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10 Best Ways To Support A Loved One With Alzheimer’s Disease

10 Best Ways To Support A Loved One With Alzheimer’s Disease

Last year, we met a man wandering our street who asked us how to get home but could not remember where he lived. He said he had come to see his brother who lived on our street but could not remember the address. Fortunately, he had a sheet of paper with a contact number and we were able to put him in the car and return him safely to his home. This was a classic case of a person suffering from mild to moderate Alzheimer’s disease.

The first things an Alzheimer’s patient has to deal with are the problems with memory and making decisions. The patient will start feeling despondent. One of the first things to reassure them about is that you will always be there and that they are going to have bad days and good days. The patient and you will probably notice some or all of the following problems:

  • Repeating questions
  • Problems with paying bills and handling money
  • Delay in completing normal routine tasks
  • Personality changes where the patient may be withdrawn or extremely irritable
  • Difficulty in expressing thoughts
  • Misplacing items.

When moderate Alzheimer’s is present, the patient becomes even more confused and memory loss begins to interfere with daily functioning. Getting dressed becomes difficult and they may suffer from delusions and hallucinations. When severe Alzheimer’s sets in, the patient will be unable to communicate, will not be able to function at all and will spend most of the time in bed. They will need constant care and attention.

If you really want to understand what an Alzheimer’s patient is going through, an excellent book is The Best Friends Approach to Alzheimer’s Care by Virginia Bell and David Troxel. This book makes us aware of the patient’s feelings of being embarrassed, frightened and lonely as they experience a loss of memory and self-care skills. One of the most important pieces of advice in this book is that we should never correct a patient who tells us that a certain relative, who is long deceased, has been around recently. They also recommend imagining what it must be like not to be able to do any of our favorite activities anymore.

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Here are 10 things to keep in mind if you have a loved one with Alzheimer’s or if you are a caregiver.

1. Medication can help to maintain mental health

There are several drugs now approved by the FDA which can help a patient by delaying the disease’s progress. They will not work for everybody and they may only work for a time. The important thing is to help your loved one get an early diagnosis and treatment which may include these drugs.

As a supportive caregiver you can help in the following ways in managing the medication process:

  • Keep a list of the meds and dosages in a safe place at the patient’s home and also a copy for your own purse or wallet
  • Learn the times they should be given. You may have to call the patient to remind them if they are inclined to forget
  • Note any side effects and what progress has been made and report them to the doctor
  • Buy a pillbox with different compartments and a built-in alarm reminder.
  • Shared calendars can be a great help

As the disease progresses, you may have to make sure that someone is present when the meds are taken.

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2. Helping a patient to deal with memory loss

The patient will be upset at having to repeat questions and not take in the answers. While they can remember the long distant past perfectly, their memory of recent faces and events is at best patchy, at worst a complete blank. Their main worry at this stage is probably one of abandonment. You, as a caregiver and/or family member have to balance their desire to be independent with living safely. Here are some practical, easy ways you can help them cope:

  • Use post its at strategic points in the house to remind them to do certain things, taking keys, turning off the gas and so on. You can also get a personal voice prompt recording which kicks in as they approach the door.
  • Calendar clocks which show the month, date and time clearly are useful.
  • Color coded devices can help the patient find misplaced items.
  • Sensors built in to set off alarms in case of flooding or gas leaks.

3. Get help and support

Reach out to the many associations which will help you to support and assist a loved one. Find your local chapter of the Alzheimer’s Association if you live in the USA. They have a wealth of information and will help you with workshops and other resources. They also have a 24 hour helpline. You are not alone. They will also help you to look after yourself so that you do not suffer from burnout. In the USA, there are 15 million caregivers looking after people with this disease. If you live in another country, there may be similar organizations. It is well worthwhile reaching out.

4. Help them feel valued

The Alzheimer’s patient usually feels that their self worth is at risk and they want to retain their sense of identity and above all they want to be respected. Here are some of the ways you can help to prevent these feelings from being eroded:

  • Do not be too fussy about household routines and faulty memory when there are no safety issues
  • Dedicate time to chatting and avoid memory problems- let them go
  • Spend time with them doing things they still enjoy
  • Always include them in conversations
  • Always be affectionate and reassuring – avoid criticism at all costs.

 5. Coming to terms with skills erosion

These issues will inevitably come up as decreased cognitive abilities may mean that a patient will no longer be able to drive. Watch the video below on how a supportive conversation will help this man to come to terms with not being able to drive anymore. In the moving video, his wife hits the nail on the head when she states: “A real man tries to understand change tries to act in a responsible way.” Acknowledging the difficulties that giving up driving can involve demands empathy. Also, talking about possible solutions and reinforcing your affection are other ways to approach what can be a very thorny subject.

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6. How to help a patient to dress

Dealing with this can be easier if you try to encourage the patient to make choices. You can also help by making the most frequently worn clothes easily accessible. Make sure that buttons are undone and that zips are open. If they have problems in remembering how to dress, encourage them by giving them step by step instructions, one at a time. You can get the full dressing cheat sheet here.

