What are Common Options for Dementia Treatment?

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Country Meadows Retirement Communities

For more information about the author, click to view their website: Country Meadows Retirement Communities

Posted on

Feb 15, 2024

More than 6 million Americans are living with Alzheimer’s, and that number is expected to reach 13 million by 2050. Although dementia treatment can lessen the impact of symptoms on daily life (and promising new drugs may slow the progression of dementia), currently there isn’t a cure or a way to prevent the disease that affects memory, thinking and behavior.

Common dementia treatment options include:

Medication options for dementia treatment

Medications are commonly used to treat symptoms of Alzheimer’s disease and other dementias. Symptoms include cognitive (memory and thinking) issues, behavioral changes and sleep problems.

Recently, there have been exciting breakthroughs in dementia treatment. New medications are showing promise at slowing the progression of dementia. These include anti-amyloid antibody intravenous (IV) infusion therapies for people in the early stages of dementia.

When considering medication options for dementia treatment, questions to ask your loved one’s doctor include:

  • How does this medication treat the symptom(s)?
  • How will you measure its effectiveness?
  • What are the potential side effects? When should we contact you if we notice changes?
  • How will this drug interact with existing treatments for other conditions?
  • What options are available if insurance does not cover this drug?

A Person-centered approach

A person-centered approach complements medical dementia treatment by addressing behaviors that often stem from an unmet human need. Executive Director of Memory Support Services for Country Meadows Retirement Communities, Joel Kroft, explains, “All behavior has purpose and meaning, and all humans use behavior as part of our normal communication with others. When we recognize that behaviors are often expressing an unmet need, either physical or emotional, then we can work toward understanding instead of frustration. If we meet the unmet need that is being expressed, then that behavior often goes away. Through this person-centered care lens, we can minimize or eliminate many challenging behaviors that are really just our residents expressing their needs, without the use of medications, and improve the quality of life for our residents living with dementia.”

Validation Method

The Validation Method is a technique and a philosophy for dementia care created from the person-centered care practice of the late, Naomi Fell. This approach accepts the reality of the person with dementia rather than trying to force him/her to accept ours.

Family, friends and caregivers learn how to listen with empathy and ask questions that allow the person with dementia to more fully express frustrations and concerns with dignity. By being accepting and compassionate, these conversations can help reduce anxiety and worries in the person with dementia and often improve connection with others.

Learn how Country Meadows has embraced the Validation Method in our commitment to quality memory care.

Technological tools

Technology is offering exciting new tools for dementia treatment. The innovative Tovertafel (“Tover Table”) is an interactive game console that projects dynamic images onto a table or floor for participants to “touch.”

At Country Meadows, use of the Tover Table has been shown to increase alertness and focus, reduce restlessness and tense behaviors including sundowning and promote social and physical activity in residents with dementia. For families, it enhances connections in a fun and meaningful way.

