Alzheimer’s Care Tips

  When a family has a patient with Alzheimer’s disease, in a sense, the most painful part is the patient themselves, because as the disease progresses, their world of thinking becomes “rejuvenated”, and they feel nothing of the sweet and sour of life, but the most painful part is actually the family members who take care of them.  With the long course of Alzheimer’s disease and the high cost of treatment and care, more than 75% of families in China take care of their patients at home, and many patients’ families retire early or even resign to take care of their sick relatives. However, as the disease progresses, the elderly with dementia will soon have difficulty taking care of themselves and even become irritable and out of control, causing a great burden and mental stress to the whole family and caregivers.  Caring for an elderly person with dementia requires patience as well as caregiving skills. Home care for patients should not be limited to daily living, but should also include cognitive rehabilitation training and coping with mental and behavioral symptoms.  Clothing: Try to prolong and maintain the patient’s ability to dress himself or herself, and give frequent encouragement and praise so that the patient has confidence in his or her appearance. Hand the patient only one item of clothing at a time and give step-by-step instructions on how to dress. Choose clothing that is loose, comfortable and easy to remove. If the patient prefers to wear a certain outfit, buy more of the same outfit for rotation.  Food: It is best to choose stainless steel products that are not easily broken. If the patient can eat by himself, it is better to put several dishes into a tray and remove the bone spines in advance when eating fish. Do not let patients eat with sharp knives and forks. Cut food into small pieces to facilitate chewing and swallowing, and do not allow patients to eat sticky foods. Do not give food that is too hot because the patient is not sensitive to temperature. Patients who need to be fed should sit up, not feed too much at a time due to mastication dysfunction, and not too fast to give patients enough time to chew.  Housing: Simplify the room, remove excessive furniture and leave a spacious enough passage for the elderly with dementia to walk. Use brightly colored signs or simple pictures to mark the bathroom, bedroom and kitchen. Make sure the living room is well lit and the floor is non-slip. Keep knives, scissors, medicines, insecticides and other items locked up. Gas and power switches should have safety devices and not be turned on by the patient. Remove the locks on the toilet and bedroom doors in the home to prevent patients from locking themselves out. At night, lock the doors to prevent them from walking out of the house unconsciously, leading to accidents.  Walk: Elderly people with dementia can easily get lost when they go out and often cannot find their way home. Therefore, do not let the patient go out alone and place in the patient’s pocket or sew a safety card/cloth with the patient’s and family’s name, address, contact number and the disease they are suffering from in specific parts of their clothes so that they can be found in time in case they get lost.  Exercise: Patients with dementia need proper physical exercise and memory and intelligence training. For example, sunbathing, walking, and throwing a ball are all good forms of physical exercise. At the same time, let the patient complete daily activities such as washing, brushing teeth, eating and dressing alone as much as possible so that he or she can establish new conditioned reflexes in the mind to maintain various functions. To slow down the process of memory loss, train several times a day to stimulate memory, such as asking the patient to name and address the caregiver, identify common markers, recall the TV news they just watched, or recall interesting past events with the patient and sing old songs.