How To Cope With Someone With Dementia – As a caregiver for someone with vascular dementia (VaD), you can face difficult challenges trying to provide care and understand changes in the behavior of the person you care for. do Understanding the behavior of a person with VaD can help alleviate these problems.
Have realistic and achievable goals. Often, caregivers try to do everything right and pursue unrealistic goals, although they end up tired and disappointed. Perhaps your goal is to make sure your patient is clean, comfortable, and well-nourished. However, accepting that success can only be 80 percent allows you to enjoy the time you can spend worrying about not achieving those goals. While it’s difficult, try to be comfortable with a less-than-perfectly made-up wife or a perfectly organized home.
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Control neurological risk factors. While there is currently no treatment to reverse the effects of VaD, reducing the risk of additional neurological damage, especially heart attacks, may be an effective way to reduce a person’s risk of worsening dementia. This can be achieved by encouraging exercise, avoiding smoking, drinking alcohol in moderation, and possibly changing your diet to reduce salt and saturated fat. It is also important that people with VaD have their blood pressure checked and blood lipid levels measured at least once a year. In addition, some stroke risk factors, such as high blood pressure, heart disease, diabetes, and high cholesterol, can be controlled with medication. Don’t hesitate to discuss these options with your doctor. Recurrent strokes and dementia symptoms can worsen if neurological risk factors are not adequately addressed.
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Anticipate misinterpretation on the part of the patient. The person with VaD may no longer be able to interpret verbal or nonverbal cues correctly, which can cause anxiety and depression for both you and your patient. Try to speak clearly and concisely – repeat things as necessary, using the same words or messages. Reduce unnecessary noise and distractions when trying to communicate. Don’t use confusing pronouns like he, she or her, but names and specific titles.
Remember that all behavior has a purpose. Many experts believe that some of the behavioral symptoms that people with VaD exhibit, such as screaming or pulling, are different. While the person usually does not intend to mess things up or hurt anyone, they are still being noticed and may be communicating a need that is not being met. Also, it is important to remember that while these behaviors are important, they are not intentional and the person is not doing it “on purpose”, but is most likely trying to convey a message that they can explain in words. do Slowing down, trying to see the world through their eyes, and trying to respond to the “feeling” behind the behavior rather than the behavior itself can prevent an emotional crisis.
Enjoy the fun. Most people with VaD remain physically fit and retain the ability to relax and engage in social situations late in the course of the illness. Therefore, continue to socialize, travel, be physically active and participate in activities that are enjoyable for both you and your patient. Often, familiar activities still appeal to the person with VaD and should be encouraged. However, trying to learn new skills or start a new hobby can be frustrating or overwhelming.
Remember the past and discuss people and places that are familiar and evoke happy feelings for both you and your patient. Memories of the distant past usually don’t change, and watching family movies, viewing photos, or reliving past trips can allow you and your patient to continue sharing experiences and feelings. Allow the patient to share a memorable story with family members, grandchildren, and friends. It’s fun for everyone and helps the patient feel connected to their loved ones.
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Be flexible. Remember that VaD is a progressive disease. A patient’s symptoms and needs will change over time. If strategies like notes or reminders no longer work, don’t use them. A successful intervention at one stage can become frustrating and disastrous at another. Seek help, seek advice, and learn from others who have had similar experiences. More severe behavioral symptoms of a VaD patient, such as resistance to care or aggression, can be particularly difficult for caregivers and often require a highly individualized approach. Talk to your doctor about treatment, both pharmacological and non-pharmacological.
Your patient’s safety is a top priority. As the disease progresses, their memory and judgment deteriorate and they are often unable to anticipate or avoid dangerous situations. This can be a great responsibility for caregivers and requires creative coping strategies. The following recommendations can help ensure patient safety.
Supervision may be more necessary for a person with VaD because they become more forgetful and their judgment is impaired. It is best to evaluate each situation individually and gradually increase the level of patient monitoring as needed. This will help them to be as independent and independent as possible in a safe environment. It is often difficult to determine the level of supervision required and involves assessing the risks and consequences of the patient’s current and potential behavior and assessing the convenience/discomfort associated with patient care.
Changing the environment to reduce the patient’s exposure to potentially dangerous situations can allow the patient to remain independent and safe. Especially in the early stages of VaD, reminders and cues in the patient’s environment may be sufficient to keep the patient safe. For example, posting task-related steps or labeling where things are stored can be very helpful for your patient.
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In the later stages of the disease, strategies may be needed to reduce the patient’s exposure to potentially hazardous situations, such as placing children’s hands in cabinets that contain potentially unsafe materials.
Medical experts at UCSF Health reviewed this information. It is for educational purposes only and is not intended to replace the advice of a healthcare professional or other healthcare professional. You are encouraged to discuss any questions or concerns with your healthcare professional. Advice “I want to go home” – what to say to someone in dementia care. Blog Tips “I want to go home” – What to say to a person with dementia Dementia in care blog.
Here are some ways that family members and primary caregivers may approach the difficult question: “What should I tell someone in dementia care to go home?”
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It’s not uncommon for a person in dementia care to say they want to go home. This may be due to the time change and may be confusing for everyone.
Here are some considerations for what to say to someone who wants to go home in this situation.
5 Things to Keep in Mind When a Person with Dementia Asks to Come Home 1. Avoid discussing whether he is already “home” or not.
In the case of a person with dementia, the term “home” may describe more than just the place where they currently live. Often, when a person with dementia asks you to come home, it refers to a sense of home, not a home.
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“Home” can offer memories of a time or place that is comfortable and safe, and where they feel comfortable and happy. It may be an unknown place that may not physically exist.
It is better to disagree with the person or try to convince them that they want to go home.
If he does not recognize his surroundings as “home” at this time, then it is not home at this time.
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Try to understand and accept the feelings behind wanting to go home. Find out where their “home” is – it may not be the last place they lived. This could be where they lived before the last move, or it could be from somewhere in their distant past.
Often, people with dementia describe “home” as a pleasant, quiet, idyllic place where they were happy. Encourage them to talk about why they were happy there. This might give you an idea
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