Do Not Shy Away From Asking For Help
No one may have all the answers especially when it comes to taking care of a person with dementia. Try doing research on how their behavior changes and what needs to be done to help them live their lives without too many complications. Hire help when it becomes too much as it also ensures that you do not become too frustrated or drained. When you have multiple family members who can help, ask everyone to pitch in and look after the patient so that you can get some personal space to breathe and re-energize when it is your time to look after the patient. When you feel like you can no longer look after your loved one at your own home, it may be time to consider assisted living. In such case, look into dementia care homes that can provide specially trained professionals.
Do Not Try To Stop A Person Who Wants To Leave A Room
Staying in one place for long periods may result in behavior problems in the dementia patient. It is essential to have a safe environment where they can enjoy the outdoors without any problem. When someone tries to leave a room, do not force them to stop. Doing this may result in an extreme reaction such as severe distress or injuries.
Instead, it is best to accompany the patient so that they are safe. You can even suggest going for a drive around the block so that they can experience a new environment for a short period. If they do not want company, just let them go but stay close by to make sure that the patient is safe at all times.
Do You Have To Use Adult Diapers Or Pull Ups
The message here is that you dont have to assume a graduation path that starts with smaller pads with an adhesive strip to pull-ups or underwear, all the way to to adult diapers. Instead, these products are capable of absorbing a wide range of fluids, depending on the situation youre trying to solve.
How To Prevent And Respond
One of the challenges as Alzheimers disease progresses is urinary and fecal incontinence. Incontinence can be a difficult topic to discuss with others, but it’s an important aspect of caring for your loved one.
Incontinence is the loss of the ability to control urination or bowel movements. In a medical setting, this may be referred to as being incontinent of bowel or bladder, or fecal or urinary incontinence.
Signs Of Dying In The Elderly With Dementia
Dementia is a general term for a chronic or persistent decline in mental processes including memory loss, impaired reasoning, and personality changes. Alzheimers disease is the most common form of dementia, accounting for 60-80% of all cases of dementia. It is also the 6th leading cause of death in the United States, and over 5 million Americans are currently living with Alzheimers disease.
Alzheimers disease and most progressive dementias do not have a cure. While the disease inevitably worsens over time, that timeline can vary greatly from one patient to the next.
Caring for a loved one can be challenging and stressful, as the individuals personality changes and cognitive function declines. They may even stop recognizing their nearest and dearest friends and relatives. As dementia progresses, the individual will require more and more care. As a family caregiver, its important to be able to recognize the signs of dying in elderly with dementia. Hospice can help by offering care wherever the individual resides, providing physical, emotional and spiritual care to the patient and support their family.
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Do Offer Assurance Often
Many times, people with dementia may experience feelings of isolation, fear, loneliness or confusion. They may not be able to express this in the right way and thus may wander off or keep saying that they want to go back home, especially if they are in a senior living facility. This is not the time to shut them out. Its a good idea to assure them that they are safe and in a good place.
If you are close enough, provide a comforting hug every once in a while and remind them that they are in a place that has their best interest at heart. Where possible, engage in exercise or take a walk as even light physical activity may help to reduce agitation, restlessness and anxiety.
Tips For Changing The Adult Diaper Of A Bedridden Patient:
These are the steps you must follow to change the adult diaper of a bedridden patient:-
Step 1 The first and foremost thing is to wash your hands carefully with medicated soap since hygiene is the main concern in changing a patients diaper. You can also use rubber gloves to avoid accidentally touching urine or feces in the diaper.
Step 2 Make sure the patient is lying in a comfortable and relaxed position then take off his trousers and underwear that he is wearing. At last, take out the used diaper by gently pulling it from the hips. Sometimes you may have to lift the patient a little.
Step 3 Clean the diaper area with wet wipes or lukewarm water and a cotton cloth. It is crucial that the diaper area is cleaned well otherwise, the patient can get a threatening infection from it. Before changing the diaper, it is necessary to examine the entire genital area of the patient for rash, swelling, and redness in the skin. Apply a generous layer of anti-rash cream all over the skin if necessary.
Wait for at least a minute so that the area near the persons private parts gets completely dry and apply the protective cream before putting on a new diaper. Always clean from front to back as cleaning from back to front can spread bacteria and cause an infection.
Step 7 Now that you have successfully changed the diaper, throw the used diaper and hand glove in the trash can.
