July 6, 2020 (c) Judith Allen Shone – Updated regularly!
BECAUSE of caregivers who took the time to share, 🤗 other caregivers will have meaningful caregiver tips in their toolbox! 💙 Thank you for your encouragement!
CAREGIVERS, these tips are validation that you are not alone on your journey, that others have known your desperation and your joys, and now want to lend support.
The foundation of caregiver knowledge comes from caregivers sharing tips, coping mechanisms and strategies, which they have learned during their journey caring for another with memory loss.
I have found caregivers are willing to share and grateful for help…help caring for others as well as caring for their own health and well being.
We look forward to adding all the perspectives and ideas that have worked …whether for a parent or parents, a spouse or a friend.
Important and timely information may help lighten the darkness of Alzheimer’s world.
Share here………Email your tips. Thank you.
January tips for Caregivers
As we head into the snowy months, it feels like time to hibernate! How can we get rest when we are caregiving?
Here are 9 types of rest you CAN get! Think about how to incorporate these into your life right now, especially after our holiday season.
- Permission to NOT be helpful (do nothing for a few minutes! Or say NO.)
- Do something “unproductive” (watch TV, read a book! – just for you)
- Connect to NATURE and ART. Did you know that doctors in British Columbia can now prescribe two hours/week of being in nature? Try getting outside for 20 minutes at a time.
- Take some time alone to recharge. Close the door, put headphones on, listen to music.
- Take a break from responsibility. Do nothing.
- Find some stillness to decompress. Sit quietly and watch the birds outside.
- Find a safe space to sit and ponder.
- Find some alone time each day, even five minutes.
- Take time away – ask someone to sit with your relative.
By Steph Barron Hall, @ninetypesco. From Acclaim Health email. Jan 1, 2021
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/Activities /-/ Aggression /-/ Ambiguous Loss, Grief /-/ Agitation, Anxiety /
/ Behaviours /
/ Clothing /-/ Communication, Language /-/ Confusion /
/ Disorders /-/ Doctors /-/ Driving, Riding, Flying /
/ Eating, Drinking /-/ Education /-/ Emergencies /-/ Emotions /
/ Family /-/ Finances /
/ Grooming /
/ Hearing /-/ Home /-/ Hydration /
/ Incontinence /
/ Legal /
/ Medications /-/ Memory /-/ Meditation /-/ Mobility /
/ Organization /
/ Professional Care /
/ Safety /-/ Self-Care /-/ Sleeping /-/ Stress Relief /-/ Sundowning /-/ Support /
/ Tendency to Fall /-/ Travel /
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TIPS – Alphabetical categories. Alphabetical by title in category
CHOICES: Loved ones with memory loss still want to feel they have control of their lives. Often, giving them two choices—we can shower now or in an hour?— or —would you rather paint or look at this book?—allows them the feeling they are still independent and part of the decision making. If the choices offered seem too complicated for the loved one, stop and reword the offer so their frustration is eased. The caregiver will want to manage the complexity of the choices, knowing the declining abilities of their loved one to make decisions will be based on the degree of the dementia progression. ~Glenna S., caregiver for mother 🌴
ENTERTAINMENT: When Mom was losing most of her abilities to communicate but was still very ambulatory, we looked for as many things to do where the activity was the entertainment rather than conversation. For us in a small town, there were not many obvious choices. We went to the farm stores in the spring when the baby chicks were in stock, we drove around looking for the most beautiful trees that were blossoming or leafing out, we have spent countless hours at the duck pond and watching Canada Geese in the park. Mom is not tempted by television, the radio or any of the more common distractions so getting outdoors was key. ~Robby, caregiver 🌻
GAMES: Different games can keep a loved one socially engaged and interested in his surroundings. Suggestions may not apply to everyone – consider the cognitive ability level and compatibility with game difficulties.
Jenga, Checkers, UNO (with big cards), Go-Fish, Solitaire, Sorry, Candyland, Chutes and Ladders, Connect Four, Guess-the-Sound -YouTube has videos (you can pause the video while loved ones guess), Look through picture books and play I Spy.
