Tag: help

Why the loss of control motivates most “behaviors”

Are you enjoying my blog posts? Grab a free download of one chapter from my audiobook here and also receive any future helpful tips and posts right to your inbox! Cecilia was having a hard time. Suddenly, she couldn’t do all the things she used to do. She had once owned her own business, handled all her finances, made her own daily plans, raised children, and more. Now, with dementia, she couldn’t manage those tasks. Now, her family was doing everything for her, and it made her angry. “Stop messing with my checkbook!” she yelled at her son. “When did you last take the trash out?” she asked her husband with a tone of frustration. Often, she stayed in bed, saying she didn’t “feel well.” This was very new for her family—they’d never seen her like this! It was no wonder that Cecilia seemed annoyed, detached, and anxious! She was once a woman who handled everything in her life, but now, with dementia, she had lost a lot of control. A feeling of control is important to most everyone: we want to know that we have the ability to make choices and change things in our lives if we want to. When we feel like we have no control, we start to panic. It makes a lot of sense that Cecilia was so agitated and irritable with her family: it stemmed from fear.  Many of the “behaviors” we see in dementia (hoarding, irritability, accusations, etc.) come from a place of fear, and that fear is usually based on a loss of control.  How do we help someone who feels this way? The best thing to do is to give them back some of that control. Obviously, you can’t let your confused loved one fill out the checkbook, but you can let them help you make a budget. Ask your loved one “for help” when completing a task, even if you don’t need (or want) help with that task. This is another reason why chores are such a great thing to try with people living with dementia: they are task-based, often simple, and part of daily life. Even in late stages, most people are able to fold a hand towel or match up socks with some assistance.  Ask “for help” (not if they WANT to help, but rather if they CAN help you) and see the change in your loved one’s behavior. No one wants to feel like they lack control over the most basic parts of their existence. Have you signed up to receive my blog posts?

Always ask people with dementia for help

Are you enjoying my blog posts? Grab a free download of one chapter from my audiobook here and also receive any future helpful tips and posts right to your inbox! “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 YOUhelp 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. This post is an old favorite. Be sure to sign up for my emails to receive more posts like this in your inbox. 

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. 

What’s the right time to ask for help if you're an Alzheimer's caregiver?

A guest post by Zara Lewis In my wonderful family, we all love and support each other; however, as it often happens, most of the important tasks are entrusted to a woman, in this case – me. My mother-in-law is at the end-stage of Alzheimer’s and I’ve been caring for her (with just a little help from my husband) for a decade.  Spending time with her, I’ve been constantly trying to reach past the murkiness of this horrible disease and find at least a glimpse of liveliness in her eyes. But there is nothing, a void, not a single moment of recognition on her face. She is helpless, her imagination is dead.  It’s heartbreaking, every moment of it – and I’ve finally admitted to myself that I can no longer do this alone. You are not a bad person Caregiving is demanding and there’s only so much you can do alone; additionally relying on someone else doesn’t make you selfish, inadequate or egotistical.  While a caregiver may think that sharing the load is giving up on the person they love – no, it is not. There is nothing wrong in asking for help. In fact, no matter who you are, what your financial situation is or what you’ve accomplished – when you’re dealing with a parent (or anyone else you love so much) with Alzheimer’s, the only thing to think about is how to help them. Forget about potential judgment, prejudice, intolerance: focus on the now and all the help you can get. Care together As you (probably) already know, Alzheimer’s is a progressive disease that’s getting worse over time. To a caregiver, ALZ is a highly demanding task which is both emotionally and physically challenging and it often takes up more energy than you have. While your love for the patient may trigger guilt if you are not the only person engaged in “helping”, you need to be realistic: if you are the only one shouldering the load, the quality of the care you provide will be diminished.  To prevent caregiver burnout, especially if you’re the primary caregiver for your loved one, share some of the responsibility with your family.  The right time to reach out for support Most caregivers make the mistake of pushing themselves too hard, to a point of utter exhaustion before they seek help. Do the opposite and share the load with your family early on. That way, you’ll not only be able to provide better help, but you’ll also avoid feeling done in. Don’t water it down It’s hard, awfully hard – so, in asking for help, don’t water down your requests by saying “It’ll be only temporary” or “If it’s not too much to ask”. Keep a list of things you need help with. Tell the family how it is and what all needs to be done. In case no one in the family is in a position to help, turn to a caregiving home for help. We’ve entrusted my mother in law to professionals for home care in San Jose who have massively increased her quality of life and instilled us with peace and tranquility. We still see her almost every day, but the fact that the responsibility is shared and that she’s in the right hands helps me and my husband sleep at night.  Understand that loving and caring for someone with ALZ isn’t your personal battle. Just as the disorder itself consumes its victims’ lives, it also consumes the lives and well-being of the people giving care – unless you ask for help, that is.

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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!