by trevor@addfuelfire.com | Sep 24, 2014 | Alzheimer's and Dementia, Caregiving, Uncategorized
Dear Donna:
My 82-year old father is in the middle stage of Alzheimer’s disease. Lately, he has become a little more difficult to manage. He is especially difficult to handle when I have to take him to the doctor. Fortunately, he goes to a geriatrician who is very understanding of and knowledgeable about Alzheimer’s disease.
In past years I have always taken my dad with me to the pharmacy flu shot clinic for his yearly vaccine. I’m on the fence this year about whether he should have a flu shot or not. He goes to an adult day center a few days a week and they are offering it there, but I’m just not sure he really needs it. He had a flu shot at the end of flu season last year, and I’m trying to decide if it’s worth the struggle it will likely be to get him to cooperate this year.
Gretchen in Grand Haven, Michigan
Dear Gretchen:
I’m sure you know that these behaviors are not uncommon for those living with Alzheimer’s disease. Family caregivers often feel understandably embarrassed when they are trying to cope with a senior loved one’s behavior in public. Having a primary care physician who specializes in gerontology like your fathers can really help.
As far as flu shots, I recommend you talk with your father’s physician for the final word but I think she or he will likely advise you that your father should receive the vaccine. Even though he had it later in last year’s flu season, he will need a new vaccine to protect him from this year’s strains of the flu. He is probably at greater risk for complications of flu and will likely be at higher risk for contracting the virus if he goes to an adult day center a few days a week. It might be beneficial to have him get the flu shot at his geriatrician’s office instead of the adult day center if you think they are better equipped to handle his behaviors.
Finally, you might be interested in this story we shared with readers during last year’s flu season. Flu Shot Questions from Alzheimer’s Caregivers in Michigan addressed some of the questions we commonly receive about the flu from family members who have a loved one with Alzheimer’s disease.
I hope this information helps, Gretchen!
Donna
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by trevor@addfuelfire.com | Aug 18, 2014 | Alzheimer's and Dementia, Caregiving, Uncategorized
When a senior loved one has been diagnosed with Alzheimer’s disease, families are often confronted with the difficult task of moving them to a memory care assisted living community. After they learn more about these specialty programs, most families understand their senior loved one will be better off in such an environment. Memory care programs offer safety, security and the support seniors with Alzheimer’s disease need to maintain their abilities. But the very idea of helping their loved one make the transition from home to a senior living community often creates high anxiety for family caregivers. If you and your family are facing this transition, these tips can help.
Helping a Senior Loved One Make a Successful Move to Memory Care Assisted Living
- Bring their favorite belongings. Familiar possessions help decrease the anxiety most people feel when moving to a new home. This is doubly so for seniors living with Alzheimer’s disease. Before your loved one actually makes the move, develop a plan for recreating their home environment. It should include favorite belongings such as their comfy chair, the blanket they use while watching TV, and family photos. The items that indicate this is “home” will help make it easier for them to settle in.
- Plan to move on their schedule. If at all possible, arrange for the actual move to take place during their best time of day. As a caregiver, you likely know when that is. If they are at their worst in the early evening, plan to arrive at the assisted living early in the day. That will give you time to get them comfortably settled before their anxiety and agitation peak.
- Create a reminiscence board. Before the move takes place, make photo copies of your loved one and the people and life events that are important to them. Glue them all on a foam poster board. Label everything on the board. It will be something they can keep in their room and will also help staff identify who all of the family members are. The history presented on the board will make it easier for staff to find things to talk about with your loved one and to get to know them quicker.
- The power of music. Many people living with Alzheimer’s disease or a related dementia benefit from music therapy. It has been shown to decrease stress and anxiety. It might help to bring a small CD player and some of their favorite music on CDs when they move. Talk with the staff to see if they can use it when your loved one is anxious.
We hope these tips help make your senior loved one’s move more manageable. If you are a Michigan caregiver who has been through this process with a senior you love, please share any advice you can offer in the comments below.
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by trevor@addfuelfire.com | Jul 28, 2014 | Alzheimer's and Dementia, Caregiving, Uncategorized
If you are the Michigan caregiver of a senior loved one who lives with Alzheimer’s disease, wandering is probably one of the behaviors you worry about most. Despite caregivers’ best efforts, experts from the Alzheimer’s Association report that six in ten people who have the disease will wander. Once a person begins wandering they are more likely to continue. If a loved one with dementia goes missing, every minute counts in helping them make a safe return home. Being prepared for just such an emergency can make the difference difference. One way to do that is by assembling an Alzheimer’s Wandering Kit.
Create an Alzheimer’s Wandering Kit
In the event a your loved one wanders, quickly providing emergency responders and the alert the media with the information and photos they need can make all of the difference in how safely and quickly they are located. Here is a list of what your Alzheimer’s Wandering Kit should include:
- A written description of your aging loved one. Height, weight, eye color, hair color, and any identifying marks or features like a tattoo or scar. Include at least three emergency contact people with the description and make sure you list work, home and cell phone numbers.
- A recent photo of your loved one. It is important that the picture be a good quality head shot that can be cleanly photocopied for flyers. Keep the photo updated if your loved one’s appearance changes. A few seconds of video where your loved one’s face can easily be seen will also help.
- Make sure your kit has a copy of your loved one’s complete medical file. You need their medical history, known health problems, allergies and medications they take. You should also include their physician’s name and contact information
- Create a list of places and addresses familiar to your family member. It might give authorities some kind of a starting point to begin their search. Places to include might be past homes, past employers, loved ones homes, and their church or synagogue.
- If your aging family member still drives, be sure you have a description of their car that includes the make, model and year as well as their license plate number. It will help police alert the authorities in surrounding communities to be on the lookout for their vehicle.