You can add more here if you know a game. ~Facebook Canadian Alzheimer’s and Dementia Support Group ❣
GAMES – In addition to the game UNO, my husband still enjoys playing Neighbours, a game we learned during the social hour following our Minds In Motion® exercise classes at the Alzheimer Society Halton. Download available. See Neighbours Game instructions. ~ Carol, spouse-caregiver 🌼
STAYING BUSY FOLDING CLOTHES: My wife likes to do what I am doing. This is not always possible. I have found that if she needs my suggestion, I have a laundry basket of clothes that she can fold…or refold if there are no new clothes from the dryer. She likes to be near me and this keeps her mind working while she is doing something where the frustration level is low. ~ Michael D., caregiver for wife.🛴
STAYING BUSY SHREDDING: One day when I was grasping at straws as to how my loved one could help me out, I remembered that I had a lot of things that had to be shredded and that was the beginning. I got the shredder out and the things that needed to be shredded and he went to work. He loved doing it so much but we eventually ran out of things to be shredded. I then reached out to family and friends and they would drop off things they needed shredded. He is so happy when he is shredding. This may be something your loved one would also like to do. Who would have thought? ~ Carol, spouse-caregiver 🌼
VIDEOS: Lately I discovered that while my husband has a hard time wanting to ‘do’ activities with me, I found he was watching with me when I was watching wildlife at explore.org, bears, birds, elephants, and those with dogs. If I sat next to him and we watched it together he was interested for about 20-30 minutes…a long time for him. He has little recognition of words now and so this nature video seemed perfect for now.~Darlene D., care partner for husband 🍇
Ambiguous Loss, Grief:
ANXIETY ATTACKS: There are any number of behaviours that seem to qualify as ‘anxiety’ – just look on YouTube! But if your doctor has diagnosed anxiety, you can try this. If I can catch it soon enough, is to get more oxygen into My Love’s blood stream, I ask him to deep breathe. He has a COPD breathing device called an Aerobika, we have adapted for concentrated breathing. It gives the same results as deep breathing— in through the nose, 2,3,4,5 out through the mouth 2,3,4,5— and will help to calm him many times to eliminate the need for medication. The breathing seems to be a distraction similar to the ‘5-4-3-2-1 Technique’ of concentrating on objects long enough for the anxiety to pass. Each event has been different, so we try different coping mechanisms. ~Jas. caregiver 🌷
STUFFED ANIMALS: Nervous agitation can sometimes be calmed by the presence of a pet, real or not. A stuffed animal can take the place of a real animal when one is not available or permitted, or for any reason, not appropriate. In some cases, the same calming benefits that a real animal provide can be felt with a soft, lovable, furry, stuffed animal that has the appearance of being real. Some even offer movement in response to being touched.
The needs to nurture, to be interactive, to love and feel loved in return, and even to feel one has ‘a job’ to care for another, often are satisfied by a stuffed animal. There are fewer safety issues related to a stuffed animal, so quality and purpose of the manufacturer are important, whether animated or the traditional teddy type. My Love knows his animals are not real but he has named them and, at times, treats them as if they are real. He seems not to feel alone and seeks them out when he wants a cuddle. ~Jas, caregiver 🌷
SIGNIFICANT CHANGES: I learned from my counsellor that new behaviours that are significantly different from our ‘normal’ should be considered as red flags telling me we need to visit his doctor to find out what is happening. Big changes , especially if they are ongoing, can be signals something new is happening in the body. Go immediately to see the doctor for discussion and testing! ~ Jas, spouse-caregiver🌷
NAME LABELS: With the possibility of long-term care looming, I have been sewing name labels into my loved one’s clothes that fit. Some are now too large and would not follow him to another residence. This saves me time later, as I know time is approaching. ~jas, caregiver 🌷
SEASON CHANGES: I noticed My loved one with Alzheimer’s needed help during temperature changes this fall. I realized I needed to make suggestions for adding a sweater, using a blanket, even wearing the full set of pj’s, not just a top. The temperature when we get dressed may not be the same throughout the day or when we go to bed, and so a ‘check-in’ once in a while will keep a loved one comfortable, regardless of the season. Don’t forget to confirm, before they need them, that coats still fit. Locate boots, hats and gloves, or shoes for any season. ~ Emily. E. therapist and co-caregiver 🌾
WARM or COLD? I learned My Love cannot tell me if he is cold or hot. He no longer relates to those words. If I ask, he does not connect his cold body with the word ‘cold.’ So I must be sure to have a sweater nearby and actually put it on him since he no longer realizes he is cold and that a sweater makes him warm. A touch of the skin will tell you what they cannot. (read Feeling Warm or Cold?)~ jas, caregiver 🍓
PROCESSING LANGUAGE: When my husband was in middle stages of Alzheimer’s, I noticed he began to misunderstand words or would ‘miss’ them altogether. Then I realized he had trouble following instructions. I repeated myself often and even then I had to add visual instructions as well.
