Tips for dealing with alzheimer's

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Based on my personal experiences dealing with my grandmother

Dementia comes in all kinds of shapes and sizes. My main advice is:

Take your cue from the patient

Let them determine how much they can hear and want to hear.

This lens is organized by question. Questions I had, and questions readers have asked. For now it's under construction.

My personal testimony of dealing with alzheimer's in my grandmother 

Me and my family are doing a great job I think...

But that does not change how hard it is.

My grandmother has alzheimer's do I remind her who I am? 

A question about grandma

That question shows some sensitivity. I know my uncle makes sure he reminds his mother who he is almost the minute he walks in the door. But I was out with him and my grandmother the other day, and when he had gone to the bathroom - she asked where her husband was. Somehow this son gets put in the emotional spot of her husband, at least some of the time.

I'd say that you should tell her who you are, yes. Especially if she asks about it. But also just by and by. You know: remind her of your parents: who's kid are you again? Say something like 'my mother, Ann, always says'... That will put you in context for her, if she still remembers the names of her kids.

What do I say when I visit my alzheimer's grandma? 

Yes, conversation can get pretty hard.

If you're not sure she knows who you are - just introduce yourself. "I'm Anette and I'm your granddaughter" or "I'm Peter I'm the oldest son of your daughter Mary".

My grandmother is used to having family around her be silent, reading the newspaper or a book or something. So when conversation falls flat, I often resort to just reading the papers. When I read something funny, I'll read it to her. I have to explain a lot, usually, but she's still capable of appreciating a good story. So for us, that works. But it depends on your family traditions what will work for you. Just experiment.
Putting on music she'll like, serving tea or asking for another cookie, talking about the weather - small talk will do in any case.

But don't be afraid of a little silence. I've often been silent with my grandmother and had her suddenly come out of reverie asking a question. Here I was thinking she'd dosed off, but actually she was probably thinking hard about something.

In the end it's your mood that will speak to her. If you're calm and accepting, preferably happy to see her (despite everything), she'll be calm too.

And don't feel guilty about leaving after 30 minutes either. Having visitors is a good thing for most Alzheimer patients, but they get tired of it quickly too: after all, a lot of information they do not understand.

Alzheimer care tips: some books 

Caregiver tips and guides

A Caregiver's Guide to Alzheimer's Disease: 300 Tips for Making Life Easier

Avg. Customer Rating: Amazon Rating

Amazon Price: $11.53 (as of 11/12/2009) Buy Now

Unforgettable Journey: Tips to Survive Your Parent's Alzheimer's Disease

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Amazon Price: $13.95 (as of 11/12/2009) Buy Now

Caregiving Tips A-Z: Alzheimer's & Other Dementias

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Amazon Price: $21.86 (as of 11/12/2009) Buy Now

Should I lie to quiet my mother down? 

A daughter asks an Alzheimer question

Yes, I do think lying may occasionally be necessary in dealing with Alzheimer patients.

In other words: if the emotional truth is served, that's whats most important. Tell her what she can hear, that fits your world best.

For instance my grandmother still can't grasp that she is in a home, taken care of daily. That she's been there for months and that everybody knows who she is. So when I assure her dinner will be taken care of (a daily worry for her), she may ask if I've talked to the staff about it. And most of the time I will say - yes, I've talked to the staff about it. Even though I've done no such thing and am not planning to.

My main concern is to stop her from worrying about where food is coming from. Worrying about whether what I say is the truth is less important. I do of course speak the truth where I can.

Complaints Of A Dutiful Daughter 

A movie about a daughter dealing with her mother's alzheimer's disease. Moving picture.

Should I really put familiar stuff in my father's new home? 

A question by an adult son about his father

Yes. I know it may feel strange to not buy your father new stuff as he's moving. I know my family at first felt like buying my grandmother all kinds of new things. In the end though, one of my aunts managed to put some of my grandma's old stuff in the room in a way that looked decent and was practical.

We weren't too worried about my grandmother moving, because she's always liked change and gets bored at things staying the same. But I'm very glad we managed to put her old stuff around her, because now, when she's confused about where she is - I can assure her it's her room by asking her to look at all her familiar things.

Your father will need those reminders just as badly.

The 36-Hour Day 

A Family Guide to Caring for Persons With Alzheimer Disease, Related Dementing Illnesses, and Memory Loss in Later Life

This book really covers everything, from where to put the bathroom to legal issues and where to get help.

This is also a plea for a new way of dealing with patients: allowing them to do as much as possible for themselves. I cannot agree more. The satisfaction on my grandmother's face when she is allowed to help with cooking by peeling potatoes is priceless.

Does it help to make a memory book? 

