by Shelley | Feb 27, 2026 | Alzheimer's and Dementia, Dear Donna
Dear Donna:
My mom was diagnosed with Alzheimer’s disease about three years ago. Recently, my dad—her primary caregiver—has noticed her anxiety increasing. We’ve been trying to figure out ways to manage it without resorting to medication.
I’ve heard that spending time in nature can be beneficial for people with Alzheimer’s and other types of dementia. My parents were always outdoor people prior to my mom’s diagnosis. They loved gardening, spending time at nearby lakes, and strolling through one of the many parks we have in our community.
How can we safely use my mom’s love of nature to decrease her level of anxiety and improve her quality of life? I’m not sure how to manage it.
Sincerely,
Jamie in Holland, MI
Using Nature to Help Manage Anxiety for a Senior with Alzheimer’s
Dear Jamie:
Caring for a person with Alzheimer’s often means helping them navigate anxiety, restlessness, and agitation that can arise from confusion or overstimulation. You are correct in thinking that nature might offer some solutions. Nature can be a powerful, gentle tool for calming these symptoms. We often use nature activities with residents in our specialized dementia care communities.
For caregivers, incorporating simple, structured nature-based tasks into daily routines can reduce anxiety while creating moments of connection and purpose. Here are a few ideas I hope you and your dad will find helpful:
- Spend supervised time outside: One of the most effective approaches is guided outdoor time. Short, predictable walks in a familiar setting—such as a backyard, garden, or quiet park—can help regulate mood. Keep walks brief and unhurried, focusing on sensory experiences rather than distance. The two of you can encourage your mom to notice birds, feel sunlight, or listen to leaves moving in the wind. Walking the same route each time builds familiarity, which reduces anxiety.
- Tackle simple garden projects: Hands-on gardening projects are especially beneficial because they provide engagement and a sense of accomplishment. Choose simple, failure-resistant tasks, such as planting large seeds, watering plants, or harvesting herbs. Raised beds or container gardens are ideal, as they reduce physical strain and keep tasks visually clear. Avoid complicated instructions; instead, demonstrate each step and work alongside your mom. The rhythm of gardening can be soothing, while the tactile experience of working with soil and plants grounds the person in the present moment.
- Bring nature indoors: When the weather is bad, indoor nature activities can be fun. Creating a small “nature station” can be calming and purposeful. This might include arranging flowers, sorting smooth stones or pinecones, or caring for houseplants. Caregivers can guide projects such as wiping leaves with a damp cloth or transferring water to plants using a small watering can—tasks that feel meaningful without being overwhelming.
- Plan nature-based sensory projects: These can also be effective tools for managing Alzheimer’s-related anxiety. You or your dad could sit with your mom to listen to nature sounds, such as birds or ocean waves. Visual cues—like watching fish in an aquarium, clouds through a window, or birds in the trees—can also enhance the calming effect. Even opening a window for fresh air and natural light may noticeably shift mood. Creative projects inspired by nature also support emotional regulation. Simple activities like leaf rubbing, painting rocks, or assembling a small nature collage allow for self-expression without requiring memory or complex skills. Focus on the process, not the result, and offer encouragement rather than correction.
Finally, an article you might be interested in reading is “Tips for Gardening with a Senior Who Has Dementia.” It covers topics ranging from how to include your mom in garden planning to looking out for plants that might be toxic if ingested.
Kind regards,
Donna
by Shelley | Dec 29, 2025 | Alzheimer's and Dementia
Dear Donna:
My mom has Alzheimer’s and has been living with my family for the past few years. While her disease is still considered to be mid-stage, one concern we have trouble managing is when the time changes here in Michigan. It seems to really disrupt her sense of well-being and ramps up her agitation.
In anticipation of the spring time change, I’m wondering if you have any tips for helping us better support her. We would appreciate any suggestions.
Sincerely,
Lisa in Saugatuck, MI
Tips to Help a Senior with Alzheimer’s Navigate Seasonal Time Changes
Dear Lisa:
This is a great observation! As one of the largest providers of Alzheimer’s care in Michigan, it’s a change in behavior we see often, too.
For most people, the shifts caused by Daylight Saving Time—either gaining or losing an hour—pass with only minor inconvenience. But for individuals living with Alzheimer’s or other forms of dementia, even a small disruption in daily rhythm can cause confusion, agitation, or a temporary worsening of symptoms. Understanding why this happens and knowing how to prepare can make this seasonal transition much smoother.
Why Time Changes Can Be Hard for People with Alzheimer’s
Because memory is impacted by this disease, people living with Alzheimer’s often rely heavily on routine. Predictable schedules offer structure and emotional security, helping them feel anchored throughout the day.
