Posts Tagged ‘Caregiver’

A Valuable Resource for You: Tryn Rose Seley’s 15 Minutes of Fame

Wednesday, May 22nd, 2013

Tryn Rose Seley’s book, 15 Minutes of Fame, is a gold mine for caregivers of people with dementia. This brief and concise 35-page book has the subtitle One Photo Does Wonders to Bring You Both Back to Solid Ground. It is full of positive, practical and uplifting advice for enriching the lives of people with Alzheimer’s.

The book’s focus is “Empowering Caregivers of Those With Alzheimer’s.” It is intended to enable professional or family caregivers to entertain, engage and build trust with people who have dementia. The proposed approach is to share personal and meaningful stories, photos, songs and other materials with the person for at least 15 minutes per day.

According to Tryn Rose, “This improves daily mood, energy and hope for you and the one you care for. The ideas in the book,” she continues, “turn a stressful or ordinary day into an extraordinary one, sparking creativity and gratitude on this path of caregiving.”

The book contains numerous examples from the author’s experience as a caregiver. These illustrate how easy it is to implement the ideas advanced in the book.

Ms. Seley says it’s also important to leave stories and other materials in the person’s room (either at home or in a long-term care community) so that other caregivers or visitors can see and share them with the person. In this way a “circle of care” can be developed.

In conclusion, this is a wonderful, inspirational, and motivating book with clear and easy to follow strategies for transforming the days of people with dementia (or other special needs for that matter).

The book is available in Kindle format on Amazon.com. If you prefer a PDF, you may download it on the author’s website.

Note: Tryn Rose Seley is a professional caregiver, photographer, and a sought-after musician who makes presentations and offers workshops on various aspects of dementia for interested communities and organizations. You can email her at [email protected] and follow her on Twitter: @TrynRose.

 

 

5 Things Alzheimer’s Caregivers Should Never Do

Sunday, May 5th, 2013

Don’t Be in Denial: When a loved one shows signs of dementia it’s common for their friends and loved ones to be in denial. It’s easy to ignore the symptoms, make excuses for the person, and push the symptoms to the back of your mind. The problem with denial is it doesn’t lead you to take your loved one to a primary care physician or neurologist for a complete workup. Sometimes dementia is caused by health issues other than Alzheimer’s. Some of those problems can be treated or even reversed.

Don’t Ask “Do You Remember?” Asking a person with Alzheimer’s if they remember something is a common mistake. They have probably forgotten the event in question. That’s what people with Alzheimer’s do. They forget. So it’s better to say, “I remember when . . . ” and then tell them a story.

Don’t Argue With or Contradict the Person: If you’re caring for someone with dementia it’s so easy to contradict or argue with them when they say things that are total nonsense. And they typically say a lot of things that fall into this category. But it’s much better to agree with them and then change the subject. This can prevent a nasty argument.

Don’t Delay Nursing Home Placement When It’s Clearly Needed: At some point it may (but not always) become evident that you can no longer care for the person at home. Mid- to late-stage patients need nursing staff and aides 24 hours a day and a physician on call at all times. They also need a dietician, a cook, a housekeeper, an activity director and many more professionals. And they need to have people around them to provide social stimulation. Sometimes placing the person in a reputable institution is indeed the most loving choice for the patient.

Don’t Stop Visiting When Your Loved One No Longer Recognizes You: Many people think that there’s no reason to visit a loved one who no longer recognizes them, but I am firmly convinced that you should visit anyway. First of all the person may enjoy being visited even if he or she doesn’t quite know who is visiting them. More importantly, it’s possible that the person does recognize you but simply isn’t able to say so.

Do any of you have suggestions of other things an Alzheimer’s caregiver should never do?

