Tag: ask

ALWAYS ask people with dementia for their help

“He’s really combative,” the staff member complained, popping in my doorway. “Christian keeps slapping my hand away when I’m trying to wash his face.” “Okay, let me come check this out with you,” I suggested. We walked back into Christian’s room, where he was pleasantly sitting on a shower bench. He didn’t seem “combative,” but I watched as my staff member took the washcloth and reached for his face. As her hand went up to touch him, he slapped it away. “See!” she cried. “Look what he’s doing.” “Hang on,” I sighed. It seemed pretty obvious: he was afraid. Most people don’t like when someone they don’t know reaches for their face. “Christian, can you help me?” I asked. “Can you hold this washcloth and wash your face while I wash your legs?” Christian nodded and let me put the washcloth in his hand. I guided his own hand to his face and he began calmly washing while we cleaned the rest of him.  ALWAYS ask people with dementia for “their help” with starting an activity. This could be anything: a shower, painting a birdhouse, a walk outside, completing a puzzle.  When people are asked for help, they are much more likely to agree to do the task.  If someone asks you, “Do you want to help me?” you think to yourself, “DO I WANT TO?” and that’s what you respond to. If someone asks you, “CAN YOU help me?” you respond to the “Can you” part.  By making someone feel necessary and important, you are way more likely to get them to participate. 

When Should a Person Move From Dementia Care to a SNF?

Tess’ question: “At what point is a sweet-natured senior with dementia no longer an appropriate candidate for living in a memory care facility? Can memory care facilities give the increased hands-on care someone in the later stages of AD needs to receive? In your opinion, when should an AD sufferer go to a skilled nursing facility instead of a memory care facility?” At our dementia care community, we are able to provide a lot of hands-on care for people. There is a point, however, where it may be better (and perhaps cheaper) to choose a Skilled Nursing Facility (SNF) for your loved one. Here is what I’d look at: – Can your loved one still walk? Even if it’s with a walker or cane, she won’t need help being transferred.  – Can she eat by herself or does she need to be fed? – Will she be able to participate in activities that the dementia care community provides? – Will she be able to interact with other residents in a dementia care community? If you think she’s able to interact with other residents and participate in activities, then she should definitely still be in a dementia care community, even if she needs help getting around and eating. You want to make sure that, no matter what, her living situation is as positive as possible. When it gets to a point that she’s wheelchair or bed-bound constantly, needs to be fed, and can’t interact with others, then it’s probably time for a SNF.

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Rachael wrote "16 Things I'd Want If I Got Dementia" in 2014 and it's circulated the globe many times over. Download your free copy here!