A sudden change in light patterns, such as darker mornings in fall or brighter evenings in spring, can confuse the body’s natural clock. This internal clock, known as circadian rhythm, regulates sleep, hunger cues, energy levels, and even mood.
Because Alzheimer’s disease affects the parts of the brain that manage time perception and sleep-wake cycles, these changes can be especially disruptive. It’s common to see:
- Increased confusion, particularly in the late afternoon or early evening
- Sleep disturbances, such as waking up earlier or having trouble falling asleep
- Worsening of “sundowning” symptoms, including agitation, pacing, or restlessness
- Irritability or anxiety as the person struggles to understand why the environment feels “off”
Even though the clock changes by only one hour, the shift in daylight can feel much more dramatic for someone already coping with cognitive changes.
How Caregivers Can Prepare and Reduce Stress
The good news is that with a few thoughtful adjustments, you can help ease the transition for a loved one with Alzheimer’s and minimize the impact.
- Adjust routines gradually.
In the week leading up to a time change, try shifting daily activities by 10–15 minutes each day. Adjust wake-up times, meals, medication schedules (if appropriate), and bedtime slowly rather than all at once. This gentle transition helps the body adapt more naturally.
- Use light to your advantage.
Light is one of the strongest tools for regulating circadian rhythm. A well-lit environment can reduce restlessness and support clearer thinking.
- In the fall, when evenings become darker earlier, add indoor lighting in the late afternoon to reduce confusion.
- In the spring, when mornings become brighter, open blinds early to help the body wake up naturally.
- Maintain familiar rhythms.
Even when the clock changes, the overall pattern of the day should remain as steady as possible. Keep meals, walks, bathing, and relaxing activities in the same order and general timeframe. Consistency builds comfort.
- Reduce stimulation during the transition.
If your loved one experiences sundowning, keep evenings calm. Lower noise levels, limit screen use, and choose soothing activities such as listening to music, folding towels, or looking at photo albums.
Predictability helps reduce anxiety.
- Monitor sleep and adjust gently.
A slight change in sleep patterns after a time shift is normal. If your loved one wakes too early or struggles to settle at night, encourage restful habits. Those can include soft lighting, warm beverages without caffeine, and a quiet pre-bed routine. Avoid forcing sleep, which may increase agitation.
- Be patient and reassuring.
A calm, steady presence is one of the most valuable tools you have. Offer reassurance, speak gently, and expect that your loved one may need extra support for a few days.
One final tool you might find helpful is this article, “How to Manage Sleep Problems in Adults With Alzheimer’s.” It has ideas you might find useful.
Kind regards,
Donna
by Shelley | Sep 28, 2025 | Uncategorized
Alzheimer’s disease is a progressive brain disorder that gradually impacts memory, thinking, and behavior. One of the most challenging aspects for both those living with the disease and their loved ones is the way it affects communication. Conversations may become confusing, repetitive, or even frustrating.
Added to that is the physical damage the disease causes to the brain. As Alzheimer’s progresses, a person’s ability to speak becomes more impaired.
Understanding how Alzheimer’s affects communication—and learning strategies to adapt—can help preserve connection, reduce stress, and enhance quality of life.
Tips for Communicating with a Loved One Who Has Alzheimer’s
Here are six common ways Alzheimer’s impacts communication, along with practical tips for managing each challenge.
- Difficulty Finding the Right Words
What Happens:
A person with Alzheimer’s may struggle to recall specific words or names. They might pause mid-sentence or substitute vague or incorrect terms (e.g., calling a watch a “hand clock”).
Work-around:
- Be patient and allow time for the person to find their words.
- If they’re stuck, gently offer the word they’re looking for.
- Avoid correcting them if they use the wrong word unless it’s really necessary.
- Use gestures or visual aids to support understanding. The prompting technique is often very helpful.
- Repetition of Words or Phrases
What Happens:
Repetition is common as short-term memory declines. The person may ask the same question or repeat a story several times, sometimes without realizing it.
Work-around:
- Answer repeated questions calmly and consistently.
- Use written notes or visual reminders (e.g., a whiteboard with today’s schedule) to help reduce anxiety that leads to repetition.
- Distract gently with a different topic or activity if the repetition becomes distressing.
- Avoid saying, “You already told me that.” Instead, respond as if it’s the first time or redirect with kindness.
- Trouble Following or Joining Conversations
What Happens:
As Alzheimer’s progresses, short-term memory is impaired or lost. That makes it more difficult for someone with the disease to follow conversations. This is especially true if the conversation moves quickly, involves multiple people, or covers unfamiliar topics.