Carole Larkin’s Tips for Communication

Saturday, April 20th, 2013

Tips for communication with a person who has Alzheimer’s:

  1. Make eye contact. Always approach them face-to-face and make eye contact. Use their name if you need to. Always approach from the front as approaching and speaking from the side or from behind can startle them.
  2. Be at their level. Bend your knees or sit down to reach their level. Do not stand or hover over them – it is intimidating and scary.
  3. Tell them what you are going to do before you do it. Particularly if you are going to touch them.
  4. Speak calmly. Always speak in a calm manner with an upbeat tone of voice, even if you don’t feel that way.
  5. Speak slowly. Speak at one half of your normal speed when talking to them. They cannot process words as fast as non-diseased people can.
  6. Speak in short sentences. Speak in short direct sentences with only one idea to a sentence.
  7. Only ask one question at a time. Let them answer it before you ask another question.
  8. Don’t say “remember”. Many times they will not be able to do so, and you are just pointing out to them their shortcomings.
  9. Turn negatives into positives. For example say “Let’s go here” instead of “Don’t go there”.
  10. Do not argue with them. It gets you nowhere. Instead, validate their feelings, by saying” I see that you are angry (sad, upset, etc…). It lets them know that they are not alone and then redirect them into another thought.

Note: This is a shortened version of an article published by Carole Larkin on the Alzheimer’s Reading Room (AlzheimersReadingRoom.com)Please see that article for more detail on each of the ten tips listed above.

Book Review: Intensive Care for the Nurturer’s Soul

Saturday, April 6th, 2013

Intensive Care for the Nurturer’s Soul by Hueina Su, MS, BSN, CEC.  Published by RX for Balance Productions, 2009.  Available from Amazon.com.

 Hueina Su is a registered nurse with more than 20 years of experience in nursing, coaching, counseling, speaking, training, nonprofit management and small business.

 She is the author and creator of Rx for Balance™ coaching program and the founder and CEO of Beyond Horizon Coaching, a global coaching and training company specializing in providing solutions for stress management, life balance and intensive self-care.  She is from a Chinese family and is the fourth generation to work in the field of medicine.

 Su’s approach is holistic and blends eastern and western philosophies, combined with real life stories, practical tips and self-coaching exercises. The book focuses on stress management and self nurturing. 

 One of the most important points Su makes about caregiving is that self-nurturing is not a luxury but a necessity if one is to care for others. She compares this to putting on your own oxygen mask in an airplane before putting on your child’s. If you don’t put on your own first you may pass out and be able to help your child.

 Intensive Care for the Nurturer’s Soul  is a solid book on general stress management that could be helpful to caregivers.

 

 

 

Alzheimer’s and Unconditional Love

Sunday, March 24th, 2013

Ed, my beloved Romanian soul mate of thirty years, was continuing to decline slowly and was becoming ever more difficult to get along with. Our arguments seemed unending. I was at the end of my rope. I really was.

Irene, a friend of mine told me, “You have the option of ending the relationship. You know that, right?”

That made me snap to attention.

“Irene, I can’t do that,” I said, as though it was the stupidest thing I’d ever heard. “I love him. Besides, he couldn’t survive without me. How could I ever abandon him?”

“I know women who were married for as long as fifty years who, in similar situations, divorced their husbands.”

“How could I possibly do that?  It would be morally reprehensible.”

For an instant I fantasized about how wonderful it would be not to have to endure his angry outbursts. But then I imagined Ed sitting in his recliner, unaware of my quandary and the repercussions it could have for him, watching Reagan’s funeral, as if it were the only thing that mattered in the world. 

Then I immediately dismissed the thought of leaving him. I would never leave him. Never.

“Well,” Irene said, “in that case, perhaps we need to talk about how to manage the situation. There are three things I can advise you,” she said. “First, don’t bring up topics you think may upset him. Second, if he starts to get agitated, change the subject. And third, agree with everything he says, no matter how absurd.”

And that’s how it came to be that as Ed’s dementia progressed I agreed with him about more and more. Important things, unimportant things; political issues and mundane day-to-day issues; silly things and serious things.

Although this whole plan seemed ludicrous at first, I found that it did stop most of our nasty fights. Irene’s advice worked. Staying with Ed, caring for him and loving him became much easier and sometimes even joyful.

Preparing Emotionally for the End

Wednesday, March 20th, 2013

There are many emotional issues facing family members and friends when a loved one is terminally ill. These include things such as communicating the terminal diagnosis to others; overcoming denial that the person is in fact terminally ill; feeling the need to “be strong” for that person’s benefit; dealing with anticipatory grief; and deciding when or if to engage hospice care services – just to name a few.