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Hearing loss is common as we get older, but that doesn't mean it should be ignored. For many older adults, hearing changes happen gradually. They may not realize how much their hearing has changed, or they may become accustomed to asking people to repeat themselves, turning up the television, or avoiding conversations in noisy environments.Family members are often among the first people to notice that an older loved one may be having difficulty hearing. Recognizing the signs and approaching the subject with patience and understanding can make it easier for a senior to receive the hearing care they need.Understanding Hearing Loss in Older AdultsAge-related hearing loss can develop slowly over time. Rather than suddenly losing the ability to hear, an older adult may gradually have more difficulty understanding certain voices, following conversations, or hearing higher-pitched sounds.Hearing loss can affect more than the ability to hear words. It can make communication more challenging and may cause an older adult to miss important information or feel frustrated during conversations.Because hearing loss often develops gradually, a person may not realize that others are speaking normally while their ability to hear and understand has changed.Signs Your Loved One May Have Hearing LossFamily members may notice signs of hearing loss before an older adult recognizes them.Some common signs include: Frequently asking others to repeat themselves Turning the television or radio volume up very high Having difficulty following conversations Struggling to hear in restaurants or other noisy environments Frequently misunderstanding what people say Having difficulty hearing on the telephone Watching people's faces closely while they speak Complaining that everyone seems to mumble Avoiding social gatherings or group conversations Responding inappropriately because they misunderstood a question If several of these behaviors sound familiar, it may be worthwhile to encourage your loved one to have their hearing evaluated.Hearing Loss Can Affect More Than CommunicationIt can be easy to think of hearing loss as simply a problem with hearing conversations. However, communication difficulties can affect many areas of an older adult's daily life.Someone who struggles to hear may become frustrated when talking with family and friends. They may stop participating in group conversations because they cannot follow what is being said.Over time, an older adult may begin avoiding restaurants, community activities, family gatherings, or other social situations where hearing is difficult.Helping a loved one address hearing difficulties can make it easier for them to remain engaged with the people and activities they enjoy.Why Some Seniors Resist Hearing CareIt isn't unusual for an older adult to be reluctant to acknowledge hearing loss.They may believe that their hearing is "good enough," feel embarrassed about needing hearing aids, or worry that others will view them differently. Some people may also assume that hearing loss is simply an unavoidable part of aging.Family members should approach the conversation with compassion rather than criticism.Instead of saying, "You can't hear anything anymore," try explaining how better hearing could make everyday conversations easier and help your loved one stay connected with family and friends.Start the Conversation With UnderstandingTalking about hearing loss can be sensitive. Choose a quiet, comfortable time to discuss your concerns rather than bringing up the subject during a frustrating conversation.You might explain that you've noticed they are having difficulty hearing and that you would like to help them find out why.It can also help to make the conversation about their quality of life rather than focusing on what they are doing wrong.For example, you can point out that a hearing evaluation could help them hear conversations more comfortably at family gatherings, restaurants, or other activities they enjoy.Encourage a Hearing EvaluationIf you or your loved one notices signs of hearing difficulty, the next step is a professional hearing evaluation.A hearing evaluation can help determine whether hearing loss is present and provide information about the type and degree of hearing difficulty.Depending on the results, a hearing professional can discuss available options and help determine what may be appropriate for the individual's hearing needs and lifestyle.It's important not to purchase hearing aids simply because someone else has had success with a particular model. Hearing needs vary from person to person, so professional guidance is valuable.Hearing Aids May HelpFor some people with hearing loss, hearing aids can make communication easier.Modern hearing aids come in a variety of styles and features. A hearing professional can help determine which options may be appropriate based on an individual's hearing loss, lifestyle, comfort, and personal preferences.It can take some time for a person to adjust to wearing hearing aids. Family members can support the process by being patient and encouraging their loved one as they become comfortable with their devices.How Family Members Can Improve CommunicationEven when an older adult is receiving treatment for hearing loss, family members can make conversations easier.Try these simple communication strategies:Get Their Attention FirstMake sure your loved one knows you are speaking to them before beginning a conversation.Face Them When You SpeakFacing the person can make communication easier and allows them to see your facial expressions and other visual cues.Reduce Background NoiseTurn off the television or move to a quieter area when having an important conversation.Speak ClearlySpeak at a natural pace and avoid shouting. Speaking louder does not always make speech easier to understand.Be PatientGive your loved one time to process what you've said and respond. If they don't understand, try rephrasing the statement rather than simply repeating the same words louder.Don't Ignore Sudden Hearing ChangesWhile gradual hearing loss is common, sudden changes in hearing should not be ignored.If an older adult experiences sudden hearing loss, particularly in one ear, they should seek prompt medical attention. Sudden hearing changes can have different causes and may require urgent evaluation.Other symptoms such as dizziness, severe ear pain, drainage, or sudden neurological symptoms should also be evaluated by a healthcare professional.Hearing Care Can Help Older Adults Stay ConnectedHearing is an important part of maintaining relationships and participating in everyday life. When an older adult has difficulty hearing, the effects can extend beyond conversations.Families can play an important role by recognizing potential signs of hearing loss, approaching the subject with compassion, and encouraging professional hearing care.If you suspect that a parent, grandparent, spouse, or another loved one is experiencing hearing loss, don't wait until communication becomes extremely difficult. A professional hearing evaluation can provide valuable information and help your loved one understand their options.Darrell M. Sipe Opticians & Hearing Aids provides hearing care services designed to help individuals better understand their hearing needs and explore appropriate solutions.Better hearing can mean more meaningful conversations, greater participation, and more opportunities to stay connected with the people who matter most.If you're concerned about a loved one's hearing, start the conversation today. A hearing evaluation can be an important first step toward better communication and a better quality of life.  