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What Are The Signs Of End
It is important for caregivers to know when an individual with dementia is close to the end of their life, because it helps ensure they receive the right amount of care at the right time. It can be difficult to know exactly when this time is due to the variable nature of dementias progression, but understanding common end-of-life symptoms of seniors with dementia can help. Below is a timeline of signs of dying in elderly people with dementia:
Final Six Months
- A diagnosis of another condition such as cancer, congestive heart failure or COPD
- An increase in hospital visits or admissions
Final Two-to-Three Months
- Speech limited to six words or less per day
- Difficulty in swallowing or choking on liquids or food
- Unable to walk or sit upright without assistance
- Hands, feet, arms and legs may be increasingly cold to the touch
- Inability to swallow
- Terminal agitation or restlessness
- An increasing amount of time asleep or drifting into unconsciousness
- Changes in breathing, including shallow breaths or periods without breathing for several seconds or up to a minute
Patients with dementia are eligible to receive hospice care if they have a diagnosis of six months or less to live if the disease progresses in a typical fashion. Once a patient begins experiencing any of the above symptoms, it is time to speak with a hospice professional about how they can help provide added care and support.
Symptoms That Warrant A Trip To A Doctor
You can treat most diaper rashes at home, however, Movassaghi says if theres a skin breakdown, a visit to a doctor is needed.
Other symptoms that warrant a trip to the doctor include:
- a rash that worsens or doesnt improve in three days
- a rash that is oozing or bleeding
- a rash that causes pain or burning
- running a fever, which for an adult is a temperature exceeding 9999.5°F
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Tips For Managing Dementia End
Because individuals with advanced dementia will often have difficulty communicating, it is important that caregivers keep a close eye on their loved one for signs of pain or discomfort. These signs may include moaning or yelling, restlessness or an inability to sleep, grimacing, or sweating. This may also signal that its time to call hospice or a palliative care team to help with the pain management.
If an individual with end-stage dementia is having trouble sitting up without assistance, hospice can provide a hospital bed or other equipment to lift their head.
Perhaps the hardest thing for families is when a loved one with dementia is no longer able to eat or swallow. Because an individual with dementia is unable to understand the benefits of feeding tubes or IV drips, they will often be incredibly distressed and attempt to remove them, causing added pain and risk of infection. Instead, focusing on keeping the individual comfortable. Supporting them with mouth care to prevent their mouth from becoming dry will allow them to make their final transition in peace.
What You Should Do
So what should you do if you get hit? Depending on the patient, their hitting may not physically harm you. This is especially true with the elderly or ones who are very sick and weak. With them, just do what you absolutely need to do and try to agitate them as little as possible.
Other combative patients can and will harm you if you are not careful. When they become combative, you should back away from them so they don’t keep hitting you. If they are ambulating and they are a fall risk, it is best not to back away, but at the same time, you shouldn’t ignore your own safety.
If you are doing something such as trying to change their adult diaper, it is a good idea to ask for help. That way one of you can hold their arms and/or legs down while the other does the changing. Just be careful not to accidentally harm them while trying to control their movements.
Just stay calm. If they see that you are anxious, it will make them even more anxious. Don’t show fear. This is often what they want and may encourage their behavior. Talk in a non-threatening voice. A soothing voice telling them that everything is okay may be the only thing they need to hear.
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Annual Report To Parliament On Canada’s Dementia Strategy
Each year the federal Minister of Health prepares a report to Parliament on the national dementia strategy.
The 2020 Report to Parliament shares a Canada-wide overview of some of the many dementia-related efforts underway across the country. This report highlights how many different organizations, including the federal government, are supporting the strategy’s national objectives and reflects the variety of those efforts.
Do Try To Be Forgiving And Patient
Do not forget that dementia is the condition that results in irrational behavior and causes dementia sufferers to act the way they do. The patients demand plenty of patience and forgiveness from the people looking after them. Have the heart to let things go instead of carrying grudges around for something that the patient may not be in control of.
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Changing Adult Diapers And Other Lessons
If you had told me five years ago that I would have to change my mothers diaper, I would have hyperventilated at the mere thought.
The reality of doing it, when it became necessary, was actually surprisingly straightforward. The same applies to most aspects of caring for a loved one. The things that seemed impossible in theory are made possible by love. It is as if a limitless battery of affection has been charged by 40 years of her looking out for me and now that the reverse is needed, a splendidly efficient autopilot system has engaged.
