10 Things to Remember if You Love a Person with Dementia

Mother and daughter

Daughter caring for her mother

It’s sometimes hard to love a family member who has dementia or Alzheimer’s disease. People with dementia can be quarrelsome, uncooperative, negative, whiney, belligerent or combative. They might get their nights and days mixed up, pace the floor for hours, wring their hands non-stop, or cry like a baby. They might ask you the same question twenty times in a row, refuse to budge when you need to get them to an appointment, or refuse to eat what you’ve made for dinner.

When the going gets tough, it helps to remember that you love the person who resides inside that body that is tight and tense and inflamed from amyloid plaque that has strangled the neurons and disrupted the neurotransmitters that allow thoughts to flow and emotions to stay even. He or she is the same person you married, the same loving parent who nurtured and guided you, the same sibling you shared holidays and outings with, or the same friend who offered a should to cry on or who helping you move to a new home.

When you’re about to lose it, walk out, or hide in the closet, stop for a moment and remember at least one of these 10 things about the person you lovingly take care of.

People with dementia and Alzheimer’s often feel:

  1. Embarrassed when you say, “ I just told you . . ..” Instead of reminding them that they forgot what you told them a second ago rephrase it, breaking it down into a simple sentence . . . or completely change the subject.
  2. Fearful because they don’t see things spatially the same way we do. Their sense of space is distorted and their vision gets skewed, not because there is something physically wrong with their eyes. But rather, the brain interprets what the eyes see, and when the brain doesn’t work right our perception gets distorted. Two things you can do to help are to put extra lights in dark areas of the living quarters and remove throw rugs in order to reduce falls.
  3. Lonely because they can’t communicate well, or some of their friends have “jumped ship.” Set up times for family or friends to visit or take your loved one on an outing.
  4. Confused because they don’t understand why they can’t drive anymore, or why they can’t go for a walk alone, or why they can’t remember where they live or what their son’s or daughter’s name is.
  5. Angry because the keys to the car have been taken away, or because they get frustrated when they can’t express their feelings or thoughts.
  6. Sad because they can’t read a book or newspaper, or can’t manage to engage in their favorite hobby or sport.
  7. Anxious because they can’t move as fast or get dressed by themselves or put on their shoes easily. Or, because they hear sounds that are disturbing or are bothered by someone else’s behavior.
  8. Nervous because they have lost their sense of balance and feel unsteady on their feet. Or because they don’t like the feel of water on their skin and don’t want to bathe and don’t want to be forced.
  9. Frustrated because they can’t write a check, figure out how much tip to leave, or remember how to use the TV remote control.
  10. Paranoid because they think someone is stealing their money or prized possessions.

When all else fails, take a deep breath and put on some music. It almost always uplifts the spirit—for both the caregiver and the person being cared for.

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Seniors get a free cognitive exam as part of Medicare’s yearly wellness exam

Take advantage of this free cognitive exam. If you are a senior, it could make a huge difference in your overall well-being.

Despite clear signs that their memory and thinking abilities have gone downhill, more than half of seniors with these symptoms haven’t seen a doctor about them, a new study finds. 1

University of Michigan researchers and their colleagues say their findings suggest that as many as 1.8 million Americans over the age of 70 with dementia are not evaluated for cognitive symptoms by a medical provider, which in some patients can lead to a failure to uncover modifiable causes of thinking or memory impairment. 1

The study, published online in Neurology, the medical journal of the American Academy of Neurology, documents a clear lack of clinical testing for seniors with signs of cognitive problems.

“Early evaluation and identification of people with dementia may help them receive care earlier,” says study author Vikas Kotagal, M.D., M.S., who sees patients at the University of Michigan Health System and is an assistant professor in the U-M Medical School’s Department of Neurology. “It can help families make plans for care, help with day-to-day tasks including observed medication administration, and watch for future problems that can occur. In some instances, these interventions could substantially improve the person’s quality of life.”

For instance, knowing that a stroke or vascular issues in the brain caused dementia means patients can work to control risk factors like blood pressure that might otherwise cause it to keep worsening. If your physician suspects Alzheimer’s disease, there are drugs that can help delay the onset of full-blown dementia, and the possibility of placement in a memory care facility, which can help offset the catastrophic cost of the disease.

If you’ve had Part B for longer than 12 months, you can get the free Medicare Annual Wellness Exam to develop or update a personalized plan to prevent disease and disability based on your current health and risk factors. The exam includes:
• A review of your medical and family history
• Developing or updating a list of current providers and prescriptions
• Height, weight, blood pressure, and other routine measurements
 Detection of any cognitive impairment
• Personalized health advice
• A list of risk factors and treatment options for you
• A screening schedule (like a checklist) for appropriate preventive services. Get details about coverage for screenings, shots, and other preventive services.
This visit is covered once every 12 months (11 full months must have passed since the last visit).