For instructions, I spoke one step at a time and did not go on until each step was completed. I learned to use fewer words—simpler words helped him grasp the meaning. I tried not to yell the words (he could hear), to speak slowly, confirming he understood the meaning.
I have acted out words, (like charades) to add visual cues to the audio sounds. If he missed ‘catching’ or understanding words because of a noisy situation, I tried to removed the commotion. If his confusion came from loud TV or radio, I reduced volume, or turned to a station with calm music, so he could hear and understand what he still could. Sometimes he enjoyed watching the TV but not listening to it and I now believe it was because the actors spoke to fast. ~ Jas, spouse-caregiver 🌷
BREATHING AID: In addition to Alzheimer’s disease, My Love has anxiety. He now has two attacks daily, increasing slowly over four years, as part of his sundowning period. I found if, when he has his attacks, I can distract him, or increase his oxygen intake, sometimes we can avoid taking his little green pill. We have an Aerobika, a Canadian vibrational breathing device used for his COPD. I found if he would breathe with that device, not for the vibration, but for the deep breathing to get more oxygen, sometimes it helped get us beyond the attack. Deep breathing without the device would probably work: in though the nose, out through the mouth. ~Jas, spouse-caregiver🌷
DOCTOR APPONTMENTS: Understand the importance of communicating with doctors. Ask the loved one’s doctor to confirm that you, the partner, spouse, or caregiver. can attend meetings/appointments with the doctor when the LO has an appointment. A LO who forgets, doesn’t like to admit memory loss, or shows signs of denial, can lead the medical staff to error in their diagnosis.
A doctor who, while honoring the LO as his patient, also listens and includes the the partner, is more apt to arrive at an accurate diagnosis. Caregivers see and hear things that LOs do not remember. Caregivers can confirm answers to questions that LOs cannot answer or answer incorrectly. ~ condensed from AARP Caregiver’s Guide🎑
Driving, Riding, Flying:
BUCKLE UP: At some point, I noticed My Love had a hard time buckling his seat belt. I learned if I helped him before we ‘left the dock’ I wouldn’t have to pull over to help him after we were ‘underway.’ Small thing saved frustration later. ~jas caregiver 🌷
CONFUSION ABOUT FOOD vs NON-FOOD: As dementia progresses, a person may put things that aren’t food into their mouth, eg napkins or soap. There could be a number of reasons for this, including:
- The person no longer recognises the item for what it is or understands what it is for. Remove from view the items that the person may confuse for food.
- The person may be hungry. Offer food as an alternative to the item. Make sure healthy snacks like bananas, carrots, grapes, orange segments are available, easy for the person to see (both within eyesight and in clear contrast with the plate or immediate environment) and easy to access throughout the day so they can eat when they want to. ~Alzheimer Society, UK 🌅
GRASPING: To prevent drinking vessel (plastic or glass, or a paper cup) from slipping out of our loved one’s hand, use rubber bands saved from fresh vegetables to slip around the outside of the glass to make it a ‘not-slip’ side. ~ AARP suggestion🥛
SOUPS: My spouse is in later stage Alzheimer’s. To help with hydration, I frequently make soups from the veggies I plan for supper. And sometimes I add chicken broth and mostly chicken, but meats. I have learned that it is a good idea not to have solids in soup during these later days, to increase hydration and to diminish the chance for chocking. No pasta, no chicken chunks or broccoli crowns. So I take the hand blender and smoothly blend the veggies and meat together and it is a meal he is happy to eat. ~ Nancy N., Caregiver 🍐
SPILLING: I noticed lately that my loved on is spilling his food, on his shirt, and pants, and on the couch when he eats there. There is a pad that covers his seat to protect the couch, but his clothes get dirty. I made an adult bib, a bit like an apron top, striped like a male shirt, for him to wear. Then I don’t have to change and wash his clothes every day. ~jas, caregiver 🌷
EMERGENCY GRAB ‘n’ GO: In an emergency we don’t have time to stop and think what we will need to take with us when we have to evacuate our home or apartment. At the bottom of the blog post “What if” Emergency (July 22, 2020) there is a list of items to consider for a Grab ‘n’ Go bag to have ready in case of emergency. What you put in it depends on the needs of your loved one and you. Consider the variety of possible items and purchase your bag accordingly. You will have to carry it or roll it. Consider weight. I keep ours near our door so if the situation arises when we have to leave I can focus on my loved one, knowing what is needed is in the bag I will take when we leave….to go hospital by car or ambulance, to go outside in case of fire, to follow the firemen wherever they lead us. I made a note in my phone calendar to update it every three months…you may need more often. ~Jas – spouse-caregiver🌷
