Why fear symptoms of
dementia? It has been projected that of the 35 million
adults 65 years of age and older in the United States,
there will be at least 140,000 older adults diagnosed with
some form of cognitive impairment. For many, it is a hard
realization that the parent that once cared for us, now has
been diagnosed with "dementia". Dementia is used to
describe the symptoms of a large group of illnesses, in
which brain cells shrink or disappear. It is a progressive
decline in the ability to remember, to think, and to learn
and make judgments.
As the disease affects
different areas of the brain, different functions and
abilities are lost. Each individual is uniquely affected
and at widely varying rates of progression. As a result,
there must be an individualized approach to the care of
each individual exhibiting symptoms of dementia.
There is no cure for
dementia at this time and it is currently not possible to
restore brain cells affected by the disease. However, there
are treatments to help caregivers and the aging adult cope
with the challenges they face. A patient with symptoms of
dementia can still experience love, joy and sadness.
Effective and individualized care combined with emotional
support can improve the quality and richness of a patient's
life.
Many aging adults and
family members want to age in their home or remain in
familiar surroundings as long as possible. The benefits of
remaining in familiar surroundings has been shown to allow
the aging adult to have a better quality of life and reduce
or avoid admission to an institutional setting
The first step to this
process is planning ahead. Involve your parents in as many
aspects of the planning as possible. Work together to get
organized. Address issues, such as durable power of
attorney for health and finances. It is also important to
put an Advanced Directive in place now. Five Wishes is a
form of an Advanced Directive that is easy to use and
comprehensive approach to addressing end of life issues.
Identify where the important legal and financial documents
are kept and who are their professional advisers. Review
medical/health insurance, long term care policies. Be
prepared should a crisis occur. If your parent is
uncommunicative, consult a legal or financial professional
on your own to learn your options.
Addressing symptoms of
dementia in your home
Assess the home
environment and make the necessary changes to the home as
the senile dementia disease progresses. Safety is the
ultimate concern. You may have to curtail activities that
pose a safety risk, such as cooking, driving, operating
machinery.
Educate yourself about
resources in the community; talk to professionals early on
to learn what options, such as in-home support, adult day
care, home visiting physicians, and behavioral specialists
that are available in your area. Bring in a professional,
such as a care manager or elder care consultant to assist
you in maneuvering the health care delivery system and
coordinating care.
If you are making the
decision to maintain your aging loved one with symptoms of
dementia at home, there are classes that educate on how to
approach the aging adult when they exhibit such behaviors
such as agitation, hoarding, disrobing. They will also
teach you how to respond to those behaviors or even prevent
such behaviors. Psycho education, includes teaching coping
strategies and problem-solving skills to families, friends,
and/or caregivers to help them deal more effectively with
dementia in the elderly.
Be proactive and take the
time to receive individualized, specific education and
training. Knowing how to understand and manage disruptive
and depressive behaviors before they occur can decrease the
stress level of the caregiver.
Find a support group,
whether at work, through a local hospital, or on the
Internet. Even listening can be enlightening and
comforting.
Use the Internet to
educate yourself about a particular condition or disease,
and network with professionals and other caregivers
on-line. Investigate online skill training. With outside
support and understanding, the situation can be greatly
improved, and can allow for a better quality of life for
everyone involved.
There are some significant
steps needed to ease the stress on caregivers as well. One
large part is to make sure that all siblings and family
members are getting involved. They may not realize how much
work is actually required and must be reminded that their
help is needed. If other siblings live far away, they can
still participate in other ways, such as financially or
providing support through phone calls. It is crucial for
the caregiver not to feel alone or as if there is not
anyone to fall back on. It is important for the caregiver
to take care of themselves, physically, mentally, and
emotionally.
Utilizing community
services, such as adult day care, family counseling or
individual counseling, and home care services can empower
the caregiver to maintain a positive attitude, lead a
healthier life and maintain social contacts to avoid
isolation and decrease stress.