear communication between our clients, their care providers and their loved ones to ensure optimal health and continuity of care.End of Life and Hospice CareArthurs partners with proven hospice organizations to provide hospice care on-site. Our goal is to provide dignified, comfortable palliative care to individuals and their families who are going through the end of life process.Respite CareProviding care for a loved one is the right choice for many families, but it can also be challenging at times. We are equipped to provide respite stays while the caregivers are away or to help in recover after a health issue. Respite stays are typically between 2 and 35 days in length. Respite clients enjoy all of the amenities of long-term clients. Respite stays are subject to room availability.
Specialized CareArthur's can support almost every need for care, based on 40 years of experience caring for the medically fragile and aging population. In addition to memory care we have experience with challenging conditions such as Parkinsons, Multiple Sclerosis, ALS, Huntingtons, and PSP, as well as with ostomies, feeding tubes, nebulizers and supplemental oxygen.Memory CareThe staff at Arthurs are extensively trained in memory care and are prepared to assist through the later stages of dementia and Alzheimers. Our high staffing ratios and person-centered plans are designed to address the deep emotional and spiritual needs that, if unmet, can lead to a sense of loneliness and isolation and produce challenging behaviors.Dementia-Friendly HomesOur homes are designed in consultation with a number of experts to accommodate individuals in all stages of dementia. They look like typical homes in beautiful suburban settings, while offering features such as secured entrances, seamless neutral flooring, and blinds/drapes on the windows to minimize issues associated with Sundowners Syndrome. The walls are painted in colors that are contrasting to the fixtures (sinks, toilets, etc.) throughout the house in order to help those with dementia to locate these critical objects.On-Site Medical CareWe provide in-house RN nursing assessment and care on-call 24/7. Our RNs and caregivers work closely with Bluestone Physician Services to provide on-site doctor visits, lab tests and x-rays. Arthurs also provides transportation and staffing for outside clinic appointments. We facilitate clear communication between our clients, their care providers and their loved ones to ensure optimal health and continuity of care.End of Life and Hospice CareArthurs partners with proven hospice organizations to provide hospice care on-site. Our goal is to provide dignified, comfortable palliative care to individuals and their families who are going through the end of life process.Respite CareProviding care for a loved one is the right choice for many families, but it can also be challenging at times. We are equipped to provide respite stays while the caregivers are away or to help in recover after a health issue. Respite stays are typically between 2 and 35 days in length. Respite clients enjoy all of the amenities of long-term clients. Respite stays are subject to room availability.
Specialized CareArthur's can support almost every need for care, based on 40 years of experience caring for the medically fragile and aging population. In addition to memory care we have experience with challenging conditions such as Parkinsons, Multiple Sclerosis, ALS, Huntingtons, and PSP, as well as with ostomies, feeding tubes, nebulizers and supplemental oxygen.Memory CareThe staff at Arthurs are extensively trained in memory care and are prepared to assist through the later stages of dementia and Alzheimers. Our high staffing ratios and person-centered plans are designed to address the deep emotional and spiritual needs that, if unmet, can lead to a sense of loneliness and isolation and produce challenging behaviors.Dementia-Friendly HomesOur homes are designed in consultation with a number of experts to accommodate individuals in all stages of dementia. They look like typical homes in beautiful suburban settings, while offering features such as secured entrances, seamless neutral flooring, and blinds/drapes on the windows to minimize issues associated with Sundowners Syndrome. The walls are painted in colors that are contrasting to the fixtures (sinks, toilets, etc.) throughout the house in order to help those with dementia to locate these critical objects.On-Site Medical CareWe provide in-house RN nursing assessment and care on-call 24/7. Our RNs and caregivers work closely with Bluestone Physician Services to provide on-site doctor visits, lab tests and x-rays. Arthurs also provides transportation and staffing for outside clinic appointments. We facilitate clear communication between our clients, their care providers and their loved ones to ensure optimal health and continuity of care.End of Life and Hospice CareArthurs partners with proven hospice organizations to provide hospice care on-site. Our goal is to provide dignified, comfortable palliative care to individuals and their families who are going through the end of life process.Respite CareProviding care for a loved one is the right choice for many families, but it can also be challenging at times. We are equipped to provide respite stays while the caregivers are away or to help in recover after a health issue. Respite stays are typically between 2 and 35 days in length. Respite clients enjoy all of the amenities of long-term clients. Respite stays are subject to room availability.