How to Help Protect Your Vision as You Age

Our eyes allow us to enjoy many of life's most important momentsfrom seeing the faces of family and friends to reading a favorite book, driving, working, and enjoying the outdoors. As we age, however, changes in our vision become more common.Some changes are a natural part of getting older, while others may be related to eye diseases or other health conditions. The good news is that there are steps you can take to help protect your vision and support healthy eyes throughout your life.Here are some important ways to care for your eyes as you age.Schedule Regular Eye ExaminationsOne of the best things you can do for your vision is to have regular comprehensive eye examinations.An eye exam isn't only about determining whether you need a stronger prescription for your glasses. Your eye care professional can also evaluate the health of your eyes and look for signs of potential problems.Some eye conditions can develop without obvious symptoms in their early stages. Regular examinations can help identify changes early, when they may be easier to manage.Your recommended examination schedule may depend on your age, health, family history, medications, and individual eye-care needs.Don't Ignore Changes in Your VisionAs you get older, you may notice changes such as needing more light to read, having difficulty seeing at night, or experiencing increased sensitivity to glare.While some vision changes can be associated with normal aging, you should not ignore significant or unexpected changes.Contact an eye care professional if you experience: Persistent blurry vision Difficulty seeing at night New or increasing floaters Flashes of light Distorted vision Double vision Loss of peripheral vision A sudden change in your eyesight A sudden change in vision can require prompt medical attention, so don't wait to have it evaluated.Protect Your Eyes From the SunYour eyes are exposed to ultraviolet (UV) radiation throughout your lifetime. Protecting them from excessive sunlight is an important part of maintaining healthy eyes.When outdoors, wear sunglasses that provide 100% UVA and UVB protection. A wide-brimmed hat can provide an additional layer of protection.If you wear prescription glasses, prescription sunglasses can provide both vision correction and protection from bright sunlight. Polarized lenses may also help reduce glare from surfaces such as roads, water, and snow.Eat for Your Eye HealthA healthy, balanced diet supports your overall health and can contribute to healthy eyes.Include a variety of fruits and vegetables in your diet, particularly colorful produce and leafy green vegetables. Fish, nuts, and other nutrient-rich foods can also be part of a balanced eating pattern.If you are considering vitamins or supplements specifically for eye health, talk with your healthcare provider or eye care professional before taking them.Manage Your Overall HealthYour overall health and your eye health are closely connected.Certain conditions, including diabetes and high blood pressure, can affect the eyes. Following your healthcare provider's recommendations for managing these conditions is an important part of protecting your vision.Take prescribed medications as directed, attend recommended medical appointments, and discuss any new vision symptoms with your healthcare providers.Protect Your Eyes From InjuryEye injuries can happen at any age. Wearing appropriate protective eyewear can help reduce the risk of injury when working with tools, chemicals, machinery, or other materials that could potentially harm your eyes.Protective eyewear may also be appropriate for certain sports and hobbies.Don't assume that an activity is safe simply because you have done it many times before. A moment of protection can help prevent a serious eye injury.Take Breaks From Digital ScreensComputers, smartphones, tablets, and other digital devices are part of everyday life for many older adults.Spending extended periods looking at screens can contribute to digital eye strain. Symptoms may include tired eyes, dryness, headaches, and temporary blurry vision.Try following the 20-20-20 rule: every 20 minutes, look at something approximately 20 feet away for at least 20 seconds.Adjusting your screen position, brightness, and lighting can also make digital devices more comfortable to use.Avoid SmokingSmoking can negatively affect your overall health and is also associated with an increased risk of several eye-related problems.If you smoke, quitting can be an important step toward improving your overall health and supporting your long-term eye health.If you are interested in quitting, speak with your healthcare provider about resources that can help.Get Enough SleepYour eyes need rest, just like the rest of your body.Not getting enough sleep may contribute to tired, dry, or irritated eyes. 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Sipe Opticians & Hearing Aids is committed to helping patients maintain clear, comfortable vision with professional eye care and quality optical services.Your eyes have been with you for a lifetime. Taking care of them today can help you continue to see the people, places, and experiences that matter most for years to come.  