FIRE ALARM: In later stage of Alzheimer’s disease the word “fire” might mean nothing. The fire alarm itself is just a very loud, annoying noise. The urgency caregivers feel in an emergency might generate anxiety, agitation or even aggression in a loved one. Caregivers need to remember to remain as calm as possible with a focus on moving the loved one and yourself to a safe situation. You might have a plan in place with a neighbour or building manager, depending on where you live. It is a big responsibility, which can come with considerable effort, to get yourself and your loved one to a safe place in an emergency. If you have a plan ahead of time, your anxiety will not be transferred to your loved one and moving forward will be faced with less resistance. How to evacuate? Where to go? How to get there? An emergency plan created ahead of time will relieve stressful moments. ~Jas-caregiver🌷
PERSONAL INFORMATION: Beside the front door we have a list posted that has the name, phone numbers, addresses of family members, as well as doctor phone numbers and MedicAlert ID numbers for each of us in the house. This is for paramedics or others who might need the information if one of us is unable to give that information.
In addition, we keep the complete medical history of each person in a medicine vial in the freezer. “The Vial of Life program stores vital health information including physician and pharmacist contacts, allergies and other medical information in a vial in the refrigerator. A fridge magnet alerts emergency services that the client is part of the Vial of Life program.” We also have a bright orange sticker on our front door. Pick up a vial from a pharmacy. ~ L. Conklin, family caregiver 🌿
FEELINGS: We know caregivers must take care of themselves in health, nutrition, exercise, and social aspects because they need these areas fully charged. Without them, caregivers have a difficult time caring for any other—like ‘pouring from an empty glass.’
For the same reason, caregivers should reach for happiness, a sense of well-being, with a goal to be genuinely “happy, because they cannot give something that they do not feel.” ~ Well-being from Abraham-Hicks ⭐
INTRODUCING A LOVED ONE: Families can help those who come to visit their loved one by having conversation prompts available. Visitors, medical staff, and service workers, especially those there for the first time, can talk about topics the loved one recognizes if they know what might be of interest. Have books of favourite topics, photographs of family or activity participation visible nearby. Or, gather photos of books and activities that reflect those interests and put them in a framed collage. Photos are good reference for the loved one and for visitors to see together. For the wall, create a fairly large word cloud, (see wordart.com) frame it and hang it where all can see it. The words you choose to put on it will encourage visitor communication and enhance the visit. ~ from a session at the Alzheimer Society Halton 🌸
FEELING GOOD: Caregivers know they have to feel good to do a good job. They know ‘how good it feels to feel good.‘ 🥰 Likewise, a loved one likes to feel good. In addition to the daily grooming listed below, include fresh, washable clothing: bright coloured smocks, clean socks and underwear daily. Grooming refreshers can make all the difference in the lives of loved ones. Caregivers see Self-care.
FINGERNAILS – MEN: I noticed my loved one’s fingernails were longer than normal. I asked if he needed clippers and he told me he couldn’t clip them any more. I had to learn to do it! I read online that clipping them wet was not good, that dry was better so they did not tear or bend. I found his nails so thick that I had to file them a bit at first since I was afraid they’d crack if I clipped them. I started clipping them little at a time from one side to the other. When I was finished I again filed them a little to be sure they were not jagged. Then I put a little nail oil on them so they’d not be too dry. If you visit a manicurist, ask for their suggestions. ~Jas – caregiver 🌷
SHAVING MEN: I had to learn to shave a man’s face. I do it every other day now, but I never had done it before. Luckily, My Love was able to tell me how to do it. I found I could use an electric razor best, at first but he still used his blade when I was finished…until he could no longer do it.
Then, I used the handheld razor and shaving cream. I found the electric razor took me longer and my arms were tiring while holding them ‘up’ so long. NOTE: Ask your loved one to teach you how to shave his face and neck while he still understands. I am glad My Love was able to teach me before he no longer could.