I want to share my experience near the end of Ed’s life. After I started hospice care for him I consulted Doug Smucker, MD, a family physician at the University of Cincinnati who specialized in end-of-life care.

After answering all my questions, he told me something that completely changed my thinking and feelings about the situation. He said that rather than focus on Ed’s impending death, I should focus on doing everything I could to help him have the highest possible quality of life in the time that was remaining.

That turned me around and led me to focus on all the special things I could do for Ed – visiting him more often, taking my little Shih Tzu to see him, having the violinist come back and play another concert for him, and buying him even more of the stuffed animals he loved so much. This helped both me and Ed have a beautiful, pleasant months-long conclusion of our life together

 

Blog for Huffington Post Front Page: Who Says People With Alzheimer’s Can’t Remember?

Sunday, March 17th, 2013

I have been asked by the Huffington Post to submit a blog post for their front page next weekend. The theme is “Memory.” Here’s what I’m submitting:

Who Says People With Alzheimer’s Can’t Remember?

Many of us think that people with Alzheimer’s have few memories. This simply is not true. Though they typically don’t remember very much, they can nonetheless recall certain events and enjoy memories of pleasant happenings from their distant past.

Sometimes Alzheimer’s patients who can’t even recall whether they had lunch or not – let alone what they had – can remember the melodies of songs from their youth and young adult years. Anyone who has observed a sing-along in a nursing home has seen this.

They can also often recall all the words to these songs and sing along just as people without Alzheimer’s do. This is striking because many times these are people who haven’t even talked for months or years.

People with dementia can remember not just music from long ago – they can also recollect other happenings from the distant past.

I’d like to give an example from Ed, my Romanian soul mate of 30 years, who had Alzheimer’s, as recounted in my memoir about our relationship. Ed was living in a long-term care facility for people with Alzheimer’s when the following story took place.

One day I showed Ed a thirty-year-old photo of us together. He recognized me in person then, but didn’t realize I was the woman in the photo. Nonetheless, he looked in my eyes with a serious expression and remarked, “Ah . . . she loved me.” He remembered the affect he’d felt when the photo was taken even if he didn’t recognize I was the one who had loved him.

Another example from Ed occurred when I told him I was applying for a new job. The first time I told him, he responded, “That lady on the television is the Pope.” He didn’t understand a word of what I was telling him. .

So you can imagine my shock at his response a few weeks later when I told him about it again. That time he said in a strong, clear voice. “You’ll get the job! With all of your talent, experience and success writing grants at the University of Cincinnati, I’m sure they’ll hire you.” That day he remembered vividly how successful I’d been during my25-year career.

It is sometimes thought that even if people with Alzheimer’s can remember things from long ago, they may not understand or recall recent past events. Let me recount still another example from Ed that contradicts this belief.

When my mother passed away, I told Ed about it. He became visibly upset and said, “My mother didn’t die. I just talked to her last night.” (Since he was 88, this obviously couldn’t have been true.)

I told him, “No. Not your mother. My mother died. He looked baffled. I could have told him I’d fallen down the steps or gone to the dentist that day– it all would have been the same to him.

I didn’t bring up the topic again. Then one day two weeks later I was wearing a black shirt (as I’d decided to do to mark my mother’s passing) as I sat beside him at lunch. He suddenly looked me right in the eyes and said, “You look so beautiful in that black shirt even though I know you’re wearing it for death.”

I was stunned. And I realized it’s true. Sometimes people with Alzheimer’s exhibit memory abilities we’d never expect from them.

Do any of you have examples to share?

For more about Ed and memory you can read my book about our relationship and visit my website, which has a wealth of information about Alzheimer’s caregiving.

Are You Afraid You’re Getting Alzheimer’s?

Wednesday, March 13th, 2013

It wouldn’t be unusual for anyone to fear they are getting Alzheimer’s. When you have ‘a senior moment’ you may laugh about it, but you may also be one of numerous people who are secretly afraid it may be an early sign of dementia.

Two groups of people are especially vulnerable to this fear – those who have a loved one with dementia and those who work with dementia patients. If you belong to one or both of these groups you witness signs of dementia daily and as a result, become highly attuned to them. You may begin to interpret some of your own memory issues, no matter how minor or infrequent, as early warnings that you, too, are becoming a victim.