I share the responsibility of looking after her with my sisters. To say I am her part-time carer would not be accurate. I am, rather, her full-time carer some of the time. Every couple of months, when I fly back to her to do my shift, the terror of the possibility she might not recognise me looms large.
I have to actively stop my mind from running forward. First, because Alzheimers is not a smooth downward curve, but a jagged downward line she has good days and bad days, just like everyone else. If she is confused today, she might be much less so tomorrow. Second, because I know now that the imagined reaction to a horrible hypothetical is always more dramatic than the actual reaction to the real.
Offering unconditional love is a pleasure I had quite forgotten in the cynicism of my 40s.
Do Not Engage In Arguments
One of the worst things a person can do to an individual who has dementia is to start an argument or even force them to do something that makes them upset or angry. When the discussion or argument is too heated, it may be better to walk away to create an environment where everyone can remain calm. Experts agree that one of the ways that can yield results when it comes to dementia behavior problems is to get rid of the word no when dealing with patients. Avoid forcibly restraining a dementia sufferer at all costs.
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Do Try To Be Pleasant
Caregivers are also humans who are prone to emotions like anger, stress, impatience, and irritation. Even when one goes through caregiver burnout, it is best that the patient does not get wind of it. It is better to step out of the room and try some breathing exercises to calm down before going back to deal with the dementia patient. Where possible, shelve the bad feelings and try and deal with them later. Dementia patients deal with a lot and they do not need more on their plate if they are to lead fulfilling and happy lives.
How To Handle Combative Patients
While working as a caregiver, there is a good chance you will encounter combative patients, or patients who try to harm others or themselves. What do you do in these situations? Each one is different and should be approached cautiously.
It is often very difficult, or sometimes impossible, to know when a patient will become combative. They will be fine one moment and then in just a matter of seconds, they snap. You should be extra cautious of people who are known to do this.
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When To Perform An Adult Diaper Change
Adult diapers make it easier for older and disabled adults to live. They will not have to worry about bowel or bladder incontinence accidents. These diapers also make it possible for a CNA to provide a higher level of care, especially for bedridden patients.
Knowing how to change an adult diaper properly makes it possible to keep your patients comfortable and respect their modesty during the process. There are key steps during an adult diaper change that ensure both of these factors.
No matter what type of facility you work in, if you work with adults, there will come a time when you need to know how to change adult diapers. For example, if you have an adult patient with MS who has mobility issues, they may wear briefs due to having difficulty ambulating to the bathroom.
Should they not make it to the restroom, the diaper will prevent their feces or urine from soiling their bed and clothing. As the CNA, you will simply change their adult diaper and assist them in cleaning up so that they are comfortable.
What Are The Signs Of End Stage Dementia
Experts suggest that signs of the final stage of Alzheimers disease include some of the following:
- Being unable to move around on ones own.
- Being unable to speak or make oneself understood.
- Needing help with most, if not all, daily activities, such as eating and self-care.
- Eating problems such as difficulty swallowing.
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Dont Call Them Diapers
Many people refer to incontinent products as diapers, but the term has a strong connotation with infants.
It is generally considered to be disrespectful, infantilizing and tactless.
It should not typically be used when referring to adult absorbent undergarments .
Words like pads or briefs would be an appropriate way to refer to these products.
Products designed to be worn inside, or instead, of underpants
- Pantiliners a very thin pad that adheres to underpants for small leaks
- Disposable pads adhere to underpants, but are thicker and more absorbent than pantiliners
- Pull up briefs / disposable underpants
- Washable pads, liners or absorbent underpants
- Reusable vinyl waterproof underpants covers
- Wraparound tab briefs similar to a traditional diaper design
- Extended wear Products designed for extended use keep urine away from the skin
- Brief liners designed specifically for use in a brief to boost absorbance or easily remove if damp
- Insert for use with special underpants designed with a pocket to hold a disposable or washable pad insert
- Condom catheter or body-worn urinal Designed to fit over a penis and collect urine in a bag
Products to protect furniture from wetness
- Waterproof bed sheets
- Waterproof mattress pads
Other supportive equipment
- Raised toilet seat with handles this can make it easier to get on or off the toilet
- Portable bedside commode