A note for caregivers of women: I imagine the same wisdom applies…learn and try out what you can while your loved on can help you learn. ~ Jas, spouse-caregiver🌷
SHOWERING: My loved one used to take a shower every day, and then the days between increased. Now I have to suggest a shower and even help him washing with soap and cloth and rinsing. We have a shower chair but he refuses to use it and prefers to stand. I wash and rinse his hair with the shower head to be sure his hair gets wet. I put the towel near his exit point, or hand it to him while he is in the shower. There are grab bars to hold on to so he does not use the towel bars when to transfers out of the tub. He prefers still to dry himself off.
The beautician suggested using clarifying shampoo to help with the oily areas that accumulate. A PSW mentioned the 3 in 1 body wash/shampoo/conditioner. I have tried both. We mostly use a bar of soap and washcloth and shampoo separately for his body. He cannot use the body wash because it is in a bottle, which means another step in the process, which now is too much for him to remember now. He still can rub the bar of soap/cloth over his body and legs.
He does not like water in his eyes, so I am careful about that. I found a small, transparent, plastic, face shield that lightly tapes to his forehead during the shower, keeping water from getting in his eyes. I still must watch not to get water in his ears.
At first he was shy about me being there. We worked it out. Nearly two years ago we tried having someone come in to help with his shower. He ‘would have none of it’ and so I had to learn to help him. And now that he has a very hard time with words, it is a good thing we have a routine established. ~ Jas, caregiver 🌷
HEAD SET vs EAR BUDS: Instead of using the more popular ear buds, use head sets for those who want to listen to music. Hearing aids and anxiety about something in their ears might be overcome by head set over the ears, plus the sound is healthier. ~Burt A., carer, Peterborough 🍀
NOISES: My wife recently had to get hearing aids. I find she becomes anxious, annoyed and withdrawn, or turns them off, if she is in a group of noisy or loud people. She is better and her anxiety goes down when I move her away from sounds that bother her. ~Burt A., carer, Peterborough 🍀
DEMENTIA FRIENDLY HOME: Links to non-commercial Canadian and US resources for home safety tips can be found on one page on this site.
HYDRATION: On hot days, it may be difficult to keep your loved one hydrated. Tip – have a drink with them. Keep the glass/container small. They will finish the drink if container is not large. Keep the liquid coloured. Not water which they might not see. Maybe juice or milk or chocolate milk. Offer popsicles, jello, soups (even cold soup), ice cream. Hope this helps. ~ Eileen, caregiver 🌹
BE READY: Changes in bodily functions can come quickly. With Alzheimer’s, it is almost a certainty that incontinence, a loss of bladder or bowel control, is going to happen – it is just a matter of time. To eliminate panic, have supplies ready. Caregivers have suggested waterproof bed pads (large ones), waterproof mattress covers, extra underwear, incontinence products – pads and underwear- gender specific. It was also suggested to have a separate set of clothing handy for accidents away from home.
(see Grab’n’Go bag -opens on a separate page-you can come back here!)
Keeping supplies at hand, at home and a set in the car, will reduce the panic, anxiety and humiliation when the time comes. We started using the bed pads before there was a need, just to get familiar with the idea, saying, “neither of us know when we might need these!”
To establish as my habits, I do not offer liquids to him after dinner and I insist that each night before bedtime he go to the bathroom, even if he tells me he “can’t.” When incidents occur, I just say, “accidents happen,” without embarrassing him. Even if it is just the two of us, I still respect his sense of privacy, even while I help him make changes. ~ Dorothy M., spouse-caregiver, Alberta 🍓
GET LEGAL ADVICE: As soon as possible following diagnosis, the loved one with Alzheimer’s would do well to seek legal advice while she or he can participate in the decision making or can no longer speak for her/himself…legal, health, financial. Be ready to discuss wills, trusts, prior tax returns, life insurance policies, pension information, deeds and mortgages, bank accounts, investments, property ownership. As early as possible, consider Power of Attorney (POA for health), or a living will, for the caregiver as well as the loved one.
- In Canada, for certain types of legal advice, contact your provincial Legal Aid service or your provincial Alzheimer Society for more information.
- In Canada, provincial and local bar associations can provide names of attorneys practicing in your area who deal with these type issues.