A Family Transition Guide

A Family Transition GuideMoving a parent, spouse, or other loved one into memory care is rarely just a moving day.It is an emotional transition for the entire family.There may be relief that professional support will be available around the clock. At the same time, family members may feel sadness, uncertainty, guilt, or concern about how their loved one will adjust to unfamiliar surroundings.For the person living with Alzheimer's disease or another form of dementia, the transition can be confusing too. Their home may represent decades of routines and memories. Even when moving to memory care is the safest choice, suddenly waking up in a different environment can take time to understand.That is why preparation matters.For families searching for memory care in Meridian and Ada County, Idaho, Care Moore Homes Memory Care at Settlers offers a smaller residential option at 3336 North Meridian Road in Meridian. The community is dedicated specifically to memory care and is licensed for 12 residents. It offers private rooms, around the clock care, Registered Nurse oversight, a secured courtyard, activities, home cooked meals, and a caregiver to resident ratio listed as 1:6 or better.A thoughtful transition cannot remove every difficult emotion, but it can help create greater familiarity, comfort, and continuity during an important change.Why Memory Care Transitions Are Becoming More Relevant in MeridianMeridian continues to grow rapidly.The U.S. Census Bureau estimated the city's population at 142,988 residents in 2025, an increase of approximately 21.4% from its 2020 population estimates base. Adults age 65 and older represent about 14.8% of Meridian residents.As more families settle in Meridian and throughout the Treasure Valley, more households will eventually face decisions involving aging, dementia, caregiving, and long term care.Some people with dementia can remain at home successfully for many years with family and professional support.Others eventually need greater supervision, security, help with personal care, medication oversight, meals, and structured daily routines.When that happens, memory care may become the next step.Begin Preparing Before Moving DayWhenever possible, families should avoid treating the move as a single event that begins and ends on one day.Preparation can begin several weeks beforehand.Start by collecting information that will help the memory care team understand who your loved one is.Consider writing down:Preferred morning and evening routinesFavorite foodsFoods they dislikeFormer occupationImportant family membersFavorite musicHobbies and interestsReligious or spiritual traditionsTypical bedtimeFavorite television programsActivities that bring comfortSituations that commonly cause anxietyWords or approaches that help calm themMobility concernsPersonal care preferencesThis history matters because dementia does not erase the person's identity.A resident is more than a diagnosis.Someone may have been a teacher, farmer, nurse, parent, mechanic, business owner, musician, gardener, or lifelong sports fan. Knowing these details gives caregivers more opportunities to communicate meaningfully.Memory Care Transition Tip: Give caregivers a short "About Me" page with important routines, preferences, family names, favorite activities, and calming strategies. Small personal details can help staff create familiarity more quickly.Choose Familiar Belongings CarefullyIt can be tempting to buy completely new furniture and decorations for a memory care room.Sometimes familiar belongings are more valuable.Care Moore Homes Memory Care at Settlers lists private rooms, giving residents a personal space that families can help make recognizable.Consider bringing:Familiar beddingFamily photographsA favorite blanketArtwork from homeA comfortable chair if permittedA familiar clockReligious itemsFavorite booksSmall keepsakesFamiliar decorative objectsAvoid overcrowding the room.Too many objects can create unnecessary visual clutter for someone experiencing cognitive changes.Instead, select items that are easily recognized and emotionally meaningful.A photograph of children or grandchildren may be more valuable than several new decorative pieces.Use Photographs to Create Familiar Visual CuesPhotographs can be especially useful.Consider placing clearly visible photographs of important family members where the resident can see them easily.Families may even choose simple labels such as:"Sarah, Daughter""Michael, Son""Emily, Granddaughter"This can help caregivers start conversations and may occasionally support recognition.Another idea is to create a small photo album showing:Family membersFormer homesPetsVacationsWeddingsHolidaysFavorite placesCareer photographsEven when someone does not remember every name or event, looking through photographs can still create enjoyable moments.Keep Moving Day Calm and SimpleA complicated moving day can be overwhelming for anyone.For someone with dementia, too many people, boxes, conversations, and changes may create additional confusion.Whenever possible:Complete most of the room setup before the resident arrives.Keep the number of people involved relatively small.Avoid lengthy emotional conversations about the move.Bring familiar objects first.Follow guidance from the memory care community about the