Don’t delay. Call and make an appointment today. It’s free for all people with Medicare, and it’s to your and your family’s benefit.

Reference

  1. In addition to Kotagal, the study’s authors include Kenneth Langa, M.D., Ph.D., who holds professorships in both the U-M Medical School and Institute for Social Research; U-M neurologist Roger Albin, M.D., U-M neuropsychologist Bruno Giordani, Ph.D. and U-M researcher Mohamed Kabeto, M.S. Authors from other institutions are Brenda Plassman, Ph.D. of Duke University, who directs the ADAMS study from which the data on dementia patients was obtained; and James Burke, M.D., Ph.D., Gwenith G. Fisher, PhD, Robert B. Wallace, MD, MS, David C. Steffens, MD, MH and Norman L. Foster, MD. Langa is a member of the U-M Institute for Healthcare Policy and Innovation.
    The study was supported by the University of Michigan, the National Institute on Aging (AG027010, AG009740, and AG007137), and University of Utah. Reference: Neurology,doi/10.1212/WNL.0000000000001096

 

 

Reducing the Stress On Caregivers: Resources that Really Help—by Kaitlyn Teabo

Although caring for a family member or a loved one can be rewarding, it can also be demanding. If you are a caregiver you are not alone. There are other people just like you and many services designed to help those in your position. Below you will find resources to help you reduce the stress that comes with being a caregiver.

1. Join a Support Group

The chance to talk with others who are going through similar circumstances and facing the same daily challenges as you can help minimize and manage stress. Members of support groups may offer new ideas, coping tips, life experiences and emotional support. The availability to access support groups varies depending on your location. Visit this caregiver.com guide to find a support group near you or call (954) 893-0550 or 1-800-829-2734. If you cannot visit an onsite support group, consider an online support group.

2. Find Respite Care

Respite care services provide someone to care for your loved one while you are away for an hour or for a couple of days. Respite care provides you with the temporary relief and the time you need to relax or to check items off your to-do list that cannot be done during a normal day. To find a respite service in your area, visit Wellness.com’s Respite Care Directory.

3. Find Housekeeping Help

As a primary caregiver, you already have your hands full. Sometimes there just isn’t enough time in the day to fold the laundry or wash the dishes. To find someone who can help you take care of daily house work visit Care.com’s Senior Care Directory, where you can search through profiles of housekeepers, errand runners and pet sitters to find the help you need (or call 1-855-805-0711).

4. Utilize Alternative Transportation Options

If you need assistance in providing transportation for your loved one, the National Transit Hotline can provide the names of local transit providers who receive federal money to provide transportation to the elderly and people with disabilities. Call toll free 1-800-527-8279 to learn more. Types of transportation that may be available includes individual door-to-door service, fixed route with scheduled services, or ride-sharing with volunteer drivers.

5. Visit a Family Caregiver Consultant

The National Association of Area Agencies on Aging provides Family Caregiver Consultants who can provide you with people who come into your home and help with caring for your loved one; provide information on stress relief, general caregiver topics, disease management, organization of a loved one’s information; give a referral to other community resources that might help withyour caregiving; and help you develop a plan to meet your needs. To contact an Area Agency on Aging Family Caregiver Consultant, find your local AAA agency or call 1-877-770-5558.

Author bio: Kaitlyn Teabo is a writer for The Mesothelioma Center, http://www.asbestos.com/. She combines her interests in writing, cancer research and emerging scientific technology to educate the mesothelioma community about asbestos and its related diseases.

Sources:

(2013, Jan. 9). AAAs/TITLE VI AGENCIES. Retrieved from http://www.n4a.org/about-n4a/?fa=aaa-title-VI

Caregiving. Retrieved from http://www.aarp.org/online-community/groups/index.action?slGroupKey=Group92

Home Care. Retrieved from http://www.carepathways.com/TRANSx.cfm

Klein, Rebecca. (2012, Nov. 21). Caregiver Resources: 13 Tools To Help Reduce Stress This Holiday Season. Retrieved from http://www.huffingtonpost.com/2012/11/20/caregiverresources_n_2133063.html

Local Resources. Retrieved from http://www.caregiver.com/regionalresources/index.htm

Quick Tips: Reducing the Stress of Caregiving – Get started. Retrieved from http://www.everydayhealth.com/health-center/quick-tips-reducing-the-stress-of-caregiving.aspx

Respite Care. Retrieved from http://www.wellness.com/find/respite%20care

Senior Care Options. Retrieved from http://www.care.com/seniors