One final piece of advice is to have multiple copies of your Alzheimer’s Wandering Kit stored in an easily accessible location. A digital version that you can email to media and law enforcement is best.
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by trevor@addfuelfire.com | Jun 28, 2014 | Alzheimer's and Dementia, Caregiving, Uncategorized
When a loved one lives with Alzheimer’s disease, members of their family often worry if there is a genetic link. Watching someone you love suffer with dementia makes that concern inevitable. While the cause of Alzheimer’s disease continues to elude researchers, some clinical trials are shedding light on possible links between health problems and the disease. One medical condition that has interested scientists for some time is a possible link between older adults with anemia and the risk for developing Alzheimer’s disease.
Exploring the Relationship between Alzheimer’s Disease and Anemia
A study published in Neurology magazine last year explored the idea that patients who were anemic were more likely to develop Alzheimer’s disease. They hypothesize that because people who are anemic have fewer red blood cells, they have less oxygen reaching their brain. Can that somehow contribute to the plaques and tangles believed to lead to Alzheimer’s? In this trial, 2,552 participants who were dementia-free were evaluated and followed. 392 of them had anemia at the start of the trial. Over the course of the 11 year study, participants who had anemia were 40% more likely to develop Alzheimer’s. Even though that is a very significant percentage, scientists aren’t ready to say for certain there is a causal relationship. Instead they want to investigate the relationship more and examine what, if any, impact anemia prevention might have on the development of Alzheimer’s disease.
Talking with a Senior Loved One’s Physician About Anemia
If you are worried the Michigan senior you love might be at risk for anemia because of a poor diet or another health concern, share your concerns with their physician. They can make that diagnosis. If your hunch is right, their physician can help develop a plan to improve it. The bottom line is that even though these are preliminary studies, it is yet one more reason older adults need to adopt a diet rich in vitamins and nutrients, and to take advantage of community-based senior nutrition programs for support.
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by trevor@addfuelfire.com | May 18, 2014 | Alzheimer's and Dementia, Caregiving, Uncategorized
When a loved one living with Alzheimer’s disease moves to an assisted living community, one of the toughest things for families to cope with is hearing them say the words, “Please take me home. I want to go home.” Adult children know they have made the right choice for safety reasons, but the guilt those words create can be tough to overcome.
What Someone with Alzheimer’s Means When They Say “I Want to Go Home”
Here is what your loved one might really be saying:
- I don’t recognize anything or anyone around me.
Because Alzheimer’s disease robs people of their memory, it creates confusion. Your loved one may not understand why no one seems familiar and nothing looks like home no matter where they are. They are likely feeling lonely.
- “Home” may not be their most recent house.
When shorter term memories are lost, home may be the place they lived when they were a child or younger adult. They may be remembering happier times when they lived with their parents and siblings.
How to Respond When an Aging Loved One Says “I Want to Go Home”
There are a few suggestions we know other families have found worked with their loved ones:
- Try to determine what they need.
We know this can be difficult to do when their verbal skills are impaired. The problem may be that they are hungry, tired, in pain or need to use the bathroom. Try to ask them yes or no questions to see if you can find out if something is wrong or upsetting to them.
- Try to respond positively.
Arguing with them or telling them the assisted living community is home now probably won’t work. Instead, try acknowledging their request and agreeing to do it “later.” Using a simple phrase like, “I know you miss your garden. Maybe next week when we are at the dentist we can stop there.” It may help placate them for now and they likely won’t remember later.
- Encourage them to talk about it if they are able.
Ask them what they miss and what they liked about home. Getting the conversation going might give you an opportunity to determine what they are missing and see how you can help fix it. It might also provide you with the chance to re-direct the conversation. For example, if they miss their garden or the neighbor’s dog, tell them about a new dog on your street or a problem you are having in your garden.
This issue is one of the most common struggles for families. Almost everyone who moves a loved on to a memory care program encounters it at one time or another. We hope these tips help provide you with a few ideas on how to handle it.
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by trevor@addfuelfire.com | May 12, 2014 | Alzheimer's and Dementia, Uncategorized
Storytelling and spending time recalling happy memories is a common part of family bonding. For those with Alzheimer’s disease, it can be a way of helping them reconnect with events and times that are still a part of their memory. Reminiscence therapy (RT) is based on that idea. RT is the process of helping those with Alzheimer’s or dementia recall personal experiences from their past. It works by decreasing demands on the individual’s impaired cognitive abilities by utilizing those that still remain. That means you understand and accept that recent memories are likely gone for good and reminisce about those from more distant days. It has been shown to reduce anxiety and depression.
Getting Started with Reminiscence Therapy
If you are exploring ideas for how to get started using RT with a senior loved one living with Alzheimer’s disease, these tips should help:
- Enlist friends and family to help collect old photos and other family memorabilia. Your goal should be to track down those items from your loved one’s past that will elicit happy memories for them.
- Think about what other physical props might trigger good memories for your loved one. Are there pieces of furniture in their home or yours with an important story behind them? Maybe an old rotary phone or ice cream maker? How about an old piece of jewelry?
- Another way to help your loved one reminisce and reconnect with good times is by using their sense of smell to prompt a response. For example, if their mother baked apple and cherry pies for them as a child, recreating those scents might stimulate a response.
- Music might be another way to help you and your loved one share some memories. Track down CDs of their favorite bands from their youth. You can probably even find videos of them on YouTube.
- Don’t forget about movies they loved back in the day. Scheduling a family movie night featuring the oldies can be a good way for multiple generations to connect and share.
- Finally, consider creating a Talking Family Album or family movie that combines old and new memories. That will make it easier to visit the past together more often.