best arrival time.Keep explanations short and reassuring.Families sometimes feel pressure to repeatedly explain exactly why the person is moving.Depending on the person's cognitive abilities, that explanation may cause distress without creating lasting understanding.The focus can instead remain on reassurance:"This is a comfortable place where people are here to help.""We're going to have lunch together.""Your room is ready."The appropriate approach will depend on the individual, so families can also ask community staff for guidance.Understand That Adjustment Takes TimeFamilies naturally want immediate confirmation that they made the right decision.After a few days, they may ask:Why does Mom keep asking to go home?Why is Dad more confused?Why is she calling me repeatedly?Does this mean the move was a mistake?Not necessarily.A new environment requires adjustment.The resident is learning new faces, spaces, sounds, routines, and expectations while already coping with memory loss.Some individuals adjust relatively quickly.Others require significantly more time.Families can stay in close communication with staff and evaluate patterns over time rather than judging the transition entirely by the first few days.A Smaller Setting May Help Create FamiliarityCare Moore Homes at Settlers uses a smaller residential model.The home is licensed for 12 residents, is dedicated specifically to memory care, and lists a caregiver to resident ratio of 1:6 or better.For some people with dementia, a smaller environment may feel easier to understand than a large campus.There may be:Fewer unfamiliar facesShorter distances between roomsSmaller social groupsFewer complicated hallwaysMore recognizable common spacesGreater opportunity for caregivers to learn personal routinesCare Moore Homes also describes its model as providing individualized experiences rather than requiring every resident to follow the same rigid schedule.That flexibility can be valuable when someone has lifelong habits that still provide comfort.Keep Daily Routines as Familiar as PossibleRoutine can provide structure when memory is uncertain.If your loved one has always eaten breakfast early, tell staff.If Dad enjoys coffee immediately after waking, mention it.If Mom has listened to music every afternoon for years, include that information.Other important routines may include:Preferred bathing timeUsual bedtimeFavorite snacksAfternoon napsTelevision habitsPrayer or spiritual routinesWalking after mealsEvening phone calls with familyCare Moore Homes reports that a Registered Nurse creates and oversees an individualized care plan for each resident, with modifications as needs change.Sharing detailed information with the team can help make that plan more personal.Do Not Disappear After Move InSome families worry that frequent visits will prevent their loved one from adjusting.Others visit constantly because they feel guilty about leaving.There is no universal visiting schedule that works for every resident.The better approach is to work with staff and observe how the resident responds.Family involvement can remain an important part of life after memory care begins.Visits might include:Sharing lunchLooking through photographsTaking a walkListening to familiar musicSitting outdoorsWatching a favorite programCelebrating birthdaysBringing favorite snacks when appropriateParticipating in simple activities togetherThe relationship does not end because professional caregivers now handle more of the daily care.In fact, families may find that visits become less focused on bathing, medications, cooking, and safety supervision and more focused on simply being together.Let Caregivers Learn Their Own Relationship With the ResidentFamilies often know exactly what has worked at home.That knowledge is valuable.At the same time, professional caregivers need opportunities to develop their own relationship with the resident.A person with dementia may respond differently to staff than to a spouse or adult child.That does not mean one approach is better.It means relationships differ.Give staff useful background information, then allow them to learn:Which tone of voice works wellWhat activities the resident enjoysWhen the resident needs quiet timeWhat causes frustrationWhat helps during personal careHow the resident communicates discomfortRegular collaboration between the family and care team can help everyone respond more consistently.Outdoor Space Can Remain Part of Daily LifeMoving into memory care should not mean losing access to fresh air and outdoor time.Care Moore Homes at Settlers includes a secured courtyard and ADA compliant walking paths, along with security measures that include sensors on doors and gates.For residents, outdoor space may offer opportunities for:WalkingSitting in the sunshineVisiting with familyWatching birdsEnjoying flowersObserving seasonal changesSimply getting fresh airFor someone who previously spent significant time gardening or outdoors, these experiences may remain especially meaningful.Families touring the community can ask how often residents use the outdoor space and how it is incorporated into daily routines.Meals Can Help Establish a Familiar RhythmBreakfast, lunch, and dinner provide natural structure to the day.Care Moore Homes describes meals at Settlers as home cooked, prepared from scratch with