- In other countries, seek information from your Alzheimer’s organization that is appropriate for your area. ~jas. caregiver🌷
BLISTER PAKS: We know many pharmacies who prepare our loved one’s medications in blister packs to make pill giving accurate and accountable. But as caregivers age, it could be that blister packs for their medications would also be helpful, and save time. Talk to the pharmacist for suggestions. ~jas, caregiver🌷
MEDICATION TIME SHIFTS: Note to caregivers: If medication is taken morning and night, or various times in the day, ask doctor or pharmacist the amount of time required between giving meds because when the sleep cycle begins to shift, the designated medication times get shifted as well and it will be good to know their suggested options. ~ jas caregiver 🌷
MEDICINE: At first, when new behaviours appeared, I would ask my wife’s friends what to do. Many of her friends suggested medications. I decided to ask her doctor which one was best. He explained to us why the particular medication was selected. Friends meant well, but were not doctors. I let her doctor suggest and prescribe the treatment for new behaviours ~ Steve, caregiver ☘
PICKING UP PILLS: I have watched loved ones with big fingers try to take little pills from a dish, from a bottle or from a dispenser where the pills are placed into their hand. To be sure I can see the pills, I put the pills on a tissue on a table, where those in my care who were able to be ‘in charge of their pills’ could pick up pills one at a time, while I could still observe. The tissue prevents the pills from ‘sliding away,’ unaccounted for. Equally convenient is a small paper plate. If I need to move it, I just pick it up without losing any pills in the movement. Some loved ones can easily ‘drink’ pills from a small medicine cup. Each person is different. Most times, these routines have been accepted without resistance. ~ L.H. Caregiving technician 🦅
SPOON FOR PILLS: My Love has been having issues with pills. I think I have seen him take them, yet I find them in his food and drinks. He does not know what has happened. I was watching, but to be physically involved, I have now been putting pills on a spoon two or three at a time and putting them in his mouth myself, and making sure he drinks his water to swallow them. I have spoken to the pharmacist about which ones I can crush and which ones I cannot. Eventually, I will have to crush the pills that I can. ~jas, spouse-caregiver 🌷
TAKING MEDICINE: I found that if I put my l wife’s pills in a small plastic dry medicine cup, she could ‘drink them’ into her mouth rather than pick them up from my hand, or from a dish. Sometimes she used to drop them rather than get them to her mouth. I generally put two or three pills at a time into the cup so she does not choke on them. Then I give her water to swallow with the pills. Some friends have told me they use a small juice glass for the pills. ~ V. Thomas, caregiver for wife 🍃
MINDSET: Caregivers have to let go of the person their loved one once was in order to care for the person who they have become. Enjoy who they are now, and the memories that surface, accurate or not. ~ Bobbi Carducci, former caregiver for father, certified consultant, author 📙
EXIT LIST: The other day we had been gone from the house a few minutes when my hubby, who has Alzheimer’s, realized he had forgotten his teeth. That prompted me to place a list beside the door indicating things to review before we left home. Teeth went on top! Water bottle, keys, wallet, glasses, hearing aids, medications, incontinence aids, tissues, phone, notebook/pen. Check shoes are not slippers, that stove, water, lights, TV, radio, are turned off and other exit doors are closed and locked. Windows closed, drapes pulled. I now rewrite the list occasionally so it looks different and I won’t ignore it. ~R.E., caretaker 🌺
DOCTORS: At first my wife’s GP ordered the testing for Alzheimer’s. She sent my wife to various other specialists to confirm findings. When my wife was confirmed, her GP referred her to a Geriatric specialist who was knowledgeable in senior behaviours and diseases as well as the dementia diseases. He remained my wife’s secondary doctor, and the two doctors kept each other informed from then on. ~ Steve, caregiver ☘
OCCUPATIONAL THERAPY RECOMMENDATIONS: At a certain point we were advised to have an OT come into our home and make an evaluation for changes that would make it a safer place for seniors, and especially for one with Alzheimer’s, to live easier, day-to-day. There are many suggestions that can be made and each home is different. In our home, we were asked to get heavy grab bars installed in the shower, to keep the tub mat in the tub and to have a shower chair and to get an elevated toilet seat with handles. We were asked to put a grab handle on the tub as well. All throw rugs had to go because of slip risk. A railing on the edge of the bed was added to prevent falling out of bed and for grabbing when moving in the bed. We put the bells on the outer door as an alert that someone was opening it, with the mention that there might need to be an additional lock at some point. Not all things suggested apply to everyone. It is good for each home to have an assessment every so often because situations and requirements change. ~Doctor recommendation and Occupational Therapist conclusions. 🍄
CAREGIVERS TAKING CARE OF THEMSELVES: . . . means they will be healthier and, therefore, can provide better care to their loved one.
