Showing posts with label Challenging Behaviors. Show all posts
Showing posts with label Challenging Behaviors. Show all posts

Sunday, March 16, 2014

Understanding and Handling Emotional Outbursts

When it happens

Some individuals go through most of dementia with few uncharacteristic emotional outbursts. Among those who have them, they tend to increase over time.

Why it happens

When outbursts happen infrequently, they're most likely to be caused by some unexpected frustration, such as trying to remember how to do something once easily mastered, especially if the person is already under some other emotional or physical stress, such as a move or an illness.

What you can do

  • Help the person feel secure. This is the number-one way you can ward off unpredictable emotional states.
  • Know that transitions of all kinds can be difficult: a new caregiving aide, a move, a change in routine, a shift from one activity to another. Provide extra time and reassurance.
  • Be empathetic without talking down to the person: "This is a hard day, isn't it?"
  • Keep to a routine schedule; predictability is very soothing.
  • If you sense agitation mounting, try stepping back. Count to 10 or 15 from another room or somewhere apart where you can keep an eye on things, and then try again.
  • Try distracting an upset person with tried-and-true favorites: a tape of preferred music, a cherished blanket or other comfort object, a sweet snack such as ice cream.



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Wednesday, July 17, 2013

Are people with Alzheimer's responsible for credit card debt?

Q: My mom has a lot of credit card debt. Are people who get in debt because of Alzheimer's disease liable?

A: Your question raises a difficult issue. A person who incurs a debt is considered legally responsible for the debt unless you can prove that she was not competent when she signed up for whatever it was that cost so much.

I would immediately seek legal advice as to whether you can get the debt waived, based on her inability to understand what she was doing when she got into this debt. It is possible to do so, but it will cost money for attorney's fees to help you. There may be reduced-fee attorneys available for this kind of matter through your county bar association, AARP's list of lower cost attorneys and through various other legal services organizations serving the elderly.

I suggest that you get moving immediately. There may be other problems besides the credit card debt. A review of all of mom's financial records is in order, and now.

A larger question is how the problem happened in the first place. If mom was developing dementia, it did not happen overnight. Family members must have known that mom had memory problems for quite some time before the debt issue came up. When any adult child notices that a parent has memory loss, it is important to persuade the elder to get to a doctor as soon as possible.
A diagnosis can be a warning that everyone needs to step up and take protective measures to prevent mom from doing foolish things with money, especially if finances are limited. Loss of the ability to understand money, do math or realize the consequences of placing orders or giving money to others can occur in the earliest stages of dementia. The elder may be able to live independently and seem pretty well, but dementia is a tragic and sneaky thief that steals ability invisibly. A person with dementia absolutely needs to plan ahead and appoint an agent on a durable power of attorney (DPOA) for finances to prevent the kind of nightmare debt you now have to deal with in the situation you describe.

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Friday, July 12, 2013

How to Handle A Loved One With Dementia Who Refuses to Bathe

Modesty, privacy feels invaded, dislikes bathing aide, uncomfortable (too cold, afraid of water), feels unsafe (afraid of falling), had a prior bad experience, dementia makes him or her unaware of need to bathe or forgetful about basic hygiene
What to do:
  • Start by asking in a friendly, nonaccusatory way, "Why not?" That will give you insights into how you can help. Fear of falling down? Water too hot or cold? A lack of awareness of his or her hygiene (could flag dementia)?
  • Make sure the bathing process is comfortable, in a warm, safety-proofed bathroom that includes a shower chair and grip rails.
  • Provide as much modesty and privacy as possible. It may be time to switch from showers to baths, or from baths to sponge-bathing. Allow the person to remain partially clothed (or robed) if that's more comfortable.
  • Allow the person as much control over the process as possible; take care not to "baby." As much as is reasonable, let your loved one choose how to bathe.

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Calendar Appointment  Reminder Stickers (White) Canned Foods Shelf Sign/ Bumper Stickers

Checklist for Brushing Teeth Wall DecalDaily Pain Journal (Sky Blue) Memo Notepad

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