7. Help with vision/spatial problems

One of the consequences of this disease is that the patient may have difficulty with vision and also interpreting colors and distance. Once the regular eye check ups have been dome and you are helping the patient wear the right glasses, it is important to look at the home environment so that they can negotiate it safely, without fear of falling. An occupational therapist is the best person to do this. The following changes may be recommended:

  • Suitable handrails at critical points in the house
  • Try using contrasting colors when setting the table. A white plate on a red tablecloth is much more easily recognizable than plates and cloths of the same color.
  • Use similar color contrasts for toilet seats so they are more noticeable
  • Improve lighting all over the house to reduce the risk of falls
  • Keep wall and floor designs plain. If they contain any geometrical patterns, these may be seen as obstacles by the patient.

8. Adjust to dramatic changes

As the disease goes through its various stages, there may be challenges which will seem overwhelming at first. But the rewards are also considerable as you will be able to strengthen the bonds through compassion and caring. In addition, there will be new relationships as you avail of support groups. Accept all the help you can get whether it is cleaning, shopping or transporting. You are going to need a network of people to help, so rally round friends and family.

9. Plan ahead

Further down the road, you have to make plans for 24/7 care. That may mean making decisions fairly early on. Most patients know that this is a distinct possibility and they want to be able to decide with their loved ones, sooner rather than later. Being involved in such a decision is important for them.

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You will have to assess whether your finances can permit extra care and help. Look at all the options. There is a series of videos here which will help you to deal with various issues.

10. Learn how to reflect

Learning acceptance of each new loss of memory or erosion of skills is very hard to bear for both caregivers and patients. Caregivers need to reflect on what the new reality means and make the necessary adjustments. There are still many positive things that can come out of this experience:

  • Be grateful for what your loved one can still achieve
  • Organize activities in which you can both still participate and enjoy
  • Keep a diary and write down your sad thoughts, your successes and your unfailing love
  • Make mindfulness and relaxation an integral part of your daily routine

I once watched a YouTube video of a man talking about his wife and her steady loss of cognitive function and abilities as she went through the various stages of Alzheimer’s. One phrase has stuck in my mind. He said: ‘Today is going to be her best ever.’ Living one day at a time and savoring any joyful moments is probably one of the best things a caregiver and a patient can do.

“Dementia is often regarded as an embarrassing condition that should be hushed up and not spoken about. But I feel passionately that more needs to be done to raise awareness, which is why I became an ambassador for the Alzheimer’s Society.” – Kevin Whately

More by this author

Robert Locke

Author of Ziger the Tiger Stories, a health enthusiast specializing in relationships, life improvement and mental health.

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Last Updated on April 19, 2021

How to Deal With Anger (The Ultimate Anger Management Guide)

How to Deal With Anger (The Ultimate Anger Management Guide)

We all lose our temper from time to time, and expressing anger is actually a healthy thing to do in our relationships with others. Expressing our differences in opinion allows us to have healthy conflict and many times come to an agreement or understanding that works for everyone. However, there are times when anger can become overwhelming or damaging, and during these times, it’s important to learn how to deal with anger.

Expressing anger inappropriately can be harmful to relationships, both personal and professional. You may express too much anger, too often, or at times that are only going to make things worse, not better. In this article we will look at anger management techniques that will help you better control your emotions.

Let’s take a deeper look at how to deal with anger.

Expressing Anger

Anger is a natural and normal part of almost any relationship. This includes relationships with your significant other, kids, boss, friends, family, etc. Anger provides us with valuable information if we are willing to listen to it. It clues us in to areas where we disagree with others and things that need to be changed or altered.

Unhealthy Ways to Express Anger

Here are some common yet unhealthy ways to express anger that you should avoid:

Being Passive-Aggressive

This is a term many of us are familiar with. Passive-aggressive behavior happens when someone is angry but uses indirect communication to express their anger.

Some of the more common passive-aggressive behaviors include the silent treatment, making comments about someone behind their back, being grumpy, moody, or pouting, or simply not doing tasks or assignments that they should.

This is a passive-aggressive person’s way of showing their anger. It’s not very productive but extremely common.

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Poorly-Timed

Some people get overwhelmed and express anger in a situation where it can’t really do any good.

An example would be getting angry at one person in front of a crowd of people. All that does is make people uncomfortable and shuts them down. It’s not a healthy way to express anger or disagreement with someone.

Ongoing Anger

Being angry all the time is most often a symptom of something else. It’s healthy and normal to express anger when you disagree with someone. However, if someone is angry most of the time and always seems to be expressing their anger to everyone around them, this won’t serve them well.

Over time, people will start to avoid this person and have as little contact as possible. The reason being is no one likes being around someone who is angry all the time; it’s a no-win situation.

Healthy Ways to Express Anger

What about the healthy ways[1] to adapt? When learning how to deal with anger, here are some healthy ways to get you started.