Never assume another caregiver is going through what you are experiencing, or that you experience what they do. We have no idea what others are experiencing in their personal lives. Their life will be different.
Sometimes you get so busy taking care of others that you forget that you are important, too! Take care of yourself, of your needs, of your loved one and of your life in a way that words for you.
- Take a break, have your luxuries, spend time with friends, arrange to go shopping, make time for your own passions, all without feeling inadequate or guilty. It is necessary that caregivers feel refreshed to remain a healthy, rested provider for their loved one.
- Eat well, focus on nutritional content. Exercise, sleep well, and see a personal health provider regularly. If these areas are threatened by caregiving, or caregiving is threatened by failures in any of these areas, respond as if there is a red flag— get help immediately.
- List the tasks that are done on a daily basis to be able to recognize and acknowledge the important issues. Rank them. This way the most important ones get attention. Ask for help with those things that push caregiving beyond the boundaries for each day and task.
- Schedule relief time, when someone will spend time with the loved one while the caregiver takes a break, either out of the home or in the home.
- Have someone lined up, or a service that provides carers handy who understands your loved one so when your stress, exhaustion or illness arise, someone can come in for a longer period than a few hours. Physicians, family members, PSWs, Alzheimer Society counselling services , overnight services all can contribute ideas to solve the particular issue you have.
- Emotions are our ‘guidance system.‘The whole spectrum of emotions will appear at some point throughout the journey. Let emotions be a guide to the intensity of stress that may be keeping you from being your best or doing your best. Pay attention to how you feel and respond in the best way possible at the time.
- Read Caregiver Care here on this site and find other appropriate articles online related to your needs. BUT DO IT. Having ideas researched and solutions ready will begin to reduce stress before it begins. ~Various people contributed these comments through discussions over time. 🌞
- Read Maybe I Could Have… by Andrea René Williams, clear reflections on ideas she wished she’d done better, on ways she wished she’d been better prepared.
MINDSET: During a writing session in an online class, this phrase of wisdom appeared at the bottom of the page where I was writing.
What we choose to empower first thing when we wake up sets the pace for our entire day to follow. – Hope Koppelman
As I reflected over my years of caregiving, it struck a note. It sounded much like “From the get-go, start as you intend to go on” that I had heard in my pre-retirement days. On those days when I started out with intention, I followed through that day, focused, without having to keep reminding myself of my tasks. Even since then, I’ve always felt better on the days I start the day connected to what I love, recognizing where it fits into the day’s agenda. ~ Jas, caregiver 🌷
SERENITY PRAYER: The challenge we face as caregivers is well expressed in the following Serenity Prayer. This is self-care :
“God grant me the serenity to accept the things I cannot change,
Courage to change the things I can, and (the) wisdom to know the difference.” ~ Words modified from the original, attributed to American theologian, Reinhold Niebuhr 🌞
SLEEP PATTERN CHANGE: I hate doing dishes at 10:30 at night when I would prefer to be going to bed. But lately My Love, in later stages of Alzheimer’s, is changing his sleeping patterns. Much like a baby, he is getting his wake-up and go-to-bed times mixed up and his sleep time is shifting forward by 4-6 hours. I keep attempting to wake him every 15-20 minutes. My day now is longer as a result. This cannot last for long or I will become overly tired myself.
Note to caregivers: If medication is taken morning and night, ask doctor or pharmacist the amount of time required between giving meds because medication times get shifted as well.
