Alzheimer's Association

More than 16 million Americans provide unpaid care for people with Alzheimers or other dementias.Caring for a loved one can be a rewarding experience, but its not without challenges. These challenges can be significantly more impactful for those caring for a senior with Alzheimers disease or other form of dementia. Changes in behaviors can occur for a variety of reasons, including over-stimulation, physical discomfort, confusion, exhaustion caused by sleep problems, medication, or changes in routine.Understanding the cause of behavioral changes is critical for caregivers, families and friends. And its helpful for caregivers to know how to manage behaviors that will allow them to provide safe and effect support and diffuse tense situations.These behaviors can include: Depression Anxiety Confusion Aggression or anger Suspicion Hallucinations Pacing or wandering The most important thing that caregivers need to remember is that challenging behaviors may not be entirely avoidable. Its also not the fault of the person with Alzheimers or dementia. These behaviors are sometimes a common product of the disease. And, there is specialized support a caregiver can use to help keep a challenging behavior from escalating.While there is no guaranteed approach that will work with every person or situation, there are some methods that can help caregivers manage trying times:Staying calm Its not uncommon for caregivers to feel attacked or helpless when they are caring for someone exhibiting difficult behaviors. Remembering that it isnt personal and that its a symptom of the disease, can help caregivers manage their emotions and avoid contributing to tense or difficult situations. Arguing or reasoning can often escalate an outburst, so its necessary for caregivers to stay calm and supportiveKeeping a schedule Seniors that suffer from Alzheimers disease and other dementias often find it reassuring to have a set schedule for meals, activities and daily tasks. Creating a schedule, and sticking to it as much as possible, can help prevent anxiety, confusion and anger.Exercise Exercise, with approval from a physician, is a great stress reliever for both seniors and caregivers. And participating in activities together helps foster important emotional connections.Participating in activities Whether its an enjoyable hobby, household chore or physician-approved exercise, participating in joyful activities has shown to help manage challenging behaviors. These can be pre-scheduled or introduced when difficult behaviors are recognized. For example, caregivers can ask for help folding laundry to ease anxiety or can play music or sing to calm someone feeling confused, angry or depressed. Mindful communication Caregivers shouldnt underestimate the power of communication. Caregivers can use soothing tones, speak in a friendly way and make eye contact to convey normalcy, understanding and compassion. This can help seniors experiencing anxiety or frustration to calm themselves.Comfort KeepersCan HelpAt Comfort Keepers, we provide specific training for our caregivers and individualized care plans to provide care and support to seniors with Alzheimers disease and to their families. Our specially trained Comfort Keepers engage clients in intellectual, physical and emotional interactions that complement medical treatment and improve the quality of life for everyone involved. And they can facilitate stress management activities, support for physician-approved diet and exercise plans, provide transportation to appointments and will evaluate a home for safety as part of an in-home assessment. For more information on how in-home caregiving can help those with Alzheimers disease or dementia, contact your nearest Comfort Keepers office today. References         National Institute on Aging. Managing Personality and Behavior Changes in Alzheimers. Web. 2017.         Verywell Health. Complete Guide to Challenging Behaviors in Dementia. Web. 2019.          Alzheimers Association. Stages and Behaviors. Web. 

Visit any critical care unit, childrens hospital, or other specialty inpatient facility, and youll find a common feature: therapy dogs. For decades, healthcare practitioners have understood the surprisingly positive effects on patients of time spend with cute and cuddly dogs. Therapy dogs reduce stress, improve mood, and can help patients reframe their outlook on whatever condition ails them. The positive effects of patient interactions with therapy dogs are a well-documented fact of the medical world. Senior citizens with limited mobility and other health conditions also benefit from the companionship of dogs. Owning a pet reduces feelings of loneliness among seniors living at home or in a retirement facility, which in turn greatly reduces the risk of diseases associated with loneliness and isolation. Pets can also decrease the number of stress hormones in a persons blood, lower blood pressure, and contribute to a more positive outlook on life. Dogs and other pets, it seems, have tremendous healing powers!Since Alzheimers patients cannot adequately care for a pet, owning one is out of the question. Considering the nature of Alzheimers dementia, it is easy to assume that a loved one may not benefit from a pet since they will not remember the interaction. Researchers, convinced therapy dogs would have a positive effect on Alzheimers patients, put this question to the test: Do Therapy Dogs Help Alzheimers Dementia Patients?Short-Term Benefits of Therapy Dogs for Patients with Alzheimers Dementia.A study conducted in the early 2000s looked carefully at the subject of therapy dogs and Alzheimers dementia patients. They measured the incidence of behavioral disturbances among patients in a nursing home for a period of four weeks, then introduced therapy dogs. Their initial findings showed that the dogs helped to reduce behavioral disturbances in the short term, meaning they helped to immediately calm patients. The short-term effects proved that therapy dogs do have a positive effect on patients with Alzheimers disease, particularly in regards to anxiety, anger, and changes in behavior associated with the disease.Long-Term Benefits of Therapy Dogs for Patients with Alzheimers Dementia.The same study did not stop at the short-term effects of therapy dogs on Alzheimers patients. Previous assumptions suggested that since patients would not remember their encounters with the therapy dogs, the effects of spending time with them would vanish from one day to the next. Not true, the study authors found. Although most of the patients did not remember their interactions with the therapy dogs (some did), the behavioral disturbances noted in the four weeks prior to the study reduced. In fact, the longer and more frequently patients interacted with the therapy dogs, the less they exhibited behavioral disturbances.Therapy Dogs As A Long-Term Therapy.The study findings confirmed what clinicians suspected all along: dogs are an excellent long-term therapy for persons with Alzheimers dementia to reduce the incidence of behavioral disturbances. Therapy dogs also had the same effect on Alzheimers patients as they do on other kinds of patients, including reduced stress and anxiety, lower blood pressure, better appetite, and fewer feelings of loneliness. These effects continued to increase the longer and more frequently patients interacted with the dogs.What Makes Dogs Such Good Therapy?Dogs are wired to give unconditional love and devotion. They can provide physical and social contact where it is missing, and they are not picky. what sets dogs apart, particularly those trained as therapy dogs, is that they will approach anyone regardless of their physical or mental deterioration, and initiate contact. Patients can pet, hug, and cuddle dogs unlike any other kind of pet. These positive interactions provide a distraction to the other goings-on around them and provide relief for those suffering from sadness, anger, or angst.The Takeaway.Dogs have a tremendous healing power. While studies have focused specifically on Alzheimers dementia patients, their positive effects will benefit anyone suffering from general dementia. Families of patients will feel relief that their loved ones have fewer outbursts of anger, sadness, or angst. While dementia impairs memory, it does not interrupt the long-term benefits of regularly interacting with a therapy dog. In fact, the more they interact with a therapy dog, the fewer behavioral problems they exhibit.Contact us at Acti-Kare Responsive In-Home Care North Pittsburgh to learn more at 412-810-6595.

