Tag: female

Dementia & The Myth of Menstruation

I have never written about this before, but it’s always been something that has interested me.  Most of the women that get dementia have already gone through menopause. This is a very good thing. When working in care communities, I have often found myself thinking, “Thankfully this woman doesn’t also have to deal with getting her period,” when helping older women get cleaned up and dressed. I cannot imagine that, on top of dealing with incontinence issues, women would also be dealing with getting their periods and having dementia at the same time. Interestingly, it is also not uncommon for women with dementia to talk about, or think that they have, their periods. One resident I had, Shirley, was very concerned about getting her period. She believed that she was a lot younger than she actually was. She also often mistook her stomach pains for menstrual cramps.  Shirley had this habit of stuffing things in her pants. She’d put rags, dish towels, paper towels, and nearly anything else she wanted, into her pants. What we came to realize was that she was doing this because she thought she had her period. It was a protective measure: a way to deal with her period when she didn’t have a pad or tampon available.  Shirley wasn’t the first or last female resident I had who complained of period cramps. This makes a ton of sense, though. These women spent a good deal of their lives getting their periods each month, and now, dementia has made them think they are back to getting them.  Evolution gives us gifts, though, because, without menopause, dementia would be a whole lot more complicated. 

Mistaken for a Man.

“Get away from him! That’s my husband and he wants to come with me!” Gladys yelled. Gladys stood, holding Margaret’s walker, pointing at her female companion. A number of staff members crowded the pair, attempting to extricate Margaret from Gladys’ grasp. They had to get Margaret into the bathroom, but Gladys was trying to pull her elsewhere. Afraid that Margaret would fall, a staff member began to argue with Gladys. “That’s NOT your husband, Gladys! This is a woman named Margaret!” Gladys was enraged. “You think I don’t know who my own husband is?” she cried out. The problem stemmed from a few things: 1. Margaret had very short hair, which confused a number of the residents. Gladys was not the first, nor the last, to mistake Margaret for a male. 2. Dementia changes a person’s perception and reality. Just as many people with dementia believe that baby dolls are real, Gladys believed that this woman was a man. The best approach here would have been two-fold: 1. Stop arguing immediately. No one would have convinced Gladys that Margaret wasn’t her husband, so it was just agitating her further. 2. If the staff needed Margaret without Gladys, they should have distracted Gladys while getting Margaret to follow them. Arguing—or reality orientation—is NEVER the answer.

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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!