Thursday, May 29, 2008

Interacting with those affected by dementia

Senior News
Caring for an elder with Alzheimer's disease or related disorders may be challenging. Communication is impaired and most older adults with dementia experience and demonstrate unusual behaviors. The way in which the caregiver acts or reacts to their behavior can make the difference between the elder being calm or agitated.

Whether they are resisting care or showing apathy or aggression, the person with dementia is attempting communication. Caregivers must try to "hear" their language and consider the person's environment, personality, history, likes, dislikes, and potential unmet needs. Caregiver actions which emphasize understanding and accommodate the persons' needs are much more successful than those which emphasize control. The overall goal should be to enhance self-respect by promoting comfort and dignity.

During the recent caregiver's conference, Gerontological Nurse Practitioner Merritt Andruss taught the following principles of dementia care:

1) The two golden rules of dementia care are as follows: Rule One: If the person is not doing anything to hurt themselves or others, let them do it. Rule Two: The person with dementia can't change; therefore, you (the caregiver) must change or change the environment.

2) The three "Cs" of communication (consistent, concise

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