Being Honest

Express your anger or disagreement honestly. Be truthful about what it is that is making you angry. Sometimes this will entail walking away and thinking about it for a bit before you respond.

Don’t say you’re mad at something someone did or said when it’s really something else that upset you.

Being Direct

Similar to being honest, being direct is a healthy way to express anger.

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Don’t talk around something that is making you angry. Don’t say that one thing is making you angry when it’s really something else, and don’t stack items on top of each other so you can unload on someone about 10 different things 6 months from now.

Be direct and upfront about what is making you angry. Ensure you are expressing your anger to the person who upset you or you are angry at, not to someone else. This is very counterproductive.

Being Timely

When something makes you angry, it’s much better to express it in a timely manner. Don’t keep it bottled up inside of you, as that’s only going to do more harm than good.

Think of the marriages that seem to go up in flames out of nowhere when the reality is someone kept quiet for years until they hit their breaking point.

Expressing anger as it occurs is a much healthier way of using anger to help us guide our relationships in the moment.

How to Deal With Anger

If you feel angry, how should you deal with it right at that moment?

1. Slow Down

From time to time, I receive an email at work that makes me so angry that steam is probably pouring out of my ears.

In my less restrained moments, I have been known to fire off a quick response, and that typically has ended about as well as you might imagine.

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When I actually walk away from my computer and go do something else for a while, I am able to calm down and think more rationally. After that happens, I am able to respond in a more appropriate and productive manner. Doing things that helps you learn how to release anger can make an uncomfortable situation more manageable before it gets out of hand.

2. Focus on the “I”

Remember that you are the one that’s upset. Don’t accuse people of making you upset because, in the end, it’s your response to what someone did that really triggered your anger. You don’t want to place blame by saying something like “Why don’t you ever put away your dishes?” Say something more like “Having dirty dishes laying on the counter upsets me—can you work with me to come to a solution?”

When you are accusatory towards someone, all that does is increase the tension. This doesn’t usually do anything except make your anger rise higher.

3. Work out

When learning how to deal with anger, exercise is a great outlet. If something happens that angers you, see if you have the opportunity to burn off some of the anger.

Being able to hit the gym to get a hard workout in is great. If this isn’t an option, see if you can go for a run or a bike ride. If you are at work when you become angry and the weather permits, at least go outside for a brisk walk.

Besides working some of your anger out through exercise, this also helps to give your mind a chance to work through some ways to address what it is that upset you.

If you’re not sure where to start with an exercise routine, check out Lifehack’s free Simple Cardio Home Workout Plan.

4. Seek Help When Needed

There are times when we could all use some help. Life can be stressful and overwhelming. It’s perfectly fine to seek some help from a mental health professional if it will help you get back to a healthy balance.If you find that you are angry all the time, it might be a good idea to go talk to an expert about learning to control intense emotions. They can give you some sound advice and ideas on how to get your anger to a more manageable and healthy level.

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5. Practice Relaxation

We all seem to lead incredibly busy lives, and that’s a good thing if we are loving the life we are living. That being said, it is very beneficial to our physical and mental well-being to take time out for relaxation.

That can mean spending time doing things that help us calm down and relax, like being around people we enjoy, practicing deep breathing or listening to music. It could be making time for things that help bring us balance like a healthy diet and physical activity.

Many people incorporate techniques such as yoga and meditation to calm their minds and release tension when learning how to deal with anger. Whatever your choice is, ensure you take time out to relax when warning signs of anger start to bubble up.

6. Laugh

Incorporating humor and laughter on a regular basis will help keep anger in check and help you get over a bad mood and feelings of anger more quickly. This isn’t part of formal anger management techniques, but you’ll be surprised by how well it works. Remember, life is a journey that’s meant to be enjoyed fully along the way through healthy emotion. Make sure you take time to laugh and have fun.Surround yourself with people that like to laugh and enjoy life. Don’t work at a job that just causes you stress, which can lead to anger. Work at something you enjoy doing.

7. Be Grateful

It’s easy to focus on the bad in life and the things that cause us negative emotions. It’s vitally important to remind ourselves of all the wonderful things in life that bring us positive emotions, things that we easily forget because we get caught up in the whirlwind of day to day life.

Take time out each day to remind yourself of a few things you are grateful for in order to help you learn how to release anger and invite in more positive feelings.

Final Thoughts

Life can be overwhelming at times. We seem to have constant pressure to achieve more and to always be on the go or motivated. People we are around and situations we are in can cause stress, anger, and negative emotions. At times, it can seem to be too much, and we get angry and our emotions start to get out of control.

During these times, keep in mind that life is an incredible journey, full of wonder and things that bring you joy. When you find yourself angry more often than is healthy, take time out to remember the good things in life—the things that we seem to forget yet bring us so much positive energy and emotions.

Use some of the tips included here to help with how to deal with anger and better control your emotions.

More Resources on Anger Management

Featured photo credit: Andre Hunter via unsplash.com

Reference

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