We are ending April by discussing Dementia. Dementia poses many challenges for families and caregivers. People with dementia have a progressive brain disorder that makes it difficult for them to remember, think, communicate, and care for themselves. Dementia can also cause mood swings and personality changes. That is where caregivers come in…our angels on earth!
Practical Strategies
Strategies for addressing the behavior and communication challenges often encountered when caring for a person with dementia can be both simple and complex. A simple approach is to establish a daily routine in a calming environment. When talking with your loved one, use a calm voice and play soft music. During moments of clarity, acknowledge your loved one’s feelings. Let your loved one do as much for themselves as possible. When giving directions or instructions, use short, eye-level statements. Never argue!
Managing Behaviors
Managing behaviors can be tricky. As the caregiver, you must have a plan that always starts with calmness! Body language can be agitating or calming, so be mindful of how you stand or sit. Don’t cross your arms, or use flared hand and finger expressions, and never, never, never rush your loved one to respond or react. Continually offer encouragement for their great efforts!
Communicating with Loved Ones With Dementia
When asking questions to loved ones with dementia, avoid open-ended ones. Asking these kinds of questions can cause frustration. Many cannot hold long-term discussions, so keep it short and to the point. Example…eggs or bacon today? Sometimes using pictures can also be a helpful choice. If necessary, redirect. Whatever you do, be patient and nonjudgmental. Watch for nonverbal cues and respond appropriately. Remember, communication includes all five senses…sight, smell, taste, touch, and hearing.
Dementia and Nutrition
Loved ones with cognitive decline from dementia often forget to drink and eat. Caregivers must offer meals and snacks often. Hydration is important as well. Ensuring loved ones eat and drink can be challenging, but do your best to focus on nutrition. If you know your favorite foods and drinks, having them in view can sometimes prompt loved ones to eat. Yes, be creative while staying safe to avoid choking or aspiration. Seek medical attention if you notice weight loss, constipation, or low urination output. Also, be mindful of any dental issues, such as poorly fitting dentures or loose teeth that may be causing pain.
As Your Proactive Caregiver Advocate, there are many potential challenges in caring for loved ones with dementia. It’s important to remember that behaviors are beyond the person’s control. We have to pay attention to the noted actions and behaviors. Every loved one is different, so making changes as needed is the caregiver’s role. No question that dealing with these behaviors can make caregiving challenging, but remember to control what you can control and take one day at a time. Be Safe! Be Well!
Dr. Cynthia J. Hickman is a retired registered nurse and case manager who serves as the CEO of Your Proactive Caregiver Advocate. She is excited to share her latest book, The Essential Caregiver Training Course for Corporations and Community. Her previous work, From the Lens of a Daughter, Nurse, and Caregiver: A Journey of Duty and Honor, and The Black Book of Important Information for Caregivers, reflects her experiences and insights from her heartfelt caregiving journey.