Caring for a loved one with dementia presents unique challenges that can be overwhelming. It means coping not just with the loved one's illness and the huge life changes that will come, but with the caregiver's own feelings and struggles too.  Keeping a detailed journal is an organized way to record the progress and effects of the patient's dementia helpful information for their doctors. But it can also provide emotional and psychological benefits for caregivers themselves. Whether you're caring for someone with dementia or another illness, here are some things to consider when keeping a journal.  What To Track in Your Journal  Why record what the dementia patient is experiencing? Two reasons: because it will help their doctors and because it will help the caregiver understand and adapt to the effects of the disease.   Daily activities and behaviors: Note any changes in mood, unusual behaviors, or shifts in routine. This can help identify triggers for agitation or anxiety and reveal patterns or changes over time.   Medications and side effects: Record the times and doses of medications. If their medications change, note any side effects or noticeable changes in the person's condition. This can be crucial for managing the drugs' effectiveness and any potential drug interactions.   Eating and drinking habits: What and how much is your loved one eating and drinking? Tracking this information can help prevent malnutrition and dehydration, which are common issues in people with dementia.   Physical health and symptoms: Record any physical symptoms, such as coughs, changes in mobility, or signs of discomfort. This information can be vital for detecting emerging health issues that may not be directly related to dementia.   Sleep patterns: How much and how well are they sleeping? Do they wake up during the night? Sleep disturbances can exacerbate the symptoms of dementia and affect the health of both the caregiver and the patient.   Falls: Research shows that falls are not only more common among people with dementia, but they can also accelerate cognitive decline. Details about any falls-where, when, and how they occurred-are important information for the doctors.  Journaling: A Safe Space and a Helpful Tool  Keeping a journal helps the caregiver process the complex emotions they're likely experiencing. A journal is a private, safe space where the caregiver can express frustrations, celebrate successes, and acknowledge hardships. Journaling can help them protect their mental health stability, which in turn can help them feel better able to support their loved one effectively.  A journal can also be a place for the caregiver to track the effectiveness of care strategies and treatments. For example, the caregiver may notice that the timing of dinner is causing their loved one distress. Their notes can help them adjust their caregiving as needed.  The caregiver may even decide to keep two separate journals-one for themselves and the other journal (or calendar) about their loved one's condition.  "There is something about recording what is happening to us and our emotional reactions that enables family caregivers to stand apart from the onrush of tasks and crises they're immersed in," said Barry J. Jacobs in an article for AARP. A caregiver himself, Jacobs noted that journaling can help the writer "feel more in control."  How the Journal Can Help Doctors  A detailed journal is a valuable resource during medical appointments. It provides data and examples that help doctors understand the patient's current state beyond what a memory recall or short visit can reveal. This is crucial in diagnosing issues, adjusting medications, or changing treatment plans.  Doctors rely on accurate, detailed information to make informed decisions about treatments and care strategies. For example, if the journal shows that the patient has fallen repeatedly, the doctor may use that information to assess the patient's need for mobility aids, physical therapy, or further neurological evaluation. The doctor may end up identifying a treatable condition, such as an inner ear disorder or vision problems.  Moreover, the journal can help identify early signs of complications or side effects of medications that the patient might not be able to express because of their cognitive condition. This helps the doctor make a change before the complications cause a potentially serious health issue.  Write for Them and for Yourself  Keeping a journal is a simple yet effective tool that can greatly improve the caregiving experience for those managing the care of someone with dementia. You'll help not just your loved one, but yourself as well. Do it in whatever way works best for you. "This is not a school assignment," Jacobs reminds other caregivers. "No one is grading you. Just empty the contents of your mind without judging yourself." If you have any questions, please call Right at Home at 970-494-1111.