Work-around:
- Speak slowly and clearly, using short, simple sentences.
- Stick to one idea at a time.
- Reduce background noise to help them focus.
- Give them your full attention and maintain eye contact to signal engagement.
- Ask yes/no or multiple-choice questions instead of open-ended ones, which can feel overwhelming.
- Loss of Train of Thought
What Happens:
The person may begin a sentence and then lose track of what they were saying. Again, this challenge is usually linked to short-term memory loss. It can be frustrating for the senior and may lead them to withdraw from conversations.
Work-around:
- Offer gentle prompts to help them refocus: “You were talking about your walk today—what did you see?”
- Avoid rushing them or finishing their sentences unless they ask for help.
- Encourage a calm environment with few distractions so they can concentrate better.
- Struggling to Understand Words or Meanings
What Happens:
Understanding spoken or written language may become difficult. Instructions or abstract concepts can be confusing or misunderstood.
Work-around:
- Use simple, direct language and repeat key points if needed.
- Demonstrate actions visually (e.g., pointing or showing) rather than just explaining them verbally.
- Avoid using figures of speech, sarcasm, or jokes that may not be understood. For example, instead of saying, “Let’s hit the road,” say, “Let’s get ready to go outside.”
- Withdrawal from Conversation
What Happens:
People with Alzheimer’s may stop participating in conversations because they feel embarrassed, confused, or overwhelmed. This can lead to isolation.
Work-around:
- Create a safe, supportive space where mistakes are okay.
- Invite them to join in using nonverbal communication, like smiling, holding hands, or sharing photos.
- Focus on shared experiences—music, pictures, or familiar activities can spark engagement even if words are hard to come by.
- Even just sitting quietly together can be meaningful and comforting.
Schedule a Visit to a Heritage Memory Care Community
As a leader in dementia care, Heritage is proud to offer memory care support across the state of Michigan. We invite you to schedule a time to visit and learn more. You might find our respite care services to be of interest if you are a caregiver for a loved one with dementia. Call the location nearest you to set up a time!
by Shelley | Jun 27, 2025 | Alzheimer's and Dementia
Receiving an Alzheimer’s diagnosis for a loved one can be overwhelming, emotional, and downright frightening. While there’s currently no cure for Alzheimer’s, there are steps you can take immediately after diagnosis to help manage the condition. This includes some suggestions that researchers believe might help slow the disease’s progression.
Here’s a practical list to help families navigate this new chapter with confidence and care.
What’s Next When the Diagnosis Is Alzheimer’s Disease
- Research the disease.
Start by learning about Alzheimer’s disease. It’s a progressive brain disorder that gradually affects memory, thinking, and behavior. Understanding what stage your loved one is in can help you anticipate their needs.
Also, be sure to ask the doctor specific questions such as:
- How advanced is the disease?
- What symptoms should we expect next?
- Are there any new medications that might slow progression?
Reliable sources like the Alzheimer’s Association provide up-to-date, trustworthy information and tools for caregivers and families.
- Build a support team.
After the diagnosis, schedule follow-up appointments with recommended specialists. This might include a neurologist or geriatrician. It’s also helpful to meet with a social worker or case manager who can guide you through care options, resources, and support programs in your area.
Don’t underestimate the importance of emotional support. Reach out to a local or online Alzheimer’s support group for caregivers. Connecting with others going through similar experiences can be both reassuring and helpful.
- Begin legal and financial planning.
It’s crucial to start or review existing legal and financial planning while your loved one is still able to participate in decisions. Important steps include:
- Establishing or updating a power of attorney (for finances and healthcare)
- Creating a living will or advance directive
- Reviewing bank accounts, insurance policies, and estate plans
- Exploring long-term care insurance or Medicaid planning
- Create a care plan.
A care plan outlines how your loved one will be supported now and in the future. Consider who will assist with daily tasks, attend medical appointments, and help manage medications. Think about both current and long-term care needs.
It’s also important to keep the senior engaged in activities they enjoy. Staying mentally and socially active can help maintain quality of life and slow cognitive decline.
- Make the home safe.
Evaluate your loved one’s living environment to ensure it’s safe and dementia-friendly. Simple changes like labeling cabinets, removing tripping hazards, and installing grab bars can make a big difference.
As the disease progresses, you may need to add locks to exterior doors to prevent wandering or use GPS tracking devices for safety. Researchers say that an estimated 60% of people with Alzheimer’s will wander from home at some point. And those who wander once are more likely to do so again.
- Take care of the caregiver.
Caring for someone with Alzheimer’s can be physically and emotionally exhausting. Don’t try to do everything alone. It’s essential for caregivers to take breaks, ask for help, and care for their own mental health. Take time now to explore nearby respite care services, adult day programs, and dementia care communities.
