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Dementia - home care

Definition

Dementia is a loss of brain function that occurs with certain diseases. It affects memory, thinking, and behavior.

See also:

Alternative Names

Caring for someone with dementia; Home care - dementia

Information

Someone with dementia will need support in the home as the disease gets worse. Family members or other caregivers can help by trying to understand how the person with dementia perceives his or her world. Give the person a chance to talk about any challenges and participate in his or her own care.

Ask your health care provider how you can:

  • Help the person stay calm and oriented
  • Make dressing and grooming easier
  • Talk to the person
  • Help with memory loss
  • Manage behavior and sleep problems

Tips for reducing confusion in people with dementia include:

  • Have familiar objects and people around.
  • Keep lights on at night.
  • Use reminders, notes, lists of routine tasks, or directions for daily activities.
  • Stick to a simple activity schedule.

Regular walking with a caregiver or other reliable companion can improve communication skills and prevent wandering.

Calming music may reduce wandering and restlessness, ease anxiety, and improve sleep and behavior.

People with dementia should have their eyes and ears checked. If problems are found, hearing aids, glasses, or cataract surgery may be needed.

Supervised meals can help with feeding. People with dementia often forget to eat and drink, and can become dehydrated as a result. Talk to the health care provider about the need for extra calories due to increased physical activity from restlessness and wandering.

Also talk to the health care providers about:

  • Watching for risk of choking and what to do if choking occurs
  • How to increase safety in the home
  • How to prevent falls
  • Ways to improve bathroom safety

The Alzheimer's Association's Safe Return Program requires people with dementia to wear an identification bracelet. If they wander, their caregiver can contact the police and the national Safe Return office, where information about them is stored and shared nationwide.

Eventually, people with dementia may need 24-hour monitoring and assistance to provide a safe environment, control aggressive or agitated behavior, and meet their needs. This may include in-home care, nursing homes, or adult day care.

LONG-TERM CARE

A person with dementia may need monitoring and help at home or in an institution. Possible options include:

  • Adult day care
  • Boarding homes
  • Convalescent homes
  • In-home care

Many organizations are available to help you care for a person with dementia. They include:

  • Adult protective services
  • Community resources
  • Homemakers
  • Local or state government departments of aging
  • Visiting nurses or aides
  • Volunteer services

In some communities, dementia-related support groups may be available (See: Elder care - support group). Family counseling can help family members cope with home care.

Advance directives, power of attorney, and other legal actions may make it easier to decide on care for the person with dementia. Seek legal advice early, before the person is unable to make these decisions.

For more information and resources for people with Alzheimer's disease and their caregivers, see: Alzheimer's disease support groups.

References

Burns A, Iliffe S. Alzheimer's disease. BMJ. 2009;338:b158.

DeKosky ST, Kaufer DI, Hamilton RL, Wolk DA, Lopez OL. The dementias. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 70.

Knopman DS. Alzheimer's disease and other dementias. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 409.


Review Date: 9/26/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Luc Jasmin, MD, PhD, Departments of Anatomy and Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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