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More than 16 million Americans provide unpaid care for
people with Alzheimer’s or other dementias.
Caring for a loved one can be a rewarding experience, but
it’s not without challenges. These challenges can be significantly more
impactful for those caring for a senior with Alzheimer’s 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 it’s 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:
The most important thing
that caregivers need to remember is that challenging behaviors may not be
entirely avoidable. It’s also not the fault of the person with Alzheimer’s 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– It’s not uncommon for caregivers to
feel attacked or helpless when they are caring for someone exhibiting difficult
behaviors. Remembering that it isn’t personal and that it’s 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 it’s necessary for caregivers to stay calm and supportive
Keeping a schedule– Seniors that suffer from
Alzheimer’s 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 it’s 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 shouldn’t 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 Keepers®Can Help
At Comfort Keepers®, we provide specific training for
our caregivers and individualized care plans to provide care and support to
seniors with Alzheimer’s 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
Alzheimer’s disease or dementia, contact your nearest Comfort Keepers® office today.
References
·
National
Institute on Aging. “Managing Personality and Behavior Changes in Alzheimer’s.”
Web. 2017.
·
Verywell
Health. “Complete Guide to Challenging Behaviors in Dementia.” Web. 2019.
·
Alzheimer’s
Association. “Stages and Behaviors.” Web.
When supporting patients who wish to age comfortably at home, distinguishing between home health and in-home care can be key to effective patient support. These terms are sometimes used interchangeably, but each service addresses different needs in patient care. Lets clarify the distinction, as understanding these differences can help guide patients and families to the right kind of support for their circumstances.Home Health: Skilled Medical Care at HomeHome health involves medical care provided in the patient's home by licensed professionals, such as nurses, physical therapists, or occupational therapists. It is typically prescribed by a physician and can include wound care, medication management, chronic illness monitoring, and rehabilitation therapies. Examples of home health services include: Wound care for pressure sores or a surgical wound Patient and caregiver education Intravenous or nutrition therapy Injections Monitoring serious illness and unstable health status Home health focuses on supporting patients in recovering from illness or surgery, managing medical conditions, and preventing hospital readmissionsall in the comfort of their homes.In-Home Care: Assistance for Daily LivingIn-home care, on the other hand, is non-medical support provided by trained caregivers to assist individuals with daily living activities. This type of care can be short-termsuch as during recovery from surgeryor long-term for older adults who need continued assistance. Examples of in-home care services include: Assistance with bathing, dressing, and grooming Meal preparation Light housekeeping Companionship In-home care is especially beneficial for individuals who need support with daily activities but do not require medical intervention. The goal is to enhance quality of life by addressing personal and emotional needs while promoting independence.Choosing the Right Care for Your PatientsResearch suggests that some medical professionals may not always draw a clear line between home health and in-home care, yet understanding these distinctions can help patients receive the right type of support. Home health is ideal for those needing medical care at home, whereas in-home care focuses on enhancing day-to-day living for those who value independence but need extra help.Aging in Place with ComfortFor many seniors and individuals with chronic health conditions, aging at home is an important aspect of maintaining their quality of life. Advances in telemedicine and remote health monitoring have made it easier to integrate a mix of home health and in-home care services. This personalized approach not only offers a convenient care experience but also helps patients stay in control of their health journey.Comfort Keepers Can HelpComfort Keepers provides uplifting in-home care that helps seniors thrive. Our specially trained caregivers focus on developing genuine relationships with clients, keeping them physically and mentally engaged while ensuring they experience joy in their daily activities.If you know a patient or family that could benefit from Comfort Keepers services, they can reach out for a free consultation. Lets work together to help individuals age comfortably and confidently at home.
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.
When someone you love has dementia, youll notice that things are changing quickly. When they make mistakes and fumble with the little things, our instinct is to correct and remind. Thats to be expected. After all, youre 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 wont always work. Effective communication with a dementia patient requires an adjustment of expectations. In the following, well get you started.Forced choicesEveryone likes to have a choice. But having too many options can actually be confusing to a patient with dementia. Thats 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.Thats where the forced choice method can lift that burden for your loved one, and cut the confusion. Watch the video here.Help with sequencingWe 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 fibYou can never go wrong with the truth, or so youre taught. But when it comes to dementia and Alzheimers, 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 theyre 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 youre rightSpeaking of truth, sometimes your loved one with dementia will get basic things wrong. They may insist, for example, that they cant possibly be a grandparent because in their mind, theyre 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 themselvesHearing the same story, especially if they think youre hearing it for the first time, can get frustrating. The wrong response is trying to make them understand theyve already told it. In this segment, well show you how to get through the moment.The important thing to remember is when a person has dementia or Alzheimers, the brain is going through massive changes. That can be difficult to take. Take a look at this video, Whats Happening to Their Brain?, so you can put yourself in their shoes. Understanding whats 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 Arthurs featuring educational videos from Arthurs Director of Development and Senior Care Consultant Deb Nygaard.
Comfort Keepers provides in home care and nursing 24/7. We have been established on the Western Slope almost 20 years. Business have been voted Best of the West for the 6 years in a row by GJ Sentinel, Top 100 Women owned businesses in Colorado by Colorado Biz Magazine, received operation excellence award and president club among many other awards and recognitions throughout the years. Our mission is to provide in home care and nursing to our clients so they can remain healthy and happy in their own homes.
With the use of CareLink MobileHelp, Comfort Keepers provides a simple solution to many accidents and medical emergencies. CareLink MobileHelp is a medicalalert system that works nationwide, beyond the home with all the same features as traditional in-home systems. CareLink MobileHelp keeps you connected to a live monitoring center regardless of your location. You can have the freedom to continue participating in the activities that you enjoy in and outside your home, knowing that you are always accompanied by a highly efficient medical alert system.
With the use of CareLink MobileHelp, Comfort Keepers provides a simple solution to many accidents and medical emergencies. CareLink MobileHelp is a medicalalert system that works nationwide, beyond the home with all the same features as traditional in-home systems. CareLink MobileHelp keeps you connected to a live monitoring center regardless of your location. You can have the freedom to continue participating in the activities that you enjoy in and outside your home, knowing that you are always accompanied by a highly efficient medical alert system.