There’s a senior in your life that relies on you to take care of them. Dementia can make things more challenging, but the reward lies within the beauty of what they are able to do.
1)Acknowledge their reality.
This is the first and most important aspect of caring for anyone living with Alzheimer’s or a dementia-related disorder.
When you encounter a situation where someone is saying something that doesn’t make sense or is saying something that is not true, this is their reality. This is what they believe is going on. In order to best care for them, they have to be able to trust you.
By acknowledging the reality of what they are saying and doing, your client will feel safer around you. The care that you provide will go much smoother when you go along with what they are saying. Our Denver home care services provide extensive training to caregivers. We focus the bulk of their training on acknowledging their reality while fostering independence and dignity.
2)Say “yes and…”
This is a tip commonly used for improv and in theater, but it works really well with seniors experiencing symptoms of dementia.
There is no script or perfect “way” to talk to someone living with dementia. It’s best to talk to them as you would approach any other conversation. Instead of listening to them say something and nod, you can build on the conversation.
For example, let’s say you’re visiting a client at the hospital, and she says: “I want to go home.”
Your reply could be, “I understand, what is it about home that you miss?” The “yes and…” form may not always be appropriate, but the crux of the message is to continue the conversation. Use the end of their sentence as a starting point, and build upon it.
Through more investigation of the problem, you can understand what is going on. Is your client experiencing depression? Are they lonely? Are they reflecting back on their life at home? By playing along and moving the conversation forward, your client will feel safer around you. They will confide more information about their lives to you.
3)Offer choices
Instead of doing everything for your client because it’s easier or takes up less time, offer them two to three choices.
When doing a shower or bath, offer your seniors a choice in their clothes. Is it stripes or polka dots? Blue or red? By giving them a selection of things to choose from, you are allowing your senior to pick what they prefer. It also helps since you are not overwhelming them with too much information at once.
By offering choice, you are also promoting independence. You could just do everything for the person, but the aim of Denver home care is to empower seniors to do what they can, and help them where they need help.
4)Bring positivity with you in the door, leave the negativity out.
When working with someone that is living with dementia or Alzheimer’s, you set the mood. The energy that you bring into a room, good or bad, will reflect on how your visit will go.
This brings in the importance of bringing a positive attitude to work with you. If you are going through any tough times, or experiencing negativity – take some time to mentally check-in and debrief before going to work.
Your client is relying on you to care for them. By setting the day up with a positive state of mind, your client will mirror this energy in their thoughts, words, and actions.
5)Make a recipe for everything
This means breaking everything down to the granular level. Every task is a list of steps and subtasks.
Tying your shoes is not just tying your shoes. Tying your shoes means:
- Hold the tongue up
- Slip the foot in all the way.
- Then the other foot in all the way.
- Put the tongue down on both shoes.
- Create your two sets of bunny ears on one side.
- Cross them together and tie them.
- Make sure they’re not too tight.
- Do this for the other foot.
Shoe-tying is a task that we generally don’t even think twice about, we just do it. All 8 steps. With individuals living with dementia or Alzheimer’s, they are losing some of their rational and thinking skills.
By walking your client through each of these steps, they will appreciate your patience, and have the satisfaction of doing this independently. If they are not able to bend over and complete this themselves, you can help them. But you can ask them which shoes they want to wear, and offer to tie their shoes each way that they want.
Individuals living with dementia and Alzheimer’s retain their experiential skills and their perception of the world. They need caregiver guidance to complete their daily list of skills.
6)Engage their mind.
When someone has dementia, they are experiencing symptoms of neurocognitive impairment. This means that they are having trouble remembering every day tasks, learning or retaining new information, and difficulty concentrating.
Although we can’t reverse the progress of dementia, we can work with clients to keep their minds engaged and as sharp as possible. This can include sensory exercises, like gathering a couple of different objects together with different colors, textures, and smells.
At Denver home care, our clients enjoy being exposed to different senses. Our caregivers enjoy taking our clients outside into nature and enjoy gardening too. By stimulating your client’s interests and hobbies, they will open up to you and enjoy your company more as time goes on.
7)Be aware of the side effects of Alzheimer’s and dementia medications.
As a caregiver, you need to be mindful of the signs and symptoms of adverse effects or side effects in medications.
When people age, they tend to take more medications. Here are some of the common side effects found within Alzheimer’s and dementia medications, according to research from the Alzheimer’s Society:
- Dizziness
- Headache
- Constipation
- Fatigue
- Increased blood pressure
This is not an all-inclusive list of side effects, but if your client starts taking a new medication, be on the lookout for abnormal observations.
Tying it all together
You made the choice to become a dementia caregiver, that it’s a wonderful thing to do for someone. Whether you’re family, a friend, a neighbor, or a professional caregiver, it’s a wonderful gift.
This isn’t to say that you won’t face challenges, but you will see this person in a comprehensive, all-inclusive light. By using these tips and tricks, you will see your client as a whole person. Working with someone that is living with dementia or Alzheimer’s disease is rewarding. At Denver home care, we are happy to care for your loved one if you need a break or want someone to check on them.