Most of us have had moments of concern after being unable to remember someone’s name, forgetting why we went into a room, or not being able to find our car keys. How are we to know whether these are normal sign of aging or whether they may be something more ominous?

The Alzheimer’s Association has addressed this issue in a 17-page PDF, Basics of Alzheimer’s Disease – What It Is and What to Do. This document includes a section on the 10 warning signs. The important feature of this PDF is that after a brief description of each there is a statement of “What’s a typical age-related change?”  After studying this document, one might conclude that generally speaking it isn’t what signs of dementia we have that matter. Rather, it’s their frequency, severity and the extent to which they interfere with our daily activities that counts.

The Alzheimer’s Association states: “Having trouble with memory doesn’t mean you have Alzheimer’s.  Many health issues can cause problems with memory and thinking. When dementia-like symptoms are caused by treatable conditions – such as depression, drug interactions, thyroid problems, excess use of alcohol or certain vitamin deficiencies – they may be reversed.”

So if you have serious concerns about your mental state you should see a primary care physician or a neurologist as soon as possible. It’s the only way to find out if it’s just normal aging, some other health problem, or if it’s in fact Alzheimer’s.

 

 

Using iPods to Improve the Well Being of People With Alzheimer’s

Tuesday, March 5th, 2013

Research on the brains of people with dementia has shown that, even when they are no longer able to communicate verbally or recognize loved ones, they may still respond to their favorite music, often dramatically, and sometimes remembering all the lyrics to the songs played.

One approach to reconnecting persons with Alzheimer’s with beloved musical memories is to provide them with individualized music they can listen to whenever they want. It’s critical to provide them with the music they loved most before developing Alzheimer’s. This can be done by putting their favorite music on iPods for them.

To get started bring an iPod from home and try it out. Try to assemble between 80 and 100 songs (10-15 artists) initially. It has been shown that those with Alzheimer’s disease will become more alert, engaged and talkative if familiar music is played regularly month after month.

Amazingly, some long-term care facilities have even found that antipsychotic medications can be reduced by 50% when iPods are used throughout the facility.

Furthermore, since the use of iPods decreases agitation – one of the primary reasons people with Alzheimer’s are moved to nursing homes in the first place – many patients can remain in their homes longer.

 

Sometimes Forgetting Is a Blessing

Saturday, March 2nd, 2013

The following story illustrates the fact that sometimes when Alzheimer’s patients forget things it is a blessing for them.

Things had been calm for a while, but Ed’s quarterly care conference brought bad news. They said his physical health was deteriorating and he would have to be moved to a different room in another wing of the facility. A week later they moved him.

“I want to go home,” Ed kept repeating plaintively to me and everyone who passed by during my visit the day of his move.

I felt as though I’d ripped him away from everything that had become familiar to him. From what he’d come to accept as his “home.” I couldn’t begin to imagine how confused and lost he must be feeling, and there was nothing I could do to make it better.

Seeing my tearful state, Janelle, one of Ed’s new aides, looked at me with compassion, squeezed my hand and said, “He’ll be okay. You’ll see.”  

The instant I woke up the next morning I heard Ed’s melancholy voice in my head, repeating over and over, “I want to go home.” I burst into tears.

A little later, I drove to the Center and ran into Janelle outside Ed’s new room.

“How’s he doing today?” I asked, expecting the worst.

“Oh, he’s fine,” she said with a little laugh. “He stopped asking to go home.”

“He what?” I asked, stupefied.

“Yeah. He’s already forgotten he was moved and he’s settled into his new room as though nothing’s changed. He’s in a real good mood this morning,” she said, eyes twinkling. “Go in and see for yourself!”

I stopped and let her statements sink in.

“Yes. It’s often like that,” she said. “Residents often adjust to changes more easily than their loved ones.”

“I guess that may be one of the benefits of dementia,” I said. “You quickly forget painful things that happen to you.”

Nonetheless, even though Ed had forgotten about the move, the sound of his voice begging to go home reverberated in my head and troubled me for days. I was the one still in distress. I had learned that with Alzheimer’s, sometimes the caregiver suffers more than the patient.