Yes, there's research to show that creating a memory book and having it as a talking point does help. It even helps people with Alzheimer's become more coherent. In other words, they use words others understand. This is of course a major help in their quality of life. And as they communicate better, they're also more likely to get along with staff in a nursing home. This too is essential to their wellbeing.

Here's more about how to make a memory book.

Aside from a memory book helping the patient, it also helps those around the patient. It can contain information about deceased family members, so that people helping out will know what the facts are and can point them out in the book if the patient should ask for those people. It is very usual for people to ask for their parents for instance. My grandmother also asks for her brother and her husband. Since they're all gone, it is helpful in the conversation to remind her of that.

How do you deal with an alzheimer patient repeating himself? 

Is this true: "when people with Alzheimer's disease repeat the same question or story several times, it is helpful to remind them that they are repeating themselves"?

No, that will just embarrass them. Instead, just answer the question in as few words as you can. If they recognize the answer, they will look at you sheepishly. If not, they are so far gone that reminding them that they've already asked that isn't going to help.

If they are repeating the same story over and over, you may get tired of hearing it. I would not tell them I'd heard it before, but that really depends on the relationship you have with the patient. It does give you something to talk about after all, and in most cases conversation will get pretty dry anyhow.

I'm personally happy when my grandmother talks at all. Silences are getting longer and longer. She's still happy to have me around, but she's no longer much of a conversationalist. But then, she doesn't really repeat herself all that much. And when she does, she usually asks me whether I've heard the story before.

Instead of reminding them that you've heard it before, you may try and change the subject. Or serve something to eat or drink. Any activity may help them get off the beaten track.

Just experiment with it and feel your way through.

How should you deal with aggression in an Alzheimer patient 

First of all: aggression, whether verbal or physical, is caused by the confusion the patient is in. It has little to do with the people treating the patient. Still, there are things you can do that will help minimize aggression, and things you can do that will escalate the problem.

Stay Calm - this is probably the most important tip I could give. Your calm will reach the patient where words have stopped helping (because they're not remembered long enough).

Find out the triggers - keep a diary to find out what triggers aggression, so you can try and find a way of dealing with it that is better. A common trigger is confusion itself. Things like not knowing what to do with choice - so choosing for the patient. This may feel like babying them, but when the point comes that nothing makes sense, helping them organize their world by making them a sandwich instead of asking what they want is a good idea.

Soothing music may help - I once calmed my grandmother down by going outside with her (always a help in her case) and simply humming a tune. Like staying calm, the clue is that the emotions should and can be calmed even if the mind is in turmoil and confusion.

Nothing you can do will totally prevent aggression, because nothing you can do can prevent confusion in someone who's loosing their mind.

Does this help? Any more questions? 

mbgphoto wrote...

Thanks for an interesting lens. My Mom repeats herself often. She also asks the same question four or five times during a short visit. I just keep answering her and like you said keep the answer short after the first time. It helps to read about how others handle the situation. Thanks for an informative lens.

ReplyPosted August 31, 2009

x3xsolxdierx3x wrote...

Many of my patients have Alzheimers....it's sad, and oftentimes difficult, to care for them because of the dementia......great lens and 5 stars :)

ReplyPosted May 26, 2009

Tipi wrote...

My grandma had Alzheimer and now an aunt has it too. It is a sad disease to watch unfolding and feeling helpless about. - Great topic and lens! :)

ReplyPosted May 15, 2009

spirituality wrote...

in reply to aj2008 Well, many elderly people do prefer to just sit still actually. But just like it is with kids: make them feel useful & they will come 'alive' again more. No miracles, just more alive. Bringing in kids apparently works wonders too btw.

ReplyPosted May 08, 2009

aj2008 wrote...

Katinka and Mimi, you are both amazing people and I cannot begin to relate with what you are dealing with. I love your story Katinka about allowing your Grandmother to help with peeling the potatoes. I often think that the elderly are allowed to "just sit" because it just makes it easier for everyone else.

I look forward to seeing how this lens progresses and thank you for being so honest and open about such a difficult topic.

ReplyPosted May 08, 2009

GrowWear wrote...

I watched a documentary the other day -- Complaints Of A Dutiful Daughter. Her mother was more progressed than your dear grandmother. At a certain point, the daughter would just say, "Yes, I am your old friend from college." "No, I haven't heard from so-and-so in years." Totally the way to go if you want to keep your loved ones happy, I believe. Why upset them with clarifications when they'll forget them ten minutes later? I truly believe that this lets them have peace -- and the caregiver, too. Nothing to be done about the sadness I would suspect. My mom is losing her memory... Not going to try to straighten her out when and if that point comes that all I would be saying over and over again to her is that "I'm your oldest daughter." Lying is the best thing in a situation like that. I have no qualms or doubts about it.

ReplyPosted May 02, 2009

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