- Try to be flexible and empathetic.
With time, you’ll likely witness many changes in your loved one. Alzheimer’s is a progressive disease that can be difficult for both the person living with it and those who love them. Remember, what works today might not work next year—or even next week. Be prepared to adjust routines, seek new resources, and approach each day with patience, empathy, and understanding.
Specialized Dementia Care at Heritage
With eight specialized dementia care programs across the state of Michigan, Heritage leads the way in caring for adults with different types of memory loss. We invite you to call a location near you to learn more or to schedule a private tour at your convenience.
by Shelley | Apr 28, 2025 | Alzheimer's and Dementia
Dear Donna:
I’ve been caring for my mom since she was diagnosed with mid-stage Alzheimer’s almost three years ago. While I’m grateful to have her in my home, every day has a new challenge. As the disease progresses, she continues to lose the ability to care for herself. For a proud, independent woman like my mother, it is very tough to watch.
Do you have any advice for managing the emotional side of caregiving for a loved one with dementia? The emotional struggle of Alzheimer’s is as difficult for me as the physical challenges of trying to care for her.
Sincerely,
Cindy in Ann Arbor, MI
Alzheimer’s Caregiving: Dealing with Difficult Emotions
Dear Cindy:
The struggles you are navigating are so common with this disease! Alzheimer’s experts often refer to it as the long good-bye for this reason. Watching a parent or other close loved one struggle with Alzheimer’s disease is very difficult. The gradual decline in memory, cognitive function, and ability to care for themselves can feel like losing the person you’ve always known. The emotional toll can be overwhelming for family members.
Navigating this tough journey involves understanding the disease, acknowledging the emotions you’re experiencing, and finding ways to cope with the changes while maintaining a sense of hope and connection.
Understanding Alzheimer’s Disease
Alzheimer’s disease is a progressive degenerative brain disorder that affects everything from memory to physical coordination. For family members, the change can be hard to accept. This is especially true when a parent begins to lose their ability to recognize familiar faces, remember important events, and care for themselves.
The emotional impact can start with shock and disbelief as you notice changes in your parent’s behavior. There’s often a sense of mourning for the person your parent used to be, which can be difficult to reconcile with the desire to remain hopeful.
Feelings of Grief and Loss
One of the most challenging aspects of caregiving for a parent with Alzheimer’s is the grief that comes with watching a loved one slowly decline. This grief can be complicated because it’s not just about the eventual physical loss, but also the emotional and cognitive changes.
You may grieve for the conversations you can no longer have, the memories you’re unable to share, and the parent you used to know. This emotional mourning may come in waves, often without warning, and it can feel isolating.
It’s important to acknowledge that grief doesn’t only occur after a loved one has passed away; it can also be a constant companion as you navigate the changes Alzheimer’s brings. This is known as anticipatory grief.
Feelings of guilt, anger, frustration, and helplessness are also common. These emotions often arise because of the overwhelming responsibilities involved in caring for a parent with Alzheimer’s. You may question if you’re doing enough or feel angry at the disease for robbing your parent of their personality and abilities.
Coping Strategies
As a caregiver, it can be easy to focus entirely on your parent’s needs. That can lead to burnout. Taking care of your own emotional and physical health is essential:
- Set boundaries: Set boundaries for what you can and can’t do as a caregiver. This will be important as your mom’s disease progresses. When tasks are outside your comfort zone, ask for and accept help from friends or professionals.
- Stay connected: Stress and sadness are very real emotions that caring for a loved one with Alzheimer’s causes. Try to stay connected with friends and hobbies that bring you joy. Utilize respite care to give you time to do so, if necessary.
- Join a support group: Talking with peers who understand and share this journey can be a big help. You’ll likely find in-person opportunities in your community. Virtual support groups can also be helpful.
- Enjoy your mom: While your mom may not remember past events or recognize you as she once did, maintaining a sense of presence and emotional connection can provide comfort. Playing familiar music, dancing together, or looking through photographs are some ideas to try.
Finding Hope
Despite the emotional struggle, it’s important to focus on the moments of hope and joy you experience. These moments, though often fleeting, remind us that the person we love is still there, even in a different form. It might be a smile, a laugh, or a moment of recognition that makes all the emotional pain worth it. Try to be present for those.
In the end, dealing with a parent’s Alzheimer’s is about learning to embrace both the challenges and the small victories. It’s about finding ways to keep love and compassion at the forefront of this journey, even when the road ahead is unclear.
I hope this is helpful, Cindy!
Kind regards,
Donna
