Technique Tip #2

Bathing will usually come second nature to a person when they feel sticky from sweat, or smell an odor emerging from their body.  With a patient who has Alzheimer's, this might not be the case.  In fact, these individuals might even down right refuse to cleanse themselves.  Some may insist that they have already taken a bath today, yet we as caregivers know that it has been two days since their last wash.  A method I use as a caregiver is to give the patient two options as to when they would like to get cleaned up.  You might want to ask: "would you rather take a bath now or in an hour?"  This allows them to make their own decisions, but enables us to assist them in duties that they would not think of to accomplish.  Remember to give reminders to concerns of this nature.  Tasks, such as bathing, become increasingly difficult to conduct when Alzheimer's patients progress into the middle stages of dementia.      

Unforeseen behaviors can arise with Alzheimer's disease that an individual in their earlier years would have never been known to possess.  This occurs throughout all of the stages, though may become more pronounced and identifiable in middle stages of the disease.  We as caregivers must know what to expect and be prepared for the unthinkable to come our way.  In doing so, we can somewhat ready our minds, or at least lessen the blow of the emotional exhaustion we may experience.

Would anyone be inclined to share an experience of their loved one's behavior that has changed since their development of Alzheimer's disease?  This does not have to be a negative experience, for dementia can open doors to different varieties in practices of bonding.  How did this actuality make you feel? 

Technique Tip

Patients with Alzheimer's sometimes feel they are not in control of their lives anymore. In an effort to regain that control, they may refuse to do what you ask of them. These individuals know that they have certain tasks to carry out to in order to stay healthy; they've been doing them their entire lives. Though, somehow, they want to do these things in their own time or feel they know best.

One evening I came across a challenge with one of my clients. She did not want to take her medication, stating that the doctor did not know what he was doing giving her so many pills to take. (While that seems highly unlikely, there are some physicians who over medicate individuals.) My client had a valid point, but her medications consisted of blood pressure, urinary control, antibiotics, and pain medicine for her degenerative disk disease in her back. This sweet lady was convinced that she was not taking these pills as I asked her, "what do you think you happen if you did not take these medications, don't you think things might be worse?"  She replied, "well, that might be true."  My client then proceeded to take her dosages for the night.

This technique I used to help me work through the difficult area that evening is known as a verbal technique of extremes. After hearing the alternative, dealing with her horrible pain, she gave in and took her medicine. If we as caregivers present the information in ways that it sheds light on the situation at hand, we might be able to persuade our clients, to what we feel, are the best options for them in order to live life in optimization. We know that is what we want for our loved ones, but at times they are just not interested. If this happens, I personally do what I can to keep my client smiling.

Has anyone ever had an experience that is similar?  Or maybe you've attempted to use this technique and it did not work. Share your story, you possibly could use another technique to keep your loved one healthy and safe.