I came up with a solution I hope works. I prepare my breakfast at 8. Prepare his breakfast at 11:00, or after he wakes up. Or his breakfast becomes my lunch. Dinner now depends how the morning went between 6-7p.m. If I wash dishes after each meal, even is more relaxing. I have no dishwasher. Crock pots of soups made on the weekends have become mainstay and will sustain us through this period while we have big meal midday. This meal shift seems to work without encroaching on his pre-bedtime period, nor mine. ~ Jas, spouse-caregiver🌷
TEMPERATURE: Although some people ‘sleep hot,’ in winter there may be a need for additional blankets on the bed. Sometimes a loved one does not realize they are cold because more bedding is needed. If you are cold and think they might be, add a light blanket. ~jas, caregiver 🌷
EARLY CONTACT: I must put this…so many have told me…one of the first things to do once you confirm the diagnosis is Alzheimer’s… contact the Alzheimer Society, or organization in your area, to establish a relationship, an association. Having the connection will make life easier because of all the ways they help caregivers. ~jas-caregiver 🌷
SUPPORT GROUP MEETING PLACE: There are many places a support group can meet. But COVID-19 has solved the problem of not being able to get together by generating ZOOM support group gatherings. This is also helpful for caregivers who cannot leave their loved one alone, but could benefit from the support such a group provides. Support groups generally have an atmosphere where one can express feelings in a supportive environment and discuss the issues you are encountering. Connections between caregivers are still made through this conferencing method. Ask you Alzheimer Society office or other caregivers if they know of Zoom Support Groups you can join. ~ Jas, caregiver-author 🌷
SUPPORT SOURCES: When you need help, readiness becomes important. It is unlikely that one group will be able to supply all the vital assistance. Focus on group specialties so you will be ready when you need help. ~Peter.T., caregiver for wife and father of a caregiver 🍂
SUPPORTIVE FRIENDSHIP: A friend of mine told me about a mutual friend who is a caregiver for his wife. She suggested I call him just to let him know he could talk to me anytime. His response certainly surprised me. He asked me to lunch! (before this virus thing!) and we sat and talked about his wife for over two hours. I had no idea what he was going through. He didn’t realize I had been through this a few years earlier. I wanted to suggest to people to talk to friends. Be a friend someone can turn to. You may only have to listen but that connection and friendship means a lot. ~Barbara, former caregiver, northern Ontario 🍁
Tendency to Fall:
PREPARATION: Do not wait to fall to realize that aging seniors become more prone to falling. Falls can happen for all sorts of reasons from medication side effects and physical abilities, to lack of balance, eye health and environment. Find a Falls Prevention class to prepare you to, at least, be aware so you can reduce the chance of falling. Ask your health provider or look online to locate a class near you. Lifemark Wellness, for example, has free classes online in Canada during COVID-19. ~Jas, spouse caregiver 🌷
NIGHT VISION: For those who get up in the night, it might help to put glow tape on furniture edges so the loved ones do not bump into corners of dressers, bed frames, tables, corners of walls, etc. Glow tape comes in rolls and can outline doors, indication directions with arrows, outline furniture edges, indicate where the person should be looking, guiding them to or from their destination, typically the bathroom. In the bathroom, the switch can be outlined and door handle identified by glow tape. (also mentioned under ‘wandering‘) It acts as a reference point so loved ones sense ‘place’ in the dark. It does not work at all in light and not well if lights are on. A night light glow may not interfere if at a distance. You will need to test. ~ Jas, spouse-caregiver 🌷
NIGHTTIME DISORIENTATION for TOILETING: In the darkness of night when I am sleeping, my loved one unsuccessfully tries to navigate to the washroom, in a sleepy or disoriented state. To try and correct this it has been suggested that I use nightlights that show the path and perhaps strip lighting or night glow tape around the door, making it a focal point. Additionally, it was suggested a bed alarm on the mattress would alert me when he gets up. To keep him from going in ‘the wrong direction’ I can put safe, soft barriers, to redirect him. If the situation becomes more serious I can consider a portable toilet beside the bed. They suggested, because there are no tried and true methods for every person, that we invite an OT Therapist and LHIN (Ontario) coordinator to evaluate and make other suggestions. ~Alzheimer Society counselling 🌸
WRITE IT DOWN: Find one small notebook where you can keep dated notes about the one you are caring for – you can record behaviours, changes, questions, or suggestions for doctors you may see, where your information will be in one place.
- smart phone is good for notes
- pencil and paper, a journal might be best
- computer notes work if you have laptop or tablet with you, or most recent notes printed out.
Record what is important, or record daily for comparison purposes. Make notes during doctor visits. But most of all, it relieves you of having to ‘remember everything.’ That is self-care! ~Allie K, family member, Ontario 🌱
NEED ANOTHER CATEGORY? If you find another category where your comment would fit better, send me an email along with your comment and we will add the category. I truly hope that caregivers find this helpful. I can see, as it grows, each topic having a page of its own. For now, we take baby steps to grow.
THANK YOU FOR SUPPORTING CAREGIVERS.
Your tip will be read and then posted to the category that seems right. Thank you. 🌷
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“Caregiver Tips” (c) 2020 Judith Allen Shone and contributors
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Find more stories like those found in this blog, more coping mechanisms, and strategies experienced by Judith Allen Shone in her Accepting the Gift of Caregiving book series, “Is There Any Ice Cream?” and “Did You Hide the Cookies?”
Available to order locally, as paperback, hardcover or ebook, at Amazon or local booksellers.