fresh ingredients, and designed around residents' needs and preferences.Families should share information about favorite foods whenever possible.A resident may no longer remember what they ate yesterday, but familiar tastes and smells can still provide comfort.Ask the community:How are food preferences recorded?What happens when a resident refuses a meal?Are snacks available?Is assistance available when eating becomes difficult?Can dietary needs be accommodated?Mealtime is also social time.A smaller household dining environment may feel more familiar to someone who spent decades eating around a family table.Expect Your Own Emotional AdjustmentThe resident is not the only person going through a transition.Family caregivers may suddenly have free time they have not experienced in years.That can feel strange.Someone who spent every evening supervising a spouse may feel guilty sitting at home alone.An adult child who received multiple calls each day may find the quiet unsettling.Caregiver responsibilities become part of a person's identity.When those responsibilities change, families may experience:ReliefGuiltSadnessExhaustionGriefUncertaintyA sense of lost purposeSeveral of these emotions can exist at the same time.Moving a loved one into memory care does not erase years of caregiving.It changes the family's role.Instead of providing every hour of supervision and personal care, family members can become advocates, companions, visitors, historians, and important members of the resident's extended care team.Ask How Communication With Families WorksBefore move in, families should understand how communication will happen.Ask:Who is the primary family contact?Who should families call with questions?How are health changes communicated?How often are care plans reviewed?How can families share new information?What happens after a fall or other incident?When does the nurse contact the family?How are medication changes communicated?Clear communication can prevent unnecessary confusion and help families remain meaningfully involved.Consider Short Term or Respite Care When AppropriateSome families are not immediately ready for a permanent move.Care Moore Homes at Settlers lists respite or short term stay services among its property offerings.Depending on current availability and admission requirements, respite care may be useful when:A family caregiver is travelingA spouse needs surgeryA caregiver needs temporary reliefThe usual caregiving arrangement changesA family needs time to explore longer term optionsFamilies should speak directly with the community about availability, requirements, pricing, and whether a short term stay is appropriate for their loved one's needs.Frequently Asked Questions About Moving Into Memory CareWhat should we bring when a loved one moves into memory care?Focus on familiar, meaningful items rather than filling the room with new belongings. Photographs, favorite bedding, keepsakes, artwork, books, and other recognizable objects can help make a private room feel more personal. Ask the community about furniture and safety guidelines before moving larger items.How long does it take someone to adjust to memory care?There is no universal timeline. Some residents become comfortable relatively quickly, while others need more time to become familiar with their new environment and caregivers. Families should stay in communication with the care team and evaluate the transition over time.Does Care Moore Homes Memory Care at Settlers offer private rooms?Yes. The Seniors Blue Book listing identifies private rooms among the community's property features.Is nursing oversight available at Settlers?Yes. Care Moore Homes states that a Registered Nurse creates personalized care plans and provides ongoing oversight, adjusting care as residents' needs evolve.Where is Care Moore Homes Memory Care at Settlers located?The community is located at 3336 North Meridian Road, Meridian, Idaho 83646. Its current Seniors Blue Book profile lists 208-520-1111 as the contact number.Helping a New Place Begin to Feel Like HomeA successful memory care transition is not about convincing someone that nothing has changed.A great deal has changed.Instead, families and caregivers can work together to create continuity within that change.Familiar photographs can travel with the resident.Favorite foods can remain part of the day.Music can continue.Family traditions can continue.Outdoor walks can continue.Most importantly, relationships can continue.For families exploring memory care in Meridian and Ada County, Care Moore Homes Memory Care at Settlers provides a smaller, dedicated residential memory care environment with 12 units, private rooms, Registered Nurse oversight, around the clock care, secured outdoor areas, home cooked meals, activities, and a caregiver to resident ratio listed at 1:6 or better.Families can learn more, request current information, and connect with the community through the Care Moore Homes Memory Care at Settlers profile on SeniorsBlueBook.com.A memory care move represents a new chapter, but it does not erase the life that came before it. Bringing familiar routines, meaningful belongings, family stories, and continued involvement into that new chapter can